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Incident Report: Betty Lee's Wrist Fracture

On December 28, 2016 at 7:00 PM, Betty Lee was admitted to Saint Joseph Hospital complaining of wrist pain. Upon further examination, it was discovered that Betty had fractured her wrist after falling from her hospital bed. Betty's husband witnessed the incident. Betty's medical history revealed she had fallen from a ladder two months prior, injuring her wrist. I was making my evening rounds when I checked in on Betty Lee. I reviewed her chart and saw that she had fallen in her room, fracturing her previously injured wrist. Her doctor had been notified and ordered an x-ray to check the alignment of the broken bone. The x-ray

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Mark Robbiem Barco
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1K views4 pages

Incident Report: Betty Lee's Wrist Fracture

On December 28, 2016 at 7:00 PM, Betty Lee was admitted to Saint Joseph Hospital complaining of wrist pain. Upon further examination, it was discovered that Betty had fractured her wrist after falling from her hospital bed. Betty's husband witnessed the incident. Betty's medical history revealed she had fallen from a ladder two months prior, injuring her wrist. I was making my evening rounds when I checked in on Betty Lee. I reviewed her chart and saw that she had fallen in her room, fracturing her previously injured wrist. Her doctor had been notified and ordered an x-ray to check the alignment of the broken bone. The x-ray

Uploaded by

Mark Robbiem Barco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Incident Report: Rick Grimes: Presents an incident report for a patient named Rick Grimes, including date, time, and medical details.
  • Incident Report: Betty Lee: Details an incident report for a patient named Betty Lee, focusing on event timing and contributing factors.

Today`s Date Date of Incident Time of Date Received

Incident

Day Month Year Day Month Year (24 hrs. Day Month Year
clock)

03 12 2016 02 12 2016 18:45

Person Involved Rick Grimes

Type of Incident Shortness of Breath

Witnesses Family members

Contributing factors Tachycardia and chest pain

History Family history: Father died from heart


attack
Condition after the incident Vitals: Blood pressure 200/160, Pulse
132
Physical status: Conscious, Responsive

Persons Informed Head Nurse, Doctor

Treatment Ordered IV Fluid of D5W 100 cc/hr ,


Nitroglycerine 0.5 mg SL q 5 min up to 3
times
SAMPLE ANSWER:

This is the incident report for the patient Rick Grimes created on December 3, 2016. On
December 2 at 18:45 hours, the patient Rick Grimes suffered from shortness of breath
which was witnessed by family members.

The patient has a family history of heart disease. His father died from a heart attack. Rick
suddenly displayed tachycardia and chest pain leading to shortness of breath.

After the incident, the patient had a blood pressure reading of 200/160 and a pulse rate
of 132. He was conscious and responsive.

The head nurse and doctor were notified of the incident. The patient was ordered to
receive IV Fluid of D5W 100 ml per hour and Nitroglycerine 0.5 mg SL initially and to be
repeated every five minutes for three doses.

CAROL FLYNN, LPN


WRITING TASK B (You will be given 20 minutes to complete this task).

INSTRUCTIONS:

You are a nurse in a hospital. While doing your rounds you check in on a patient who was
hospitalized because of wrist pain. Write at least two paragraphs about the incident, using complete
sentences.
Make sure to include the following:

. What happened, including place, time and date


. The cause of the incident
. The patient’s condition
. Your actions immediately following the occurrence

Use the information given below to write about the incident.

Saint Joseph Hospital


Report
For Office
Use Only
Today’s Date Date of the Time of Date Received
Incident incident
Day Month Year Day Month Year (24 hr Clock) Day Month Year
28 12 2016 29 12 2016 19:00

PERSON INVOLVED Betty Lee


LOCATION Patient’s room
TYPE OF INCIDENT Fall
WITNESSES Husband
CONTRIBUTING Fall from a ladder 2 months ago
FACTORS
NATURE OF PROBLEM Wrist fracture, injured her wrist joint and has pain in
this area.
CONDITION Reducing a wrist fracture, doctor was able to realign
FOLLOWING INCIDENT the broken wrist.
PERSONS NOTIFIED Physician and Nurse Practitioner
TREATMENT ORDERED Broken wrist, the x-rays was reviewed to determine
if the fracture is in proper position. Broken wrist
amenable to cast. Bones were out of proper
position, light sedation was used to reset the
fracture. Pain killer was given.
SAMPLE ANSWER

Today’s Date: 12/29/2016

Date of Incident: 12/28/2016

Time of Incident: 1900 hours (or 7:00 pm)

This is the case of Betty Lee who was admitted to Saint Joseph Hospital on
December 28, 2016. One day earlier, the patient complained of wrist pain. It
was found out that she incurred a wrist fracture as a result of fall from her
hospital bed at 7:00 in the evening. The incident was witnessed by her
husband. Betty’s health history revealed that she had a previous fall from a
ladder 2 months ago. A doctor managed it by realigning the broken wrist.

The Physician and Nurse Supervisor were notified. The following treatment
and management were ordered. A follow up X-ray to determine if the
fracture has been corrected. It was done right away and revealed that the
bone was not in proper alignment. The Physician ordered resetting of the
fracture. Light sedation was administered during the procedure and followed
up with pain killers as ordered.

CASEY JONES, RN
(Signed)

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