
To identify:
The essential information that must be documented in the child’s electronic record regarding the fall she experienced?
Case summary:
The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.
To discuss:
Other actions should be documented regarding the institution’s response to the incident.
Case summary:
The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.

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