Title: Competency Assessment: (CU3 M1) Case Study - Complete an Incident Report
Course: SkillsCom CMA 112 14.0 > Section: Credit Unit 3 Module 1

When working in healthcare, there will be events that will require you to fill out an incident report. Filling these documents out completely and accurately without bias is a crucial step in ensuring that the event doesn't occur again or that whatever has happened can have appropriate follow up.

In the following scenario, Eileen Harris is an employee of Dr. Raugh. She has worked for him since July 7, 2014, as a phlebotomist. She lives at 402 South Center in Miles City, Montana. Her phone number is 503-232-2471 and she is 22 years old. She is single. This incident occurred yesterday at 3:05 pm. Eileen's supervisor is Mary Straight and her work number is 503-455-6788. The office is located at 78 Main Street.

Directions:

1. Review the following document: Don't be Intimidated by Incident Reports (PDF)
2. Review the following Video which demonstrates an incident that occurred in a physician's office.

3. Download and complete this document based on the Video: Incident/Complaint Report (PDF)

- You will not be able to fill out all parts of the Incident Report because the information is not available, but fill it out based on all the information that has been provided in the Video and up above in the instructions.