Working in aged care means wearing many hats. Some days you are a nurse, other days a listener, and sometimes you are the one who spots when something goes wrong. Incidents, whether big or small, can and do happen. What matters most is how you deal with them.
This guide is your plain-speaking, no-nonsense friend on how to handle incident management in aged care the right way. Whether you are a new staff member or a seasoned team leader, it is all about taking the right steps, keeping good records, and putting people first.
What Counts as an Incident?
Before you know what to do, you need to know what you are looking for. An incident can be just about anything unexpected that affects a resident, staff member, visitor, or the service itself. Here are a few examples:
- A resident slips in the bathroom
- A medication mix-up
- A visitor trips over a loose mat
- A fight breaks out between residents
- A staff member forgets to sign a form, leading to confusion in care
Some are small stumbles. Others can turn into bigger problems if not handled well. But each one matters.
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Step One: Stay Calm and Take Charge
No matter the situation, your first job is simple: stay calm. Easier said than done, especially when people are hurt or upset. But staying calm helps everyone else feel a little safer.
Think of it like being the lighthouse in a storm. You are the steady beam helping others find their way.
Step Two: Check for Danger
Safety first. Always.
Make sure the area is safe before you try to help. If someone is on the ground, do not move them unless you are trained to. If there is a hazard like spilled water, clear it or block it off. Call for help if needed—another pair of hands never hurts.
Step Three: Give Support and Reassure
Speak gently. Ask how the person is feeling. Let them know you are there and that help is on the way. In aged care, people can get confused or frightened quickly, especially after a fall or injury.
A kind word can work better than medicine sometimes.
Step Four: Notify the Right People
Now it is time to get the ball rolling on incident management. Let your supervisor or the shift lead know what happened. Depending on the situation, you might also need to tell a nurse, manager, or family member.
Quick and clear communication helps prevent confusion later.
Step Five: Fill Out the Incident Form
This is where the paperwork begins. And yes, it matters more than you might think.
An incident form is a written record of what happened. It should include:
- The time and date
- Where it happened
- Who was involved
- What was seen and heard
- Actions taken right after the incident
- Names of witnesses, if any
Write it like you are telling a story to someone who was not there. Stick to the facts, keep it clear, and never guess or add opinions. If you do not know something, say so.
Step Six: Keep Staff Reports Honest and Clear
If more than one person saw or helped during the incident, they should also write their own staff reports. Each report adds a new piece to the puzzle and helps build a full picture.
Remind your team to keep their reports simple, honest, and in their own words. It is not about fancy language—it is about clear thinking.
Step Seven: Start the Investigation
After the incident is reported, an aged care investigation may begin. This is not about blaming people. It is about finding out what happened, why it happened, and what should be done to stop it from happening again.
Investigations often involve:
- Talking to those involved
- Checking records and logs
- Reviewing CCTV footage, if available
- Looking into equipment or environmental issues
The person doing the investigation will gather all this information and create a report. That report helps managers make decisions about training, changes to routines, or even building improvements.
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Step Eight: Learn From It
Once the dust has settled and the reports are done, there is one more thing to do—learn from it. This is how incident management makes aged care better.
Hold a quick team chat or meeting. Ask questions like:
- Could this have been prevented?
- Was help given quickly enough?
- Did everyone know what to do?
- Is there something we should do differently next time?
Small lessons can lead to better habits, safer environments, and stronger teams.
What Not to Do
Sometimes the best advice is knowing what to avoid. So here is a quick list:
- Do not ignore the incident – Even small ones should be written up.
- Do not blame others – Focus on facts, not finger-pointing.
- Do not change your story – Say what happened once, and stay consistent.
- Do not skip the paperwork – It matters more than you think.
Support Matters—For Everyone
Dealing with incidents can be hard. Residents can be shaken up. Families can get worried. Staff can feel guilty or stressed.
So remember, support goes all around. Check in with each other. Ask, “Are you doing okay after that?” Give people time to breathe and talk if they need to. A strong team is one that lifts each other, not just the residents.
Get Your Processes Clear
Good incident management is not just about reacting—it is about being ready. That means having:
- A clear policy everyone knows
- Easy-to-find incident forms
- Quick access to managers and health professionals
- Ongoing staff training on how to respond
Think of it like a fire drill—you do not want to figure it out during the emergency.
What Makes a Good Incident Report?
Here is a simple trick. If someone who was not there reads the report, they should understand exactly what happened. That is your goal.
Good reports include:
- Clear times and dates
- Short sentences
- Direct quotes if someone said something important
- A step-by-step rundown of what you did
Bad reports include:
- Guesswork
- Opinions like “I think” or “maybe”
- Emotional language (“She was obviously upset!”)
Stick to what you know, write it cleanly, and you are golden.
Common Incidents in Aged Care
Let us go over some incidents you are likely to face:
- Falls – The most common. Watch for wet floors, poor lighting, and loose rugs.
- Medication errors – Double-check everything. One missed dose can matter.
- Aggression or violence – Sometimes linked to dementia. Stay calm and call for help.
- Infections – Report them quickly. Isolation may be needed.
- Equipment failure – Report broken gear fast. It can be a safety issue.
Knowing the usual suspects helps you spot problems before they grow.
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Final Thoughts: Do Not Be Afraid to Speak Up
Sometimes people stay quiet because they are scared of getting someone in trouble. But aged care is about safety and honesty. You are not just ticking boxes—you are helping protect the people who trust you most.
If you see something wrong, speak up. If you make a mistake, own it. And if someone else is struggling, help them out.
Incident management is not about being perfect. It is about being prepared, staying honest, and learning as you go.