have you ever "written up" yourself in an incident report?

Nurses General Nursing

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  1. have you ever "written up" yourself in an incident report?

    • 196
      yes
    • 89
      No

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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 evening l did it in the pt room....l change needles after l draw up the med, so when l re-capped the firs needle, l laid it on the counter, turns out the cap was loose. Next thing l know, a visitor was stuck with this needle...:eek: thankfully it was not contaminated biohazard-wise....pt did not want to see a doc, wasn't upset, and no one else knew....but l wrote it up, didn't feel l had a choice. If anything had come of it later it would have been much worse and the injured could have made false claimes. So l got a "verbal". My NM was great about it but stopped short of commending me for my honesty, which l found dissapointing.

Anyone care to share?:) .........LR

Nursing is probably the hardest most stressful job there is right now. We are all going to make mistakes. My license was turned in by a hospital for a couple of things that I didn't even know I had done including something about my medications and passing them. I never made a med error there once! Needless to say, my State Board cleared me of any wrong doing. But it is evident that where you work is causing you to make these mistakes because of lack of staff and having too much responsibilities in one day! If I were you, I would be looking for another job where you don't have to drive as far per day and where you can comfortably administer medications without fearing of making a med error. I feel for you I really do. A write up only means that they have something in your file to turn to if the incidents continue to happen. I know an LPN that got a write up for administering Thorazine instead of Compazine to a psychotic patient (because the generic brands are so close in name). They didn't do anything to her for it, just put it in her file in case there were further problems. Have faith in yourself but do yourself a favor and find a job where you don't have so much on your back all day. Psych patients are a handful without having to do the meds too. I know how that goes too as I was in psych for 16 years. It is no fun doing meds and taking care of them! Hang in there and best of luck. :)

:o I just made my 3 rd medication error in 20 years of nursing. Unfortunately it is the 3rd one this year and I am now being given a displinary action for it. That is what I get for being honest and hard work by reporting on myself. I did not harm anyone. What has changed this year is giving meds to 18-20 psych patients and working 2 double shifts a week and driving 2 1/2 hours each day. I am now doing all the meds and have no releif from the other nurses because of the way my shifts fall and they have been there the longest. when you get a written displine I am not sure what that exactly means. Has anyone ever had this problem. Maybe I need to find another job if I am hirable now. I am paranoid now. I would appreciate any help. I have always had excellent reviews until today. Thanks
Nursing is probably the hardest most stressful job there is right now. We are all going to make mistakes. My license was turned in by a hospital for a couple of things that I didn't even know I had done including something about my medications and passing them. I never made a med error there once! Needless to say, my State Board cleared me of any wrong doing. But it is evident that where you work is causing you to make these mistakes because of lack of staff and having too much responsibilities in one day! If I were you, I would be looking for another job where you don't have to drive as far per day and where you can comfortably administer medications without fearing of making a med error. I feel for you I really do. A write up only means that they have something in your file to turn to if the incidents continue to happen. I know an LPN that got a write up for administering Thorazine instead of Compazine to a psychotic patient (because the generic brands are so close in name). They didn't do anything to her for it, just put it in her file in case there were further problems. Have faith in yourself but do yourself a favor and find a job where you don't have so much on your back all day. Psych patients are a handful without having to do the meds too. I know how that goes too as I was in psych for 16 years. It is no fun doing meds and taking care of them! Hang in there and best of luck. :)

Just wanted to day thank you for your help and encouragement

Specializes in NICU.

Yes, I wrote myself up for a med error during my first year working as a nurse. I had given two full doses of IV morphine to a baby who had been extubated the shift before I came on. When I went to chart the doses off in the comptuer, I noticed that the morphine order had expired an hour before I gave the first of those two doses!!! I called the doctor and explained, and she was nice enough to put in an order for two extra doses so I could at least legally chart them off. But then she put through an order for Narcan just in case we needed it and gave me a little lecture. I spent the next four hours watching each breath that child took - good thing we were in isolation and I was 1:1 with him!

In the morning I wrote up an incident report, then took it to my NM office and bawled my eyes out. She said that it happens to everyone, and since the baby was fine I shouldn't worry so much. She did tell me that it was a little more serious because giving narcotics without an order is a biiiiiiiiig no-no, so she did file the report. Then she told me that she wasn't going to punish me, because the emotional beating I was giving myself was way beyond anything she would ever do to me.

