PT Pulls out their NG tube...boss says I need to fill out an event report?

[mindlor]

Seriously?

I read all the definitions....near miss all the way to sentinel event. None of them fit.

This seems silly to me.....

[monkeybug]

We have to fill out event reports for lots of things. Gtubes get pulled out, or dislodged from deflated balloons. Scratches (even tiny ones). Heck, a new rec therapy person wrote an event report on me one day, because she thought I wasn't happy enough to be at work!! She was of the opinion that I was in a bad mood. Nice to know, that you can write them based on opinions. They have gotten out of hand at my place of employment....

Hooooly crap, they could have killed a national forest to make enough paper to write me up for this my last year of work in the hospital. Someone needs a good slap upside the head, and it's not the unhappy nurse. When my manager would come by and give one of her smarmy "Smile, Monkeybug!" comments I would tell her to give me a reason to.

[umcRN, BSN, RN]

I work at a peds hospital... anytime anything we put in one of our kiddos comes out and it wasn't intended to come out yet, we have to write up an incident report. We also have a "huddle "with the attending or NP and charge Rn as to why it happened and how to prevent it in the future. They are really tracking our "unplanned device removals". Not sure if its a joint commission thing or what...

Interesting. We fill out reports for unplanned/accidental extubations (breathing tubes) but NG tubes? Heck kids can gag or cough those things out, don't need to have their hands anywhere near them

[KelRN215, BSN, RN]

Interesting. We fill out reports for unplanned/accidental extubations (breathing tubes) but NG tubes? Heck kids can gag or cough those things out, don't need to have their hands anywhere near them

Good point. Working in oncology, can't even count how many times I've seen a kid vomit their NG tube up. That's an unplanned removal but the idea of writing an incident report because a kid on chemotherapy vomited is absurd. They vomit multiple times/day... we wouldn't do anything but write incident reports if we had to do this!

[wooh, BSN, RN]

They are really tracking our "unplanned device removals".

Bahaha! In a peds hospital? Do we actually "plan" to have devices stay in though? When there are children around? With hands/feet/mouths?

Better plan: Order to replace devices q shift. Use nursing judgment to leave device in place when it's not pulled out. No incident reports needed. :)

[merlee]

Unless it was sutured, it seems extreme to write an 'event' report. Get your docs to write a 'replace NGT prn until further notice' order.

This should cover you, and avoid the need to write up event reports.

[Elladora]

We would where I work. Anything that falls outside of "normal" requires an incident report. And I work in psych. Guess how many incident reports I write each week?

[msjellybean]

I work on a stroke unit. Most of my patients are confused. Pulling IVs, dobhoffs, and the occasional g-tube are common occourences. I can't imagine writing an incident report each time.

[0402]

I would probably just write an event note (in our charting system, it's an open narrative to chart things that don't really have somewhere else to be charted) to describe what happened and what I did about it, but I wouldn't do a formal incident report.

[roseonye]

@ the NH when i g-tube is disloged either by pt or staff you are required to fill out an incident report. to me its just a waste of paper. when the state comes and ee all the incident report thats a red flag right there.

[echoRNC711, BSN]

Do you by any chance work in a NH or LTC facility. They seem to have paperwork for everything. pretty soon you will be documenting the ,musical key, of a pt's flatus!!!

[VivaLasViejas, ASN, RN]

When in doubt.....fill it out.

[TheCommuter, BSN, RN]

Do you by any chance work in a NH or LTC facility. They seem to have paperwork for everything. pretty soon you will be documenting the ,musical key, of a pt's flatus!!!

OP works at a LTACH (long term acute care hospital).