for whos benefit?

  1. on my wonderful unit some of the nurses are having a field day with writing each other up.
    oh yeah ive been written up. more than once. and in once instance it may have been justified, at least the intent...ill give her that much.
    ive not written anyone up. i think its backstabbing. if i have a prob i address it up front with that person.

    my question is, who benefits from the filing of the incident reports?

    the purpose is what?
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  2. 30 Comments

  3. by   misti_z
    My hospital just had a medication inservice. During the meeting they went into 'incident reports' and how there is a low amount of reports filed for medication errors, and an expected number of reports filed for falls and so on. They believe reports are not filed as often as they should be, they stressed the fact that "they are used to see how our system can be improved--not to find out who is doing what wrong......" and so on. They are basically encouraging us to file incident reports

    A nurse I work with filed a report, last night, that involved a med being given wrong because it was written wrong on the MAR. (Ampho B MW....(MW meaning mouth wash)....nurse wrote it to be given only on M,W (M,W meaning Monday,Wednesday)

    But, I'm like you, I have not written anyone up. Although I'll go to them, if needed, and explain what should have been done.

    Anyway, according to my hospital: incidence reports are to help examine the hospital's system and find where improvement/alterations are needed.

  4. by   frustratedRN
    our incident reports are a bit different....ive been written up for unprofessional conduct...saying the F word.
    i got to thinking, if the reports are to make our hospital better, or to weed out the incompetent, what does my using that word have to do with anything?
    why was i even called on it?

    this whole question came about because i went to one of the nurses who does this and asked her about it. i followed her one night and as she reported off to me she kept saying "this isnt done, that isnt done"
    she was totall frazzled. she left one hell of a mess for me. i dont get mad at those things tho because i know what its like to get one difficult patient and the rest of your shift is trash.
    i asked her after a day like that how would she like to be written up for those things she left undone.
    she told me the manager insisted she write me up.

    SO.....my train of thought is this.....
    i will be off probation at that hospital in a few weeks. im thinking that they will tell me they are going to keep me (like there is a doubt) but because of my conduct i wont be getting a raise.
    this is the ONLY reason the acting mgr might have for encouraging this write up policy. at least that i can think of....and i wonder if anyone knows anything about this write up thing.
  5. by   EXOTIC NURSE
    YOU CANNOT CURSE AT WORK THAT IS NOT PROFESSIONAL.....LOL I can understand you getting written up for that type of conduct, although I understand your frustration but I guess you will have to handle it differently next time. Write ups are a joke to me. Most of the time nurses writing up other nurses are just a bunch of I am mad at you because I cannot control you.......some of them are legitimate. When I get called in on a stupid write up I just will not sign it and I will put in writing my comment on the situation and leave it. But something serious then I will accept that and re evaluate how I can handle a situation differently for the next time.
  6. by   semstr
    Is this true? You are written up by fellow nurses?
    I've never ever heared of something like that!
    I know about a quarterly or yearly report by my supervisors, but that 's it.
    Well, when there are complaints, you go to her and try to find a solution.
    But never, would that mean getting sacked or getting less pay.
    ( Well, unless I kill a patient or really harm him of course)
    Wow, I am stunned!
  7. by   Haunted
    I don't think I would ever rat out a fellow nurse, I have no problem bringing something to their attention, quietly and confidentially. We need to stick together especially since Administrators are constantly looking at ways to cut staff funding on the floors in an effort to increase their salaries and profit margins. My motto is "keep the talent happy" which means the last person you want to alienate is a fellow nurse.
  8. by   Charles S. Smith, RN, MS
    There is a clear and distinct difference between documenting an occurence for which the institution might become liable and documentation of nurse behavior that is used for management sanctions. Documentation of medication errors, patient incidents, etc all are designed to provide advance warning to the hospital that litigation "could or might" occur and is a way of tracking adverse events for patients. "Writing someone up" for trivial events without apparent consequences to the patient or the facility is a euphemism for tattling in my view and demonstrates an inability of the nurse to communicate appropriately and effectively. So, which type of documentation are we addressing here?
    best
    chas
  9. by   suzannasue
    WELL...I need to add my 2 cents on this subject. The only reason I would ever fill out an incident report is if and when there is a med error,a sentinel event,an AMA who will not sign the appropriate papers or any other cicumstance where there may be a possibility of liability on someone's part. I have worked several hospitals and have heard stories of nurses "writing up" one another and have never been able to see the logic behind such behavior. What is the point????? perhaps this sort of thing is related to continuing "classroom monitor " reporting of those who speak when the teacher is out of the room.
    I must agree with Charles on this one...this is just tattling and is childish. This is as ridiculous as threatening someone with "it will go into your personnel file" ...if the "writers" are not mature enough to discuss/confront another with any complaints, I suggest they go to the sandbox and play...I have no time to waste reading their silly "write-ups". Written whine-o-rhea.
    Waaaaaaaahhhhhhhhh......
    One last question...do they waste patient care time to create these documents????? If they do,it is a sad comment on their ability to prioritize. And if they create the document when at home,my suggestion is for them to get a life.
    We are in the midst of a nursing shortage and a national crisis,
    there are many other things to occupy our minds and our hands.
    And in case no one has told any of you today...I appreciate all that you do even if you do use the *F* word...geesh...sometimes it's the only word that can describe a situation. Dabnabbit just doesn't cut it...neither does heck or fudge or shoot or shucks...LOL LOL LOL LOL LOL
  10. by   frustratedRN
    well ...lesson learned about the "f" word...lol

