Incident Reports

No, you should not document that an incident report was completed, and a copy does not go into the patient's chart, and the patient does not sign the incident report.

I agree with cook1043

you should ask your supervisor, or a more experienced nurse about what to put in the incident report also... I agree with those above, no, no and no.

doccument in your notes very well about the incident, but not the report. Don't try to hide anything. if the incident is the patient was found on the floor, just doccument how your found the patient, how the pt was transported back to bed. If there were any injuries. who you contacted. the falls prevention things in place at the time of the fall, and any additional falls prevention things put in place after the fall. pts VS and pain level. LOC, etc. also make sure the care plan is updated. these are things that the person following up with the incident will look for.

agree with the above! no, no, and finally, no!!!!!!!!!!

1 & 2 is going to depend on the facility. I did some agency shifts at a couple of facilities (nation-wide chain) and the corporate policy was to put a copy of the incident report in the chart.

3) I hev never even seen a space for it.

I work in Nursing Quality and the answer to all 3 is NO

The purpose of an incident report is two fold, one is for risk management to advise them of a potential legal matter and secondly for quality to see if there is a trend with this issue. I agree all 3 are NOs.