The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?

  1. document the event in the client’s medical record only
  2. document the event in the client’s medical record and file an incident report
  3. document the event in the client’s medical record and have the nursing assistant file an incident report
  4. have the nursing assistant file an incident report
Number 3 is correct.
Rationale: Documentation of the event in the client’s medical record is required. The one who discovers the event (the nursing assistant) should complete the incident report.