    and yes they are doing this when they are supposed to be taking care of patients and not incidentally it is AT THE ACTING MANAGERS REQUEST.
    the only consequence i can see coming from this is that they will tell me i wont get a raise when i get my evaluation.
    thats what im expecting.
    if the acting manager is promoting this kind of behavior, endorsing it and supporting it, then it must benefit management somehow.
    since the bottom line is always money im guessing thats what it is.
    i was told these reports are going to stay "on my records" for my evaluation.
    i highly doubt ill even be there for my evaluation....so the jokes on them so to speak...
  11. by   purplemania
    Our facility has an incident report form for med errors and other things pertainingn to direct patient care. There is another form called "generic screen" for tattling. Things like failure to empty sharps containers, unprofessional conduct, etc. go on that form. All can be used against you in evaluations but only one can be used against you in court.
  12. by   Janet Barclay
    If I couldn't curse at work, I wouldn't get anything done!
    Our incident reports are generic, don't name names and really are a tool to track common types of errors and to make our patients safer. As a manager, the "write ups" usually go into file 13. I am obligated to discuss the content with the nurse involved, but unless I think that there is anything of substance in the claims...
    The act of "writing someone up" is about as unprofessional as it comes. The first step should always be to talk directly to the person that one has a problem with; maybe they are unaware of policy, or just don't know any better. Unless we mentor and support each other, our working conditions will never improve.
  13. by   tonchitoRN
    I have writtened many incidence reports on med errors. I do not put names, only facts. It just so happens that when the mgr. follows up on these she speaks with the person who made the error. One person who was an arrogant new grad. confronted me about a write up. Luckily, I kept my cool and lectured him about the importance of his job and that he is dealing with people's lives. Med errors are not to be taken likely. Then in my mind I called him something using the "F" word. LOL.
  14. by   tonchitoRN
    frustratedRN - using curse words are a great catharsis. I would encourage anyone who is frustrated to use them. I know I feel so much better after saying one. Those of you who call it juvenile or unprofessional either have great coping skills or stomach ulcers or HTN from keeping all that stress bottled up. Now granted one must only use the words in certain, restrained situations, usually away from the public's ear. But the bathroom or breakroom should be free reign. One day I was written up for something very silly. I replied to the mgr. "If that is the worst thing I have been doing then I must be a damn good nurse." I guess I was because I have was never fired for my big mouth.

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