I always discuss it with the nurse first. I rarely ever write anyone up. There would have to be harm done for me to write someone up.
I once was working agency in a local hospital. A new nurse was asked to prep for a swan insertion in CCU. She had no idea what to do, thier employee. No one from their staff would take the time to explain how to do the set-up. So, I showed her how to run it through, and explained how to zero the lines and how she would have to re-zero and cal once the lines were conncted. She wanted to play with the mintor, so I handed her the little package of dead-enders and told her she needed to cover the ends when she was done. I was done with my shift and it was time for me to give report, so I left her. Imagine my surprise when the next day, the sup from the agency calls and tells me I was written up for not covering the ports with dead-enders. I just LMAO! Is that my horrible crime? I asked. I explained what happened, but the write up had to stand. Next time I worked, I marched right up to that bit*hy head nurse and told her exactly what I thought of her little write-up. She never wrote me up again, in fact I think she was farid of me. Yes, be afarid, be very afraid !
Some people get a sense of ower and control by writing people up, I don't know why. Others have told me they think I am wrong for not writing people up more often, but I just can't be bothered with any more paperwork. Once I wrote upo the lab, and the damn incident report kept coming back with request for more info, more info. I asked the charge nurse what I should do, I couldn't figure out what the DON wanted. She said, Honestly? I rip them up and throw them out. They never follow up and ask about it again. So I did, and they didn't. Go figure!