Does a pressure ulcer = incident report???

[optimist]

So the state was called into our facility this week to invesitgate a complaint. General nursing staff isnt privy to what was investigated or found but usually when something is 'substantiated' the facility must come up with a plan of change to correct whatever the problem was found to be. The plan of change this time was to require nursing staff to fill out an incident report and a QI report everytime a pressure ulcer or other 'preventable' skin occurance is discovered. Im not one to complain but as the facilities only weekend treatment nurse (200+ bed SNF) thats a heck of a lot of paperwork (in addition to the weekly flowsheet that monitors changes to said wound, RP contact sheet, doctors book, etc). I was just wondering, do any other facilities fill out incident reports and QI reports for pressure ulcers? Does that even make sense?

[MomRN0913]

When a patient is admitted with a stage 3 or stage 4 you write an incident report When they acquire a stage 3 or stage 4 during their stay you must write an incident report.

[iceprincess492]

OUr company requires an incident report for any new skin area: bruise, skin tear, pressure or vascular area. If they are admitted with skin problem it is documented but no incident report required

[loriangel14, RN]

We don't fill out an incident report, we just chart it.

[jamielynne083]

We fill out an incident report where I work for any new skin issues including pressure ulcers. If they are admitted with the problem then it is just charted on.

[KittyLovinRN]

We write incident reports for pressure ulcers on admission, transfer, and ones that are created on our unit. We also take pictures of each and every one for the chart..ESPECIALLY ones from outside the hospital

[ckh23, BSN, RN]

In my hospital every pressure ulcer requires an incident report to be filled out and the wound nurse to be contacted. I think in the hospital it has a lot to do with reimbursement because medicare will not pay for ulcers developed in the hospital and the hospital has to eat the cost of treating the pressure ulcer.

[CoffeeRTC, BSN, RN]

OUr company requires an incident report for any new skin area: bruise, skin tear, pressure or vascular area. If they are admitted with skin problem it is documented but no incident report required

This is what we do.

Why would you have to fill one out for an admit? They are new and admitted with it and it fall under what you are treating them for?

[RNChristy]

When I worked at the hospital, we only filled out an incident report and QI form on newly acquired (while in the hospital) wounds. Any time a patient was admitted discharged, or transferred to another unit, we were required to take pictures of previous wounds. Especially with the new Medicare Guidelines, documentation is very important if a patient is admitted with any wound. CYA!

Christy

[ayla2004, ASN, RN]

We photoraph any pressure ulcer, skin tear or wounds, bruises on admission, or aquired.

We fill in incident reports for grade 2 pu on admission or if aquired, and all skin tears

wound care nurse referaal is pressure ulcer is garde 3-4

[HDHRN]

We fill out incident reports also. I have a resident who likes to shave her chin with one of those cheap plastic razors. She cut herself up pretty good last night and b/c she's on coumadin, it was hell tryin to stop it. So I told the aids to make sure they keep an eye on her, we really oughta just throw it away. I did complete the incident report and faxed the doc, just so he was aware and to cover my ass.

[SuesquatchRN, BSN, RN]

A pressure ulcer is not an incident report, although your facility should have an investigation conducted specific to how it originated. An incident means precisely that - something happened all at once, such as a fall, a bruise, etc. And residents on Coumadin getting ahold of razors.