Documentation for Incidents & Reporting
What You Don't Document WILL Be Used Against You. Nurses get in trouble not because something went wrong — but because they didn't document that they tried to make it right.
WHAT THIS IS
A powerful, practical handout covering the Top 10 incidents every nurse must know how to report — written by a former Board of Nursing investigator and Legal Nurse Consultant who has reviewed hundreds of charts and board cases.
This is not theory. This is what the board looks for.
THE TOP 10 INCIDENTS COVERED
🩺 Patient Falls
🩺 Medication Errors
🩺 Pressure Injuries
🩺 Failure to Assess & Recognize
🩺 Healthcare-Associated Infections
🩺 Patient Identification Errors
🩺 Communication Failures
🩺 Equipment-Related Incidents
🩺 Unsafe Staffing & Workload
🩺 Inadequate Delegation & Supervision
WHAT YOU WALK AWAY WITH
✅ A ready-to-use incident documentation script
✅ A Stop & Report checklist — know exactly when to escalate
✅ Green light vs. red flag charting examples for every scenario
✅ Step-by-step guidance on who to notify and when
✅ Your own personal protection record system
MAKE IT MAKE NURSE SENSE
Nurses who DON'T report are the ones who get in trouble.
Reporting isn't admitting fault — it's proving you saw the problem, acted on it, and documented it.
THAT is what protects your license.
PAIRS PERFECTLY WITH
⭐ Charting to Protect Your Professional License
⭐ Introduction to Legal Nursing
⭐ 1-Hour Mentorship — bring your real charting questions to Maggie directly
"If it's not documented, it didn't happen. And if it didn't happen — honey, that's on you."
— Advocate Maggie, MSN, RN
💛 You are never alone. I'm not called to nursing — I'm called to nurses.
