A nurse is caring for an elderly patient. The patient falls and injure

QUESTION

A nurse is caring for an elderly patient. The patient falls and injures herself. Which of the following actions should the nurse take to decrease his/her liability? Select all that apply.

A. Document the incident carefully on the designated form provided by the institution.
B. Chart the facts surrounding the client’s fall, condition, and follow-up care.
C. It is not necessary to document anything about the fall.
D. Report the incident to the next shift during report.

ANSWER:

ANS: A, B, D