Answer: 2 The nurse filling out an incident or variance report needs to state only the objective facts surrounding the incident no opinion or speculation. In an incident report fault or blame is subjective and should not be implied. It is not necessary to include names except for those of witnesses. Speculations or opinions as to the reason why the ordered restraints were not on the client are subjective and not appropriate to include in an incident or variance report.
A hospitalized client experiences a fall after climbing over the bed's side rails. Upon reviewing the client's medical record the nurse discovers that restraints had been prescribed but were not in place at the time of the fall. What information should the nurse include in the follow-up incident report?1 A statement that the ...