what would u do?

Midwest4me · Mar 15, 2009

Is your nursing report done just shift nurse to shift nurse or does it include the supervisor? All in all, it probably wouldn't be necesary since you already assessed it, medicated the pt and documented about it in the chart notes. However, we have highly accusatory patients AND staff in our mental hospital so I probably would've reported it to the supervisor anyway just to CYA.

Ruthiegal · Mar 15, 2009

I would have done an incident report to be on the safe side, and let the Supervisor know what had happened and document well that there appeared to be no visible injury.

chenoaspirit, ASN, RN · Mar 15, 2009

I would have done an incident report too. Are you serious...a 30 MINUTE discussion?

Jules A, MSN · Mar 15, 2009

Although I should as per our policy I probably wouldn't have done an incident report if the bump was accidental. Imo documenting it in the chart, assessing and giving a PRN for pain if requested would probably have been as far as I would have taken it. I know this isn't an ideal way to handle things but I flat out do not have time for something like this unless it was an aggressive act etc.

chenoaspirit, ASN, RN · Mar 15, 2009

I think its so interesting how each of us have a different view/opinion on things. I love to read how others feel/think. I guess there is no really "right" way to do anything. I love this website.

patwil73 · Mar 15, 2009

In our hospital it would be an incident form also - although most probably wouldn't take the 20+ minutes required to fill it out. However, any incident like this (fall, violence, injury, exposure) must be reported to me as the supervisor. It is a measure of the limited thought that often goes into creating policies. The staff must report to me that an incident occured and I must do. . . nothing - I have never been given an answer as to what I do with the information.

So I kindly say "Thanks" and continue on. Sometimes policies don't make a lot of sense.

Pat

UM Review RN, ASN, RN · Mar 15, 2009

I think its so interesting how each of us have a different view/opinion on things. I love to read how others feel/think. I guess there is no really "right" way to do anything. I love this website.

In many facilities, the "right" way is to follow the policy, whatever that may be. Our facility would have required an incident report. Takes 5 minutes, gives a heads-up to the Legal dept, and CYA's the nurses involved.

Of course, if it's something that Risk Management gets a lot of reports on, they'll usually change something -- for instance, a lot of c/o needlesticks worked to get us a needle-less system way before there was a law in effect.

nightmare, RN · Mar 15, 2009

If I had witnessed the incident I would fill in an incident report otherwise it is just documented in the daily nursing notes.The daily notes are just as legally subjective as an incident report.

Jules A, MSN · Mar 15, 2009

In many facilities, the "right" way is to follow the policy, whatever that may be. Our facility would have required an incident report. Takes 5 minutes, gives a heads-up to the Legal dept, and CYA's the nurses involved.
Of course, if it's something that Risk Management gets a lot of reports on, they'll usually change something -- for instance, a lot of c/o needlesticks worked to get us a needle-less system way before there was a law in effect.

Wow I wish ours was 5 minutes. I'm quick and it takes at least 15 minutes for the written report plus mandatory calls to an administrator, call to the physician, call to both sets of parents, as well as the forms required by whatever govt. agency that has input on the particular patient. The phone calls alone are a huge time buster so no for an accidental bump on the leg from a wheelchair I'd skip it.

hotmama2be · Mar 15, 2009

I would have filed incident report and called the Sup..... because you never know what could transpire in the future and the injury worsens ....etc.