The Legal NP
Region: US
Tuesday 07 July 2026 22:44:45 GMT
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fineallthetyme :
you dont mention the incident report in the medical chart...but you absolutely chart the fall!
2026-07-07 23:18:01
52
It’s just me Christy :
Oh my word!! Not documenting a fall? I can’t believe that’s being taught
2026-07-07 23:13:30
16
xxstaceyecatasxx :
our incident reports are called "risk assessments" and it has a specific progress note section for me to write a note in and automatically puts it in the patient chart. then we status post fall chart a nurse note every shift X 3 days.
2026-07-08 21:51:29
1
Troy Hoover :
What about being instructed by the facility to document the incident report number in the EMR?
2026-07-08 00:08:09
4
MJ :
Oh they got that confused you absolutely chart the fall you just don’t specifically chart *”incident report filed” in the medical record even though you did
2026-07-08 14:25:31
1
Jenna :) :
1000% write a note about the event but do not put anything about the incident report in the chart
2026-07-08 17:21:20
1
TripleThreatMUA🏳️⚧️ :
Omg yesss love learning something new from you!!! Keep up the good work 💙💙💙💙💙
2026-07-08 18:43:38
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apap302 :
Question: op note from a few months ago. Just happened to see it. The description of procedure is absent probably computer didn’t save
2026-07-07 23:37:38
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TaterTangerine :
I just started working in compliance for a large outpatient group. Our compliance team repeatedly informs clinicians not to document falls in the clinic in the chart note and it's never sat right with me. Is there more info I can provide to them to show them this is incorrect?
2026-07-14 01:03:46
0
Chaosandcaffeine :
We have a whole post fall assessment. Always document. Never document the incident/event report
2026-07-08 05:00:45
1
🎀 ᗩᗰᗩᑎᗪᗩ 🎀 :
What?? Always document the fall!! Just don’t document “incident report done”.
2026-07-14 02:48:20
0
Sam :
Incident report is when 💩 happens, patient or otherwise. If the incident has a patient involved then it goes in the patient care report.
2026-07-08 17:56:04
1
Mela :
Fall … “OH NO”
2026-07-07 23:11:04
1
Murse Justin :
Thank you 👏
2026-07-07 23:41:22
1
Mn :
I see people say dont chart “found” because it implies the patient was “missing.” This is bullshit right? Lol
2026-07-08 00:20:03
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Grandma Boomer77 :
Years ago, there was a patient who had constantly no matter what slip out of bed and end up on the side of the bed sitting up. No matter what nursing intervention was taken this happened and of course, each time it happened and incident report would be filled out and the provider called. The provider was tired of being woken up in the middle of the night eventually so he wrote an order “patient may fall out of bed PRN.😂 That did not go over well with administration. But yes, I always chart what happened and what was done. Because you could be called into court and you want your license covered.
2026-07-08 01:37:33
2
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