What should the nurse include in documentation after Mr. Lyles falls?

Including a complete incident report for risk management in the documentation after a fall, such as Mr. Lyles' incident, is vital in ensuring patient safety and improving healthcare practices. The incident report serves several important functions: it systematically captures the details of the fall, including the circumstances, environment, and any actions taken post-fall. This documentation is crucial for analyzing trends, understanding underlying issues, and preventing future incidents.

Moreover, incident reports are often used for quality assurance and risk management purposes, helping healthcare facilities identify areas for improvement and enhancing patient safety protocols.

While notifying the shift staff, charting vital signs, and informing the patient's family are important aspects of patient care and communication, they do not specifically fulfill the formal requirements established by risk management protocols. Proper documentation of incidents is essential in creating a safer healthcare environment and is a key component of nursing responsibility.