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What to include

Long-Term Care Nursing Advisor, August 24, 2007

The incident report for an accident or injury such as a fall should include the following information:

  • Circumstances of the incident
  • Date, time, and location of the fall
  • Witnesses', staff members', and resident's accounts of the incident
  • Interventions taken to care for the resident after the incident
  • Notifications made as a result of an incident
  • Resident symptoms prior to the incident
  • Vital signs and observations made after the incident
  • Resident activity at the time of the incident
  • Injuries/medical problems associated with the incident
  • Corrective actions taken to reduce chances of another incident

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