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RN Nursing · Medication Errors and Safe Practices · Practice question

A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?

Answer & explanation

Correct: A client discovers that his dentures are missing.

An incident report, also called a variance or occurrence report, is completed whenever an unexpected event occurs that could affect client safety, welfare, or the quality of care delivered. A client discovering that his dentures are missing is a client safety and property-related event that requires documentation via an incident report because it represents an unexpected occurrence directly affecting a patient in the nurse's care. Missing personal property is a reportable event that must be documented to protect the client, the facility, and the staff. A disagreement between the nurse and nursing supervisor about staffing is a personnel and administrative conflict; while it may be addressed through chain-of-command communication or a staffing concern report, it is not a client safety incident report situation. A staff member not showing up for an assigned shift is a staffing or human resources issue managed through attendance policies, not an incident report. Identifying a broken piece of equipment requires the equipment to be removed from service and reported to biomedical engineering or maintenance, but the mechanism for this is a work order or equipment report, not a client incident report. The missing dentures option is the only scenario that involves a client safety or property concern requiring a formal incident report.

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