1. Immediately provide or obtain emergency care for the patient according to
established organizational policies and procedures and the competence of the caregiver. Do not leave the patient unattended (except to summon assistance), but attempt to prevent any further injury and act to stabilize the patient’s physiological status. When it is apparent that assistance from trained personnel (e.g., emergency medical technicians, rapid response team, trauma team, cardiopulmonary resuscitation team) is needed, they should be contacted before on-the–scene emergency care is initiated to reduce response time. If two or more persons are at the scene, one person should contact the support team while the other begins emergency care.
2. After the emergency phase is concluded, document the incident with objective and factual information. Indicate the type of emergency care that was given and by whom. List the persons who witnessed or observed the incident, who was notified about the incident, the time the incident occurred, and any events leading up to the incident. Do not confer with the patient or relatives about the incident, and do not express information to anyone that would indicate you were negligent or at fault.
3. Notify your immediate superior, the department manager/director, or the risk manager of the incident.
4. File the incident report with the appropriate person within the organization; it
may be necessary to document the incident in the patient’s medical record.
5. Notify the insurance carrier of the incident; In a large facility, this may be done by the risk manager.