While conducting hourly rounds, a practical nurse finds a resident sitting on the bathroom floor. The resident states, "I slipped on a wet spot." Arrange the following nursing actions in the correct sequence from first to last.
- 1Assess the resident for pain, bleeding, or obvious deformities.
- 2Use the call light system to request assistance from other staff members.
- 3Safely assist the resident back to bed using appropriate handling techniques.
- 4Notify the healthcare provider of the fall and the assessment findings.
- 5Complete a facility incident report regarding the event.
Answer
The correct sequence is to first assess the client for injuries, call for assistance from staff, safely assist the client back to bed, notify the healthcare provider, and finally complete the facility incident report.
Post-fall protocols dictate that the nurse must first assess the client for any injuries before attempting to move them. Once the assessment is clear, the nurse should call for help to ensure a safe transfer back to bed. After the client is safe and stabilized in bed, the healthcare provider is notified of the event. Finally, administrative duties such as the incident report are completed.
Step-by-Step Solution
Key Concept
Post-fall management prioritizes immediate client assessment before any movement or administrative tasks to prevent further injury.