Which statement about an incident report is correct?
Correct answer: B. It is used to record facts about an unusual event.
- A. It replaces the patient’s progress note about the event.
- B. It is used to record facts about an unusual event.
- C. It is placed in the patient’s medical record for review.
- D. It is completed only when the patient has an injury.
Explanation
An incident report records factual details of an unusual event, including events that cause no injury or near misses. The patient record should contain the patient’s assessment, care, and response, but should not refer to the incident report.
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About Documentation, Reporting and Communication
Documentation covers accurate, timely and objective nursing records, charting formats, incident reports, medication records, confidentiality and legal accountability. Communication includes therapeutic listening, questioning, empathy, handover and reporting using a structured method such as SBAR, while distinguishing subjective patient statements from objective observations.
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