Writing Incident Reports Flashcards
7 cards from real CELBAN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Writing Incident Reports flashcards as text
Which section of an incident report describes the sequence of events leading up to the incident?
Answer: Narrative or description of event section
The narrative section provides a chronological, factual account of what happened before, during, and immediately after the incident.
A nurse notices a patient has developed a stage 2 pressure injury that was not documented on admission. The FIRST action is to:
Answer: Assess and treat the patient, then complete the incident report promptly
Patient care always takes priority; the incident report is completed after the patient's immediate needs are addressed.
Which of the following best describes the purpose of an incident report from a quality improvement perspective?
Answer: To identify system failures and prevent future incidents
Incident reports are primarily quality improvement tools used to identify and address systemic vulnerabilities.
When a visitor trips and falls in the hallway, who is responsible for completing the incident report?
Answer: The nurse or staff member who witnesses or is first notified of the incident
The nurse or staff member who witnesses or responds to an incident is responsible for completing the corresponding report.
The incident report should be filed:
Answer: Separately from the patient's chart, in the risk management system
Incident reports are confidential quality improvement documents kept separate from the patient's medical record.
A patient refuses a prescribed medication. The nurse should document this in the incident report as:
Answer: Patient exercised their right to refuse; medication withheld; physician notified at [time].
Documentation should reflect the patient's right to refuse, factual actions taken, and notification of the responsible physician.
Which of the following is an example of a 'near miss' that should still be reported?
Answer: A nurse administered the wrong medication dose but caught the error before the patient received it.
Near misses — errors caught before reaching the patient — should be reported to prevent future occurrences.