To: The Inspector From: Student Name, Supervisor Date: October 12, 2017 Subject: Injury Incident of Mrs. Lopez in Sunset Estates Nursing Home Type of incident Mrs. Lopez a bedridden patient in our facility at the sunset estates nursing home sustained injuries on her arms and legs after falling from her Medi-Cal bed. The injuries occurred on the night of October 11, 2017 while she was sleeping. Following her injuries, Mrs. Lopez was attended by a doctor where after her injuries were stitched and her fingers fixed she was prescribed some medication to take. Description of the incident On the night of October 11, 2017 Elena Thompson, a nurse’s aide at our nursing home found that Mrs. Lopez, a bedridden patient, had fallen out of bed. Mrs. Lopez had bruises on her legs and her three fingers were bent at an awkward angle, suggesting they may had fractured. Her arms and legs were cold, indicated that she had been out of bed for some time. At the time she was found she was awake but she had no idea on how she had come out of bed. After the incident After learning of the incident I quickly acted by immediately calling a doctor to attend to Mrs. Lopez. After ensuring that Mrs. Lopez was well taken care of I begun conducting my investigation to see why the incident had happened. I started by talking to the janitorial staff and the aides who were scheduled to be in the area. Everyone whom I questioned said that they never saw or heard anything out of the ordinary. I then proceeded and checked on the charts to see if the bed checks were initiated consistently after every hour on the hour where I found out that Elena had initialed the bed checks consistently. Not satisfied enough I went on questioning Elena who responded that she did the bed checks on time. Recommendations 1. Reduce the bed check time The bed check time initiation should be reduced to 30 minutes. By doing this will enable and help other patients who might fall from the bed as in the case of Mrs. Lopez not to stay on the floor experiencing cold for a long time. 2. Install CCTV cameras The CCTV cameras should be installs in the rooms where the patients stay. This installation will assist in finding out the real cause of incidents such as the one which occurred with Mrs. Lopez 3. Install biometrics Biometrics like using of finger prints should be installed in the patient’s room. By installing these biometric in the rooms will verify that the nurse aid checked in at the recommended time hence making them accountable of any incident that might occur when they are on duty. English 306 Rowley Incident report Background: You are the supervisor of the night shift at the Sunset Estates nursing home, which is part of a chain of nursing facilities in California. Your facility houses elderly residents in need of nursing care. Three-quarters of the residents are in Medi-Cal beds; that is, Sunset Estates receives $125 a day from the state of California for the food, board, medi ...

1. To: The Inspector
From: Student Name, Supervisor
Date: October 12, 2017
Subject: Injury Incident of Mrs. Lopez in Sunset Estates
Nursing Home
Type of incident
Mrs. Lopez a bedridden patient in our facility at the sunset
estates nursing home sustained injuries on her arms and legs
after falling from her Medi-Cal bed. The injuries occurred on
the night of October 11, 2017 while she was sleeping. Following
her injuries, Mrs. Lopez was attended by a doctor where after
her injuries were stitched and her fingers fixed she was
prescribed some medication to take.
Description of the incident
On the night of October 11, 2017 Elena Thompson, a nurse’s
aide at our nursing home found that Mrs. Lopez, a bedridden
patient, had fallen out of bed. Mrs. Lopez had bruises on her
legs and her three fingers were bent at an awkward angle,
suggesting they may had fractured. Her arms and legs were
cold, indicated that she had been out of bed for some time. At
the time she was found she was awake but she had no idea on
how she had come out of bed.
After the incident
After learning of the incident I quickly acted by immediately
calling a doctor to attend to Mrs. Lopez. After ensuring that
Mrs. Lopez was well taken care of I begun conducting my
investigation to see why the incident had happened. I started by
talking to the janitorial staff and the aides who were scheduled
to be in the area. Everyone whom I questioned said that they
never saw or heard anything out of the ordinary. I then
proceeded and checked on the charts to see if the bed checks
were initiated consistently after every hour on the hour where I
found out that Elena had initialed the bed checks consistently.
Not satisfied enough I went on questioning Elena who

2. responded that she did the bed checks on time.
Recommendations
1. Reduce the bed check time
The bed check time initiation should be reduced to 30 minutes.
By doing this will enable and help other patients who might fall
from the bed as in the case of Mrs. Lopez not to stay on the
floor experiencing cold for a long time.
2. Install CCTV cameras
The CCTV cameras should be installs in the rooms where the
patients stay. This installation will assist in finding out the real
cause of incidents such as the one which occurred with Mrs.
Lopez
3. Install biometrics
Biometrics like using of finger prints should be installed in the
patient’s room. By installing these biometric in the rooms will
verify that the nurse aid checked in at the recommended time
hence making them accountable of any incident that might occur
when they are on duty.
English 306
Rowley
Incident report
Background:
You are the supervisor of the night shift at the Sunset Estates

3. nursing home, which is
part of a chain of nursing facilities in California. Your facility
houses elderly residents
in need of nursing care. Three-quarters of the residents are in
Medi-Cal beds; that is,
Sunset Estates receives $125 a day from the state of California
for the food, board,
medications and care for each of these residents. However, the
cost of the
medications alone for many of these residents exceeds that per-
diem payment, and
you know that Sunset Estates is losing money. To minimize
loss, the parent
corporation who owns the chain has reduced night staffing by
25%, reasoning that
residents are asleep at that time and so need less care.
Nevertheless, staff are still
required by law to check on residents once per hour, and to
initial charts to show that
the check was done. Sunset Estates has several minor
infractions on its books from
recent state inspections.
Situation:
Elena Thompson, a nurse’s aide, finds that Mrs. Lopez, a
bedridden patient, has fallen
out of bed. Mrs. Lopez has bruises on her legs and three fingers
are bent at awkward
angles, suggesting they may be fractured. Mrs. Lopez’ arms
and legs are cold, which
could indicate that she has been out of bed for some time. Mrs.
Lopez was awake
when found, but had no memory how she came to be out of bed.
After you make sure Mrs. Lopez has received appropriate
medical care, you do an

4. investigation, talking to the janitorial staff and the aides
scheduled to be in the area.
Everyone questioned says that that they didn’t see or hear
anything out of the
ordinary. When you check the charts, Elena has initialed the
bed checks consistently
every hour on the hour, though the initials are very uniform.
When questioned, Elena
responds that she did the bed checks on time.
Considerations
You know Sunset Estates is scheduled for a state inspection the
following week. A
negative inspection could result in significant fines, possibly
even a loss of licensure,
for the company. Because of the accumulation of recent
infractions, inspectors will
be paying particular attention to incident reports—one of which
you are now going to
write.
Elena has always been a conscientious and hard-working
employee, as are you; both
of you have hopes of career advancement with this company.
You are legally and
ethically bound to tell the truth in this report.
Task
Please compose a 2-3 page incident report in memo format.
You must tell the truth,
and not omit any relevant details. Keep in mind that your
incident report will
almost certainly have multiple audiences. Points: 50. First draft
due: Oct. 9.

5. English 306
Rowley
Elements of an incident report
1. Identification details: who and what was involved; all
relevant data (names,
contact info, ID #, who was working at the time).
2. Type of incident (personal injury, fire, burglary, etc.).
Language should be as
precise as possible (rather than “arm injury,” e.g., state
“abrasions on right
wrist.”)
3. Time and location of incident.
4. Description of what happened.
5. What was done after the incident (as applicable).
6. What caused the incident (if known).
7. Recommendations (as appropriate).