I have a question about Incident/Occurrence reports and documentation...
When I was in nursing school (graduated 2000), we were told never to write 'Incident form completed' in our charting. The rationale for this I was told was that incident/occurrence forms is solely for hospital/risk management use, not for the purposes of potential/future liability. Having said that, we had an inservice where I used to work at where one of the attorneys from the legal department came in to talk to us about depostions. When this issue was asked, her response was to chart that the incident form was completed because attorneys know all about incident forms and so if any were written pertaining to an incident, the form(s) will be found out anyway.
Fast forward to today...I just finished day one of new hire hospital orientation at my new workplace. Someone from Risk Management came in to give their presentation and she reiterated what I suspect what they're still teaching in nursing school...not to write 'Incident form completed' when charting. Her rationale was the same as what I was told back in school.
To my legal nursing clinicians...what's your take on this? what would you advise?
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