Resident Incident Report
I. Incident Details
Date of Incident: | May 15, 2054 |
Time of Incident: | 10:30 AM |
Location of Incident: | Oakwood Assisted Living Facility, Wing B |
Description: | A resident, Mrs. Emily Johnson, fell in the dining area while attempting to stand from her chair. She was found on the floor by staff members, complaining of pain in her left hip. It appears that she lost her balance while trying to reach for her walker, which was positioned slightly out of reach. |
II. Resident Information
Name: | Emily Johnson |
Age: | 78 |
Room Number: | B-203 |
Medical Conditions: | Osteoporosis, Hypertension |
III. Witnesses
Nurse Jane Smith - Ext. 1234
Caregiver Mark Jones - Ext. 5678
IV. Actions Taken
Nurse Smith assessed Mrs. Johnson's condition and provided initial first aid.
Caregiver Jones assisted in transferring Mrs. Johnson back into her wheelchair.
The facility's physician, Dr. Patel, was notified of the incident.
V. Follow-Up Plan
VI. Staff Involved
Nurse Jane Smith
Caregiver Mark Jones
VII. Management Notification
Management has been informed of the incident, and a copy of this report will be provided to the facility director, Ms. Samantha Davis.
VIII. Regulatory Reporting
This incident does not require reporting to regulatory agencies as it did not result in serious injury or harm to the resident.
IX. Family Communication
Mrs. Johnson's daughter, Mrs. Sarah Brown, has been notified of the incident via phone call. She was reassured of Mrs. Johnson's condition and informed that further updates would be provided as needed.
X. Additional Notes
Mrs. Johnson's fall was likely exacerbated by her osteoporosis condition. The dining area layout will be reviewed to ensure residents' mobility aids are easily accessible in the future.
XI. Reporting Personnel
Name: | [Your Name] |
Title: | Registered Nurse |
Contact Information: | [Your Email] |
Date: | [Date] |
Resident Incident Reports are crucial for maintaining safety and quality in care facilities. They help track incidents, enhancing communication, accountability, and transparency among staff, management, and families. These reports drive immediate response, preventive measures, and continuous care improvement, playing a key role in protecting residents and upholding high standards of compassionate and dignified care.
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