:o I just made my 3 rd medication error in 20 years of nursing. Unfortunately it is the 3rd one this year and I am now being given a displinary action for it. That is what I get for being honest and hard work by reporting on myself. I did not harm anyone. What has changed this year is giving meds to 18-20 psych patients and working 2 double shifts a week and driving 2 1/2 hours each day. I am now doing all the meds and have no releif from the other nurses because of the way my shifts fall and they have been there the longest. when you get a written displine I am not sure what that exactly means. Has anyone ever had this problem. Maybe I need to find another job if I am hirable now. I am paranoid now. I would appreciate any help. I have always had excellent reviews until today. Thanks

Usually a written disciplinary report is just that. It goes in your personnel file. Your head nurse or nurse manager also verbally counsels you on your error. At my prior place of employment, we used a scale which included things like pt/nurse ratio, if the nurse was in a different location than her norm, was there any harm to patient, etc. The scoring system then assigned a number to the incident. The higher the number, the more serious the incident. You get my drift. Hang in there!

When I worked nights in an ICU, we had a forty-something female who had an MI at home, arrested, and no one at her house knew CPR. EMTs arrived and resuscitated her but too late to prevent cerebral damage. When we got her, she was on a vent and posturing, and had no potential for any improvement. (First moral of this story: either have people in your house learn CPR, or get a tattoo that says "do not put hands here with intent to perform CPR" in the center of your chest. Do NOT allow a combination of the two. If CPR is started too late, this scenario is what will happen to you.)

One morning, right before shift change, I was doing oral care and the respiratory therapist came in. He wanted to move the ET tube to the other side of her mouth, and I agreed -- she'd been in the unit for a week, and the tube was starting to break down that side of her mouth.

When we tried to move the tube, she bit down really hard, but she had an oral airway in also so she wouldn't occlude the tube. The RT decides he needs to take out this oral airway, which he seemed not to have noticed before this point. Well, that was clue #1 the guy wasn't paying very close attention.

I suggested we pass this off to the day shift, so they could consult family about possibly traching the patient, and I could get out of this mess I shouldn't have got myself into in the first place. But he kept trying, and he must have tried too hard, because when he got the oral airway to finally move, one of her lower front teeth came out with it. Root and all. The lady's HR went up a little, but no other response. I discovered at that moment why I did not choose dentistry as my profession. Yuck.

That was the last time I listened to that RT. I put the tube in a specimen cup, gave it to the day charge nurse, and I wrote myself up; she was my patient and I was responsible. I never heard another thing about it, and I don't know what happened to the lady.

Okay -- somebody top that.

Specializes in Emergency.

while while i was precepting i had a med surge nurse write herself up for not running an IV 25 cc/hr more than it was supposed to be....( problem turned out to be wrong charting in difrerent places/doc not upset) but I learned from there on out, IV errors are a definite reason to call a doc.

i've only been a nurse 7 months, never wrote myself up yet. knock on wood. xoxo jen

I felt so depressed for about a week. Maybe because I cant believe I am such an idiot when it comes to doing it in actual. Im just a student by the way and some people were trying to tell me that Im not bound to be a nurse. I cant help but to burst in tears for about a week (can you imagine?). I thought I'll be commiting suicide. I've been through hell. Right now, Im trying to pull myself together. Ahhhhh...this is killing me!

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I have on several occasions, mostly for very minor mistakes/omissions. I try to be honest in all I do, and model that for the newer nurses around me.

Specializes in Nurse Scientist-Research.

I'm sure I've written myself up more often than others have written me up and I think it's better that way (though I would love to be perfect). I've also written myself up more than I've written others up, not that I've ever had an issue with being written up too much.

We recently started a new reporting system that was computer-based (and I think web-based). I was lucky enough to get to use it twice in one week that first week it went into effect (one an IV infiltration, one a missing blood culture that had been collected days before). Good news was, I was a good resource for others on the unit who needed to use it. By the way, I liked the new reporting system, it seemed to be based on looking for system errors rather than looking for one person to "blame".

Incident reports should not be considered puinitive. They are intended to report untoward occurances. And yes, I have written an incident report on myself. Med error.

As soon as I read the first post I realized of course I have!

I have made a few med errors in my day. THANK GOODNESS et al (God Angels etc, that no adverse outcomes EVER resulted!!) they seem to run in 2's for me one on month then another in a period of time that freaks me out. Then THANK GOODNESS NO MORE!!!::mad: In 3 years Only 2 maybe 3 the longest was over a year ago (probably not after this).

Finally got my password figured out. YEAH!!

--leslie

I've written myself up before. It's good just to be the one to get it out and clear the air....that way you have nothing hanging over you.

Specializes in ER, ICU, Education.

Yes I have written myself up, and I deserved it too.

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