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Krystenmcinnis Krystenmcinnis
wrote...
6 years ago
Which entry will require follow-up by the nurse manager? 0800 Patient states, Fell out of bed. Patient found lying by bed on the floor.
 
  Legs equal in length bilaterally with no distortion, pedal pulses strong, leg strength equal and strong, no bruising or bleeding. Neuro checks within normal limits. States, Did not pass out. Assisted back to bed. Call bell within reach. Bed monitor on. -------------------Jane More, RN 0810 Notified primary care provider of patient's status. New orders received. -------------------Jane More, RN 0815 Portable x-ray of L hip taken in room. States, I feel fine. -------------------Jane More, RN 0830 Incident report completed and placed on chart. -------------------Jane More, RN a. 0800
  b. 0810
  c. 0815
  d. 0830
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wrote...
6 years ago
D
Note that you do not include mention of the incident report in the patient's medical record. Instead you document in the patient's medical record an objective description of what happened, what you observed, and follow-up actions taken. It is important to evaluate and document the patient's response to the error or incident. Always contact the patient's health care provider whenever an incident happens.
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