Celia Tapia (DOB 05/18/1970) experiences issues with repeated urinary tract infections. She is in the office today to provide a clean catch urine specimen. Around 10:30 am, after providing the specimen and while washing her hands, she spilled water on the floor and slipped. Dr. Martin and the Medical Assistant assisted Ms. Tapia back to her exam room. The medical staff has been notified and it was decided that an absorbent mat should be placed in front of the sink so this doesn’t happen again. Dr. Martin determined that Ms. Tapia developed minor bruising. Complete an Incident Report for this accident.

Incident Report  on Celia Tapia

Date: June 3, 2020        Time: 10.32 am.       Location: Women's Room C16

Facts:

1. Celia Tapia (DOB 05/18/1970) visited the office to provide a clean catch urine specimen due to repeated urinary tract infections.

2. Around 10:30 am, after providing the specimen and while washing her hands, she spilled water on the floor and slipped.

3. She was assisted back to her exam room by Dr. Martin and the Medical Assistant.

4.  The medical staff was notified immediately.

5. Ms Tapia developed minor bruising, according to Dr. Martin.

Analysis:

1. The accident was caused by water that spilled on the floor while Ms Tapia was washing her hands.

2. The floor requires to be dry at all times.

Recommendation:

1. An absorbent mat should be placed in front of the sink to forestall future occurrence.

Witnesses:

Dr. Martin and his medical assistant

Explanation:

a) Incident: An incident is an event (illness, injury, near miss, and accident) that happens at a time in a particular location.

b) An incident report is a formal one to document all workplace illnesses, injuries, near misses, and accidents.  An incident report should be completed at the time an incident occurs no matter how minor an injury is.

c) The purpose of recording an incident report is to enable full investigations to be initiated and remedial actions be taken.  It also helps in case there is a legal claim.

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