Incident reports - page 2

UGH...our incident report is about 15 pages long. If we find a bruise we are supposed to fill out the whole 15 pages! Then, we are expected to do an investigation...interview EVERYONE who had contact... Read More

  1. by   CapeCodMermaid
    After 5+ years of using a 12 page incident report (no joke) my company has just gone to a 1 page plus two pages for investigation. We have separate forms for falls, bruises, and med errors. The compliance rate for filling the form out has more than doubled since now it only takes a few minutes. You probably could make up your own form or look through a Briggs catalog...they seem to have a form for every occasion.
  2. by   millied
    Quote from CapeCodMermaid
    After 5+ years of using a 12 page incident report (no joke) my company has just gone to a 1 page plus two pages for investigation. We have separate forms for falls, bruises, and med errors. The compliance rate for filling the form out has more than doubled since now it only takes a few minutes. You probably could make up your own form or look through a Briggs catalog...they seem to have a form for every occasion.
    Thanks! That's exactly what we're trying to do here - our Safety manager is in the process of checking Briggs for the type of form we want - are your forms also from Briggs or did you create your own?
  3. by   CapeCodMermaid
    Our corporation developed the form I think, but you could easily develop your own.
  4. by   renerian
    Gosh I have no room to complain over our two page one!

    renerian
  5. by   lissyrn
    I'm in New York state. The incident report itself is 2 pages, but then we have to go back 3 shifts prior (including current shift, so that's 4 shifts total) and have everyone who was on the unit sign a statement. So it ends up looking like a phone book by the time you're done. Even the people who had no contact with that resident have to fill out a statement form, saying" I had no contact with that resident on such-and-such shift, such-and-such date....." Talk about a waste of paper!!!
  6. by   miss_nurse2004
    We have a one sided incident form, which includes the front/back image of the resident where you can mark on the body where the skin tear, bruise, etc. is located. If the incident is witnessed, the cna (or whoever witnessed the event) fills out a witness statement and it is attached to the incident report. The reports are then followed up on accordingly. Many of the nurses used to gripe about having to fill them out...and the resident's primary nurse is responsible for obtaining the residents vital signs immediately after the incident. Many of the nurses try to get the cna's to do the vs for them. I don't think I'll complain again, after hearing that some of you have PAGES to fill out!!! I sound pretty lucky!!
    :hatparty:
  7. by   laughingfairy
    Lets see...
    is it a fall, is it an injury, was it witnessed,
    was it a med error, did staff get hurt, was it resident to resident, etc, every one of these variables changes what paperwork we fill out, who it goes too. I almost would like a twelve page form that you could just mark not applicable instead of searching out all the different papers. At one point we had packets with "everything" in them. You threw half of it away and had to look for paperwork that wasn't in it.

    As for statements, well I ask for them but if I don't get them I figure it is the person who is doing the 5 day follow up's responsibility.

    Now we are doing weekly skin checks that every single skin discoloration mole etc must be documented. So CNAs not turning in bruises is a moot point. Once a week it will get documented. (and probably get an incident report too)
  8. by   KrisV27
    It's to the point where nurses are almost afraid to thoroughly assess the residents because of fear of the paperwork that results when they find the smallest "incident" on their skin. It also sucks to have to call the physician in the middle of the night and inform them. "Mrs. S has a small scratch on her leg. I think she had an itch." I'm sure the doctors love that.
  9. by   MelissaRN
    I think that the location of the bruise is more of a concern vs. a bruise in general. I mean with elderly that are Coumadin they bruise easily not to mention the bruises from venipunctures! I have patients who have them on their arms and hands from all the blood draw attempts.

    I mean if you are seeing them on the back or buttocks or on the upper arms that would send up red flags.
  10. by   sharlynn
    Quote from MelissaRN
    I think that the location of the bruise is more of a concern vs. a bruise in general. I mean with elderly that are Coumadin they bruise easily not to mention the bruises from venipunctures! I have patients who have them on their arms and hands from all the blood draw attempts.

    I mean if you are seeing them on the back or buttocks or on the upper arms that would send up red flags.
    _______________________________________________
    I am the Wound Nurse in my facility and do weekly head to toe assessments on everyone. It's the bruises that match four fingers and a thumb on an arm that I report to the DON and a follow up is done.
  11. by   martysgurl
    Wow how awful.
    Its like you have all the time in the world to sit and write a 15 page essay..
    Ours are one sheet front and back. We have a skin protocol for brusing , fall assesments and a head injury protocol if needed.
    Why is it that the people that design these sheets think nurses have all this extra time on there hands. I hate the paper work crap of nursing !!! :chuckle
  12. by   lllStephanielll
    I guess I shouldn't complain about filling out incident reports anymore. Ours are 1 page front and back. Last night I filled out three and it still took me a while. If I had to fill out a 15 page report for every bruise, skin tear, fall, etc...I just wouldn't do it. Sometimes people need to just use common sense--who came up with a 15 page incident report form??? They need to be fired! Nursing is not about filling out paper work.
  13. by   CapeCodMermaid
    I am happy to report that our 15 page incident reports are no longer used!!! We now have a 1 page report with 2 additional pages for investigation. The compliance rate with filling them out completely has soared.

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