so i got written up again for the same problem but in a different way!! here's the info, i've been working in ltc for 9 months as a new nurse! 7 months ago i was written up for not transcribing a coumadin order from the m.d order book to the mar!! i missed the order! now i, along with about 5 other nurses are being written up for a coumadin order! here is the issue, the night nurse are supposed to audit new orders, at my facility pt/inr is done weekly for patients on coumadin the date that the pt/inr should be done is supposed to be indicated on the mar! well the night nurse didnt transcribe the pt/inr order on the mar, so the evening nurses continued to give the coumadin! so we all got written up! as a new nurse i've learned from this, but i do believe something should be in place to monitor coumadin specifically! the supervisor said we really need to be careful! and should have picked up on this, she said we should go through the entire order book for new orders! that is a good idea, but between dressing, documentation, med pass... when??, if the night nurse had been more careful, none of us would've gotten in trouble! i just feel so unprotected, there are no measures to catch mistakes like these at my facility besides the night nurse which in this case failed!! my question is how does your facility handle med errors such as these?? and what's wrong with this picture?? i know i definetely learned a lesson!!
How is an incident report different from a write-up--they are both permanent peices of paper on your record....
Incident reports typically just present the facts of the case, it doesnt assign blame. Also I dont know that I have ever seen an incident report in someone's personnel file.
Incident reports typically just present the facts of the case, it doesnt assign blame. Also I dont know that I have ever seen an incident report in someone's personnel file.
Everywhere I have worked, an inicdent report generates some other papaer that goes on your file--any incident report with your name on counts against you
Everywhere I have worked, an inicdent report generates some other papaer that goes on your file--any incident report with your name on counts against you
In my experience it depends, just because your name is on an incident report doesnt mean it goes on your file. If ultimately you were to blame for the incident then further disciplinary action would be in order.
It is all irrelevant though, most of us on here know how toxic and impossible these environments are.
Noryn
648 Posts
Incident reports typically just present the facts of the case, it doesnt assign blame. Also I dont know that I have ever seen an incident report in someone's personnel file.