Incident report happy nurse - page 2

When do you right up an incident report? Lets say the patient was not harmed and it is the first time the error has been made,should an incident report be done or should you discuss it with the... Read More

  1. by   moonrose2u
    we have two pencil sharpening, holier than thou, incident happy nurses who write up whenever they can...its ridiculous...

    personally, i do not write up if it can handled diplomatically and in private without harm to the pt.

  2. by   mario_ragucci
    Yesterday - in my Health Occupations class (for nursing students) I really grew up. The lecture was about legal issues. The instructor did a wonderful job of explaining the tip of the iceberg of legal issues.
    I understand from the lecture that in the past, nurses were judged on how well they cared for people, and the accuracy of their care. Now I am learning how important it is to write everything down accurately. Charting. This was explained and emphasized because of potential legal issues.
    My eyes opened wide, and the impact of this lecture has not taken a form in my mind yet.
  3. by   NurseDennie
    I thought charting had *always* been the be-all and end-all. No?

    If it's not documented, it didn't happen. If it's not documented correctly, it didn't happen correctly.


    Originally posted by moonrose2u
    personally, i do not write up if it can handled diplomatically and in private without harm to the pt.
    I agree. I only like to fill them out if the doc is unyielding in his request that I do so, but even then I sometimes think it's silly.

    We do have a new, very incompetent nurse on our unit. We've discussed our concerns with management to no avail (surprise, surprise). So now we're covering our a**es with incident reports. Her personal record is 3 in one night shift.

  5. by   canoehead
    One weekend it got to the point where I passed out incident reports to each nurse on nights in report because the previous shift had neglected their patients so badly. One mistake is different from a pattern of poor care. So things that we would not usually write up sometimes get written up because you spend the whole shift cleaning up after the person that went before you.

    Last time I worked as a staff nurse on that floor I had 2/3 of my patients with inadequate pain control, and spent the first half of the shift calling docs and titrating meds. Wrote a whole page of new orders on one woman.
  6. by   willie2001
    I rarely write an incident report, but I sure did today and it was on a physician. He admitted a renal failure patient several days ago. The patient had been doing CAPD several times a day for some time, assisted by her husband. She developed an infection and had been prescribed an antibiotic to be administered in one dialysis exchange per day. The husband had been doing this at home. When the patient was admitted to the hospital there were no orders written for this treatment. I was taking care of this patient yesterday and found out from the patient's daughter that the patient's husband has been administering the medication to his wife in the hospital. No order, no dosage, nothing. Evidently other nurses who had taken care of her knew of this, but did not call the doctor on it to find out what was going on. I called the doctor and his comment to me was "oh I know about that", but he also was unable to be specific with me about the dosage, etc. I called dialysis and got the whole thing straightened out by talking with them. I then wrote the appropriate order and nursing staff are administering the medication. I discussed this incident with my nurse manager and she also felt that an incident report was appropriate in this case. I wrote up the doc because I felt he was the one who dropped the ball in the first place
  7. by   NicuGal
    Incident reports and writing someone up are two totally different things! An incident report does not name only documents what was found, no blaming. If you write someone up, it is about that person. I know in our institute, incident reports are all gone over by risk management and if they aren't a "true" incident report, they are pitched into the circular file. These incident reports are used for legal purposes, not to rat on another person. If you have a beef about someone, then you write an anecdotal about that person's behaviours, etc....personal feelings should not be in there. Just state the facts.

    I have to say about hanging the NS without an order...we would have been most likely could have gotten an order, even if you had to go above that particular doctor's head. You have to see it from his legal standpoint...what if something did happen to that patient? You would have been in deep do-do. What you thought correct, well, that is not always our call.