Published
Seriously?
I read all the definitions....near miss all the way to sentinel event. None of them fit.
This seems silly to me.....
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
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!
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. :)
monkeybug
716 Posts
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.