have you ever "written up" yourself in an incident report? - page 2
especially when you could have swept it under the carpet.......a short while back, l went into the pt room to give an IM inj. Almost always, l draw up meds in the med area, for some reason, that... Read More
Feb 25, '03YES, all the time.
Incident reports are suposed to be used to track and fix problems not to punish. To use them punitively is self defeating. Everyone makes mistakes this is human. But if we can find a source that is causing the error or a way to fix something by reporting in that is great. If we are aware of the problem we may be able to do something about it if you are the only one that knows well you are kind of stuck (no pun intended). For all you know this might be an ongoing problem but if no one is reporting it it cannot be looked at.
Using these punitively is inappropriate. It encourages covering up. Sooner or later covering up will come to light in a very nasty way for the facility and even the nurses who covered.
When the incident is something I was involved with I say "I". If it was another employee I say, "the nurse, "the physical therapist," "the CNA. I never use their name.
If it is necessary that the person's identity be known that is easy to discover. But it does not need to be written in the report.
Feb 26, '03Yes, I have. Gave a pt IV MS04 instead of the way it was ordered, IM. Pt suffered no ill effects. Doc was notified. Pt was a hospice pt and shoulda been on IV morphine anyway. No hospice pt should be stuck with a needle to receive pain relief.
Feb 26, '03Yes. Several times. Med errors. Once I gave a cardiac pt another patient's meds. My stomach dropped to my feet and I messed my pants. Made out the incident report and then had to call the cardiologist (who can be a bear). He was actually pretty nice about the whole situation.
In my experience most of our docs are usually pretty decent toward us when it comes to med errors, especially if we admit right up front we screwed up.
Feb 26, '03yes, I have
one attraction I have to nursing and nurses is our honesty and acceptance of our own and others' human fraility.
can't solve problems without identifying them first
luckily I've worked in supportive environments....
Feb 26, '03Yes, I have and other nurses have asked me why I did it. I would write them up so I should write myself up. They are supposed to be blame free. The mistake I made didn't harm a patient though. I was never spoken to about it by anyone after I turned it in.
Feb 26, '03Yes, I have. I gave a med that the nurse from the previous shift had given. She didnt note the order, but charted it on the MAR. I found out it had been given when I went to chart that I did it.
Mar 2, '03Been there done that. HONESTY IS THE BEST. I forgot to remove a nitro patch from one of my patients and I filled out a report. The floor was busy...I CYA all the time. Being an honest person is CYA. It's the ones who don't file anything...and you pick up on their errors...they are the ONES TO WORRY ABOUT.
Mar 3, '03an incident report is just that--something that happens and you happen to be the one who discovers it. if i make a mistake then i write it up. it's to protect the patient.
Mar 3, '03just a postscript--i have written myself up so i don't think it's such a big deal--one day i had to write up a med error that someone else made and she really came down on me! go figure!
Mar 3, '03You bet. More than once. One time, we had a patient that was on Tylenol #3 for ages and ages. The Dr put him on Tyl. #2. I wrote "hold" on the back of his card and placed it behind his new ones. The policy at our place is that you have to keep it and count it with the other narcotics until the pharmacy person comes and takes it away. About a week later I was back on that unit. I took out his card and gave him his Tylenol. I looked at the card in horror when I went back to the med cart. So I phoned the charge nurse and said to her "I have good news and bad news. Which do you want first?" ...."Well, the good news is that we do not have to count Mr. C's Tylenol # 3 any more. I gave it instead of the Tylenol #2."
To me any incident is a learning experience. I have learned too that often there is a string of circumstances that lead up to the initial boo-boo.
Mar 4, '03Yes, several times. I, too, feel honesty is the best policy. I really feel incident reports are a learning experience. I use them as such and try not to make the same mistake again. Even us "Sr" nurses do boo-boos when we are overworked and understaffed. I try to check all my meds at least 3 times, once as I am pulling them, again to make sure I have all of them, then again as I am opening them. Then of course identifying the patients etc. All this when you have a time frame to give them. lol.
Mar 5, '03Be proud of yourself..
Facing adverity, you did the right thing...
In my book, thats what I call INTEGRITY.
And you can sleep tonight.