The nurse finds a client lying on the floor next to the bed. After returning the client to bed, assessing for injury, and notifying the primary care provider, the nurse fills out an incident report. Which of the following is the nurse’s next action?
1. Give the incident report to the nurse-manager.
2. Place the incident report on the chart.
3. Call the family to inform them.
4. Omit mentioning the fall in the chart documentation.
The incident report should be given to the nurse-manager. The incident report should not be placed on the chart because it is considered a confidential communication and cannot be subpoenaed by a client or used as evidence in lawsuits. It is appropriate, ethical, and legally required that the fall be documented in the chart. Unless there is a change in the client’s condition reflecting an injury from the fall, there is no need to notify the family. If the family does need to be notified, the nurse-manager or the primary care provider should place the call.
CN: Management of care; CL: Synthesize
小编寄语：The fairest is time, the most eccentric is also time, everyone has the same hours, but finally live into a different appearance.最公平的是时间，最偏心的也是时间，每个人都拥有同样的小时，最后却活成了不同的模样。