Common use of DETAILS OF OCCURRENCE Clause in Contracts

DETAILS OF OCCURRENCE. Provide a concise summary of the occurrence and how it impacted patient care: Identify the Nursing Standard(s)/Practice Guidelines or hospital/unit policies that are believed to be at risk and why: ☐ Medication ☐ Documentation ☐ Professional Standards – Specify ☐ Therapeutic nurse/client relationship ☐ RN and RPN Practice, the Client, the Nurse and the Environment ☐ Working with Unregulated Care Providers (Check all that apply) ☐ Personal Support Workers/Aides ☐ Volunteers ☐ Students ☐ Physician Assistants ☐ Working in different roles ☐ Telepractice ☐ Consent ☐ Clinical pathways/medical directives ☐ Supporting Learners ☐ Disagreeing with the Plan of Care ☐ Guiding Decisions about End of Life Care ☐ Employer policy – Specify (include policy if able) ☐ Other Why: Is this an ☐ Isolated incident? ☐ Ongoing problem? (Check one)

DETAILS OF OCCURRENCE. Provide a concise summary of the occurrence and how it impacted patient care: Provide Identify the Nursing Standard(s)/Practice Guidelines or hospital/unit policies that are believed to be at risk and why: ☐ Medication ☐ Documentation ☐ Professional Standards (Accountability) – Specify ☐ Therapeutic nurse/client relationship ☐ RN and RPN Practice, the The Client, the The Nurse and the Environment ☐ Working with Unregulated Care Providers (Check all that apply) ☐ Personal Support Workers/Aides ☐ Volunteers ☐ Students ☐ Physician Assistants ☐ Working in different roles ☐ Telepractice ☐ Consent ☐ Clinical pathways/medical directives ☐ Supporting Learners ☐ Disagreeing with the Plan of Care ☐ Guiding Decisions about End of Life Care ☐ Employer policy – Specify (include policy if able) ☐ Other Why: Is this an ☐ Isolated incident? ☐ Ongoing problem? (Check one)

DETAILS OF OCCURRENCE. Provide a concise summary of the occurrence and how it impacted patient care: Identify the Nursing Standard(s)/Practice Guidelines or hospital/unit policies that are believed to be at risk and why: ☐ Medication ☐ Documentation ☐ Professional Standards – Specify ☐ Therapeutic nurse/client relationship ☐ RN and RPN Practice, the The Client, the The Nurse and the Environment ☐ Working with Unregulated Care Providers (Check all that apply) ☐ Personal Support Workers/Aides ☐ Volunteers ☐ Students ☐ Physician Assistants ☐ Working in different roles ☐ Telepractice ☐ Consent ☐ Clinical pathways/medical directives ☐ Supporting Learners ☐ Disagreeing with the Plan of Care ☐ Guiding Decisions about End of End-of-Life Care ☐ Nurse Practitioner ☐ Employer policy – Specify (include policy if able) ☐ Other Why: Is this an ☐ Isolated incident? ☐ Ongoing problem? (Check one)