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CNA-NIC F25 CH 3.14
Describe Incident Reporting and Recording
| Question | Answer |
|---|---|
| INCIDENT | is an accident, problem or unexpected event that happens during the course of care |
| what is not part of the normal routine | an incident |
| what is a mistake in care | an incident |
| what is an example of a mistake in care (incident) | feeding the resident from the wrong meal tray |
| what is another example of an incident | a resident fall or injury |
| what are other types of incidents | accusations made by residents against staff as well as employee injuries |
| what does state and federal guidelines require regarding incidents | that they be recorded in an incident report |
| INCIDENT REPORT | is a report that documents the incident and the response to it |
| what are other names for incident reports | occurrence, accident, accident/incident, or event report |
| what is an incident report | a factual, objective account of what happened |
| what type of information is in the incident report | the information in an incident report is confidenial |
| what is an incident report's purpose | is intended for internal use to help prevent future incidents |
| when should NAs complete the incident report when documenting incidents | as soon as possible |
| who should NAs give the completed incident report to | the charge nurse |
| why is it important to complete the incident report as soon as possible | this is important so that they do not forget any details |
| when must an NA always complete an incident report | if she is injured in any way, no matter how slightly, while on the job |
| what does submitting an incident report if the NA is injured do | protects the NA and identifies that the injury occurred at work |
| who may add information to the incident report | nurses |
| who will complete the report if there is an accident or injury to residents or visitors | the nurse |
| what can an NA be asked to do for the incident report | add information regarding residents and visitors |
| incident report guideline #1 | include exactly what you saw |
| incident report guideline #2 | state the time and the mental and physical condition of the person |
| incident report guideline #3 | describe the person's reaction to the incident |
| incident report guideline #4 | State the facts, do not give your opinion |
| incident report guideline #5 | do not document anything in the resident's medical record about the incident report being filed |
| incident report guideline #6 | do not make any photocopies of the incident report |
| a nursing assistant should not let | anyone try to talk her out of completing an incident report |
| what is important to have on file | the incident reports |
| why is reporting and documenting incidents done | to protect everyone involved |
| when should the NA complete an incident report | the same day the incident occurs as soon as possible |
| SENTINEL EVENT | unexpected event that causes serious injury or death |
| another name for sentinel event | ADVERSE EVENT |
| ADVERSE EVENT | unexpected event that causes serious injury or death |
| sentinel | is a guard who stands watch |
| the phrase sentinel event is used because | to emphasize the need for immediate investigation and response |
| what is an example of a sentinel event | a medication error that results in a residents death |
| what is required from a sentinel event | is required to be reported to the proper agency |
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