[Date: April 22, 2024]
Adverse Incident Report
Date and Time of Incident: April 21, 2024,
10:30 AM
Location: General Hospital, Ward 3A
Reported By: [Rutherford], Registered Nurse
Incident: Fall of Patient Mrs. SmithDescription
of Incident:
On April 21, 2024, at approximately 10:30 AM,
while conducting routine rounds in Ward 3A, I
witnessed a patient fall incident involving Mrs.
Smith, a 75-year-old female admitted for
pneumonia treatment. Mrs. Smith attempted to
get out of bed unassisted to use the restroom.
Despite the presence of the call button within
reach, she did not utilize it. As a result, Mrs.
Smith lost her balance and fell to the floor.
Actions Taken:
1. Immediately after the fall, I called for
assistance from fellow nurses and the
attending physician.
2. I assessed Mrs. Smith's condition and
provided initial first aid.
3. I contacted the patient's family to inform
them of the incident and updated them on
Mrs. Smith's condition.
4. I completed an incident report form
detailing the circumstances of the fall and
Mrs.
5. Smith's condition [Link]. Smith
was transferred to the emergency
department for further evaluation and
treatment, including imaging studies to
assess for any injuries sustained during the
fall.
Follow-Up Actions:
1. The incident was reported to the
charge nurse and nursing supervisor
on duty.
2. A review of Mrs. Smith's care plan
was conducted to identify any gaps
in fall prevention measures and
implement additional precautions to
prevent future falls.
3. Staff education sessions on fall
prevention strategies and the
importance of using call buttons for
assistance were scheduled.
4. The incident was documented in
Mrs. Smith's medical record,
including details of the fall,
assessments, interventions, and
follow-up care provided.
Recommendations:
1. Reinforce patient education
regarding the use of call buttons for
assistance when
[Link] regular
assessments of patients' fall risk and
adjust care plans accordingly.
2. Ensure adequate staffing levels to
provide timely assistance to patients
as needed.
3. Conduct periodic audits of fall
prevention measures and adherence
to hospital policies and protocols.