A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

Choice A Reason:
Good Samaritan Act is incorrect. The Good Samaritan Act typically provides legal protection to individuals who provide assistance during emergency situations, but it does not specifically address consent for medical treatment. It protects individuals from liability when providing reasonable assistance in emergency situations.
Choice B Reason:
Nonmaleficence is incorrect. Nonmaleficence is an ethical principle that emphasizes the obligation to do no harm. While it guides healthcare professionals in prioritizing patient safety and well-being, it does not provide legal authority to proceed with medical treatment without consent.
Choice C Reason:
Living will is incorrect. A living will be a legal document that outlines an individual's preferences for medical treatment in the event that they are unable to communicate their wishes. However, if the client's living will does not specifically address the circumstances of emergency surgery, it may not apply in this situation.
Choice D Reason:
Implied consent is correct. Implied consent allows healthcare providers to proceed with necessary medical treatment when it is reasonable to assume that the patient would consent if they were able to do so. In emergency situations where a patient is unconscious or unable to provide consent, and efforts to reach family members are unsuccessful, healthcare providers may proceed with treatment based on the principle of implied consent to prevent further harm or loss of life.

Choice A Reason:
Listing names of witnesses to the fall in the nurses' notes is incorrect. While it's important to document witnesses to the fall, listing their names in the nurses' notes is not the primary action related to incident reporting. Witness information is typically included in the incident report itself.
Choice B Reason:
Sending the incident report to the ethics committee is incorrect. Incident reports are typically submitted to the appropriate department within the healthcare facility responsible for managing incidents and ensuring appropriate follow-up. Sending the incident report to the ethics committee may not be necessary unless there are specific ethical concerns related to the incident.
Choice C Reason:
Includes the client's account of the fall in the incident report is correct. When a client falls, it's essential to document the incident accurately and thoroughly. Including the client's account of the fall in the incident report demonstrates an understanding of the procedure because it provides valuable information about the circumstances surrounding the fall from the client's perspective.
Choice D Reason:
Documenting in the client's record that an incident report was filed is incorrect. Documenting in the client's record that an incident report was filed is a necessary step, but it doesn't provide detailed information about the incident itself. The incident report itself should contain comprehensive details about the fall, including the client's account, witnesses, actions taken, and any resulting injuries.