In which circumstance should a nurse file an occurrence report? Select all that apply.

Filing an occurrence report is an important practice for documenting any events that deviate from the standard of care or pose risks to patient safety or hospital operations. An occurrence report serves to analyze and improve quality of care and safety by identifying possible issues.

In the case of lost eyeglasses, an occurrence report would be appropriate because it indicates a potential issue impacting the patient’s well-being and comfort. Eyeglasses are often a critical part of a patient's daily functioning, and losing them could hinder their ability to see clearly, thereby impacting their overall care experience. It helps to ensure that the event is recorded, and measures can be implemented to prevent future occurrences.

In contrast, visitor falls, while serious and requiring appropriate response and care, are often managed through different reporting and accountability systems, depending on the facility’s protocol. Positive blood cultures denote a clinical finding that is expected to be monitored and treated; it does not indicate an occurrence outside the standard of care that warrants filing a report. A client’s refusal of oxygen therapy is a decision that can be documented in their health record but typically does not require an occurrence report, as it is a patient's right to refuse treatment after informed consent.

Therefore, the circumstances leading to filing an occurrence report focus on risks