This is a great incident report written for CELBAN Writing during the CELBANPrep Writing Level Two. It is well written, except for a few errors. Can you identify the errors?
On July 5, 2013 at 04:00 am Smita, a 6 year old child, was found on the floor in the bathroom nearby a wet pool of liquid on the floor in the medical unit. Many relatives were gathered to help her. She was crying and looking anxious. Using the Wong-Baker FACES Scale she chose the sad face with tears (ten on the scale where ten is the most pain). Her mother was standing beside her, she was also anxious and worried about her injury. She was fully conscious. Her mother said that she fell down when she was trying to enter in the bathroom because there was a pool of liquid on the floor of bathroom. She suffered from Diabetes Mellitus Type 1. She was transferred to the bed with the help of security guard and colleagues. She was assessed for hypoglycemia.Blood sugar was monitored. Vital signs were monitored. Temp 36.5 C, PR 110 bpm, RR 22 bpm, BP 100/70 mmHg. Head to toe assessment was done, there was a bump on her right side of the head, no bleeding or laceration on the other parts of the body. Tab Tylenol 250 mg PO stat given for pain. Doctor orders were carried out. Blood sugar was monitored, 4.2 mmol/dl. Documentation of vital signs, blood sugar and pain level were done. On duty doctor was informed.______________________
After 30 minutes she was assessed for pain. Pain was reduced to a smile on the Wong-Baker’s FACES Scale (Zero out of ten where ten is the most pain). Continuous monitoring of hypoglycemia was initiated. Incident report was sent to nursing supervisor. _____________________F. RN