yes, write up the incident report in a non punaitive way. What are the contributing causes, in most cases nothing is going to happen. If you get shy about doing this, somthing tragic could happen out of fear or apprehension. I had a patient that had a bleeding problem quite awhile back in my career, he was the exact person you did not want to screw up with his coagulation. I hung heparin he was on it but at a low dose, when I put into the maching iv pump the rate it was wrong, I was rushed, the whole bag 25000 units went in, thank god he did not bleed. I went to the doctor told him what had happened, we took blood work, and gave the patient corrective measures, and told the patient togeather what had happened. Mistakes are going to happen, more people die each year because of this, and studies are being done all the time to try and prevent them from happening. Being up front and immediate is the most important thing to do, I did not want this man to bleed from my mistake and if I kept my mouth shut, he may have bled, and then how would I have felt. By the way the patient was not upset with the event, he was relieved that our actions showed him how much we cared.