Incident Report In Healthcare: Fill & Download for Free

Going anonymous to protect the privacy of my building. I work in a long term healthcare facility as a nurse aide. Although it's seen as just a job to most of the people there, it's something I truly love doing and as such I get very attached to some patients. The building I work in is specifically geared towards dementia patients and those with mental disorders. One of my favorite patients is a mentally challenged woman with schizophrenia. She's very very sweet, and has a somewhat stilted way of talking and has some problems forming words. One morning I walked into the shower room to retrieve a watch for a patient I'd given a shower to earlier and heard two of the other aides mocking her mercilessly as they showered her. She was very upset and crying, asking them to stop and saying she'd be good. I went into the stall to confront them and discovered that the water they were using was freezing cold. I pulled the emergency alarm