Quote from wrkoutgirl
Hi all. I Need to know if it is legal for a nurse to get punished if there are too many incident reports against this nurse. NOthing mayor but several of the same kind. is it better to be dishonest and not report it.
Also, is it legal and still a good practice for hospitals to still provide prefilled pens for sq medication. these nedles don't have a safety retractable nedle, you have to manually remove it from the pen and dispose of it.
thank you for your info.
1. Can a nurse be subjected to employment consequences for events that have been tracked through incident reports? YES, but hopefully the NM will evaluate what's going on and determine whether it represents a systems problem, a problem with the nurse's training regarding the situation that can be remedied, or a repeated pattern by the nurse of disregarding facility and/or unit policies & procedures.
2. Can incident reporting be used in a punitive fashion? YES, by either a coworker or 2 targeting another nurse they don't like, or by a NM who decides he/she wants to get rid of the nurse for reasons other than questionable professional competence or refusal to follow established policies & procedures.
3. Is this "legal?" That depends on the employment situation. Is the nurse an employee at will? Is the NM following the facility's procedure for employment discipline? If so, the facility is probably not doing anything improper. Might there be other factors that could affect this situation? Certainly--there are many.
4. Byetta needle problems. This is probably an OSHA issue as this product sounds like it violates federal safety laws regarding needle safety for healthcare workers. OSHA routinely visits healthcare facilities to assess for violations (most heathcare workers are generally not aware of this). You can report your concerns to your facility's risk manager, or you contact OSHA yourself to report your concerns. (FYI--when OSHA find violations at a facility, they issue fines and do followup to see if the situation has been remedied).
HollyVK, RN, BSN, JD
(Risk managers love getting that phone call that someone from OSHA is here to visit their facility)