Outline what you would document in a report to explain what you have observed. Make sure your record is factual and objective.

Case study

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Ms Harrold has slipped in her kitchen 15 minutes prior to your arrival. You have performed basic first aid and assisted Ms Harrold to her armchair to rest. She is calling out loudly and when you approach her to offer assistance she hits out at you, causing a bruise on your jaw.

Later when Ms Harrold is feeling better, you ask her if she knows what she slipped on. She tells you the fridge has been leaking water on to the floor for the last couple of months and that she usually puts a towel under the fridge to catch the water but this morning it seeped through the towel. She tells you that she cannot afford to get it fixed, but that she would like you to keep that to yourself.

List the documents you need to complete.
Outline the purpose of this documentation.
What would you do with the documentation once you have completed it?
Explain which policies and procedures you need to be aware of when responding to this situation.
Discuss how you will maintain Ms Harrold’s confidentiality when making a report regarding this situation.
Outline what you would document in a report to explain what you have observed. Make sure your record is factual and objective.
Do you think the leaking fridge should be reported to your supervisor? Why or why not?
How would you respond to the immediate problem of the leaking fridge?

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