Incident report help

[rdsxfnrn]

Asking for help again from my fav helpers! In regard to incident reports do you:

1. have separate ones for students vs staff?

2. have to make your own using excel, etc?

3. fill them out or does injured staff person fill out?

4. fill them out using the "chart by exception rule" ?

I am asking cuz I was spoken" to today regarding a report I filled out on a teacher. I filled it out as "just the facts" and apparently this is a no no. In retrospect I can see what she means, so I will adjust my thinking.

The rest of this is just kerblitchin'...... in the past, she has asked me to make a new one using excel or works.... well guess what? I do not know how to do this. I made a new one which works fine for me, but it is not fancy schmancy. This issue has come up before. (me thinks an email to some point ppl might be in order. yes?) I *wish* they would realize that they hired me for my nsg skills, not my typing skills. Would anyone be willing to share what they use?

[Jolie, BSN]

I don't understand what is wrong with filling out an incident report with "just the facts".

We have a very simple form used by anyone to describe any incident regarding a student, staff member or visitor. For example, I had a student carried into my office with an injured ankle after falling from the platform of a slide. The playground supervisor who witnessed the fall described in her own words what happened up to the point she left the student with me. I documented my assessment of vs, level of pain, description of the extremity, actions of icing and elevating the injured ankle and phone call to Mom. We agreed that I would observe the child in my office for awhile and update Mom. After 1/2 hour, a f/u assessment revealed significant swellling, increased pain, diminished ROM and unwillingness to attempt weight bearing. Mom picked her up for an Urgent Care visit which revealed a sprain and resulted in a boot. Mom sent me the doctor's report, which I attached to the incident report.

In a nutshell, just the facts, including f/u on the outcome of the incident.

[Flare, ASN, BSN]

We have separate forms for student and employee injuries, but they essentially request the same info: name, dob, address, (salary, ssn, date of hire for employees) location where injury occured, activity taking place when injury occured, description of injury, first aid rendered and a place for any additional notes.

Employee is a bit more of a pian, as we are expected to call a claim into our WC insurance for EVERYTHING - which is a 15-20 minute long process and staff usually doesn't want to wait for that. Sometimes i help them fill out the paperwork them tell them to call themselves on their prep.

But i digress... I agree with Jolie - just the facts is the only way to chart in a school. I mean how do the expect you to chart a student visit? Do they expect you will give them a full body assessment for a paper cut? An incidental injury should be no different

[rdsxfnrn]

her exact words.... "you need to paint a vivid picture of what happened" uhhm, sure is different here....... she signs my check so she can request whatever she likes. :)

[Jolie, BSN]

her exact words.... "you need to paint a vivid picture of what happened" uhhm, sure is different here....... she signs my check so she can request whatever she likes. :)

Did she teach creative writing in a former life? I'm not sure how you are supposed to paint vivid pictures of incidents that you did not personally witness. I assume that most students and staff are brought to you following said incidents, so by all means, pepper your assessments with all kinds of adjectives, but leave the describing of the actual event to someone else :)

Posts like this remind me of just how fortunate I was (and am) to work for and with people who don't try to tell me how to do my job. I return the favor, btw :)

[rdsxfnrn]

lol @ creative writing!!!!! this could be kinda fun :)

[MinnieMomRN]

We have a three page form that the Archdiocese requires. I use SNAP, and there is something in snap that will create an incident report from an office visit and pulls most of the facts needed into a one page document. I print that out, sign it and paper-clip it to a blank Archdiocese form, and hand it to the school secretary. As far as I'm concerned, that's my nursing part of it. If any of the other pages of required info needs to be filled out, she can hunt down the witnesses, etc.

[rdsxfnrn]

ty all! "she" was not there today and lo and behold an adult fell down the stairs. hurt her knee, no ins, no car no one to pick her up yada yada..... principal decides i should bring her to the ED......... having learned my lesson from the help rec'd on epipen incident (ty) i immediately veto that idea and throw one of our paras under the bus. (sorry but i did) in the meantime the principal is trying to call the CEO. no answer......... he is to be informed IMMEDIATELY if someone gets hurt on campus. i am running around tending to the injured, and trying to fill out report cuz i know they are going to ask for it. common sense has yet to set in and the principal decides she is going to drive her.......... FINALLY we talk her into calling 911......... but no it gets better. we thought she was a parent but then we figure out she works for food service in our bldg. she is the responsibilty of the city, Thank God. and i still have to fill out that blessed report. i know "she" is going to pick it apart piece by piece, so i filled it out and faxed it to one of the "smart ppl" and had her proofread it and then I redo it........... that was the first hour of my day. oh yeah it gets better. pls see the tummy ache post. :)

edit:as an added note, the CEO is already upset with me for something else, and his mother, the founder of our school died this week

[Purple_Scrubs, BSN, RN]

Doesn't it always happen that way? One thing goes wrong then it's like the snowball turns into an avalanche. Hang in there, spring break is around the corner!