Home › CNA Practice Tests › Role of the Nurse Aide Questions › Question 106
A resident falls in the bathroom and is helped by the aide. How should this event be handled in documentation?
- A.Write only opinions about why the fall happened in the chart
- B.Do not chart the fall at all to protect the resident's privacy
- C.Chart the facts observed in the record and complete a separate incident report
- D.Place the incident report itself as the only note inside the chart
Correct answer
C. Chart the facts observed in the record and complete a separate incident report
Why
The chart should contain factual observations about the event and the resident's condition, while the incident report is a separate internal document used for follow-up and prevention. The incident report itself is not filed as part of the chart note, and the fall must never be hidden.
Content outline: Role of the Nurse Aide - Documentation: Incident Reports · From the Role of the Nurse Aide practice bank (RA-106).