A procedure shall be established to investigate any unusual incidents which occur at any time during any nursing shift. The procedure shall include the making and disposition of incident reports. Notation of incidents having a direct medical effect on a specific patient shall be entered in the medical record of that patient. Each report shall be analyzed and summarized, and corrective action shall be taken if necessary. Summarized reports shall be available to the Department.
28 Pa. Code § 109.37
This section cited in 28 Pa. Code § 115.33 (relating to entries).