Quote from wooh
Not sure how the lines were set up, but:
Are you sure it was the med in the line that didn't run in? It could have been IVF or flush that backflowed into the line, and then someone clamped it off. I've clamped lines after IVF flowed back into them, and if I didn't know better, I'd think it looked like the antibiotic hadn't been given. If you're going to report something, you'd better be sure of what you're reporting.
You can't always be sure of what you're reporting. But you still might strongly suspect or even know that something needs to be highlighted and at least questioned.
The safest way to report something is to limit your statements to observable and objective data. Once you're on your own, you can ask your charge nurse to take a look at anything questionable, and the two of you together can decide what you're seeing. This will suffice while you are a newbie.
After you've been there for awhile and you have a better idea of what's cooking (or even now if you are certain), concentrate on reporting the objective facts regarding the event and not on the person
you think is responsible. If you stick with factual information, you don't have to sound or feel accusatory. Say, "I found the antibiotic solution bag empty, but it doesn't appear that the inner chamber was opened and mixed with it," rather than, "Nurse XYZ didn't mix the antibiotic properly." Or, "it looks like this med was missed," instead of, "Nurse Suzy forgot to give this med."
If you concentate on the "what" rather than the "who" or the "why," you'll be in safer territory. Let the charge or nm scope out the rest. Maybe Nurse Suzy held the med and forgot to document (another problem, to be sure, but at least you didn't make a false accusation).
Most of us dislike blowing the whistle on someone else. We know very well that we have forgotten things or made other mistakes. The best units use these things as teaching opportunities for everyone. Even if they don't, problems and lapses still need to be reported. In order to avoid the appearance of "pointing a finger" at a peer, keep your attention and reporting confined to the situation at hand and then you can let the chips fall where they may.