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Ferrer, Gienelle Sj. (Incident Report) 4BSN2.

A nurse reported an incident where a patient with congestive heart failure developed shortness of breath and other symptoms, the doctor was notified and ordered diuretics, anti-arrhythmia drugs, and transfer to the CCU for further management and observation.

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Gienelle Susana San Juan Ferrer
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45 views1 page

Ferrer, Gienelle Sj. (Incident Report) 4BSN2.

A nurse reported an incident where a patient with congestive heart failure developed shortness of breath and other symptoms, the doctor was notified and ordered diuretics, anti-arrhythmia drugs, and transfer to the CCU for further management and observation.

Uploaded by

Gienelle Susana San Juan Ferrer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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FERRER, GIENELLE SUSANA SAN JUAN

4BSN02
INCIDENT REPORT

Incident Reported by: Gienelle Susana SJ Ferrer


Date of Report: 08/23/2022

Supervisor Notified: YES NO Date: 08/23/2022 Time: 6:45AM

Name of Supervisor on duty: Ms. V i r g i e A l f o n s o , R N , M S N

Names of person(s) involved: Ms. Maureen Olivar, RN


Title of person(s)involved: Charge Nurse

Description of incident:
At 4:00am, I had hook a follow up IVF of Normal Saline 1L for Mrs. Reyes a 57 years old
woman with Congestive Heart Failure, to keep vein open. At 6:45am Mrs. Reyes is having
shortness of breath and with distended jugular vein, SPO2- 90-92% HR- 100 beats per minute
RR- 40 and BP- 180/100mmHG as checked.

Corrective Action Taken/Follow-Up:


Given oxygen and informed the doctor. Attending doctor ordered to give diuretics and anti-arrhythmia drugs and
to the send patient to the CCU for further management and observation.

Time MD notified: 6:50AM New orders received: YES NO


Time Patient notified: 6:50AM Time Family Notified: 6:50AM
Witness 1 information: Name /title: Ma. Veronica Ferrer - Cardiologist (MD)
Witness 2 information: Name /title: Karen Abad (RN)

I understand the information above will be used by my supervisor in charge to help determine the liability
for incident. I acknowledge that the above statements are true and accurate representation of the
information.

Shift Nurse Duty Signature: M s . Gienelle Susana SJ. Ferrer, RN Date: 08/23/2022
Charge Nurse Signature: M s . M a u r e e n O l i v a r , R N Date: 08/23/2022
Nursing Supervisor on duty Signature: Ms. V i r g i e A l f o n s o , R N , M S N Date: 08/23/2022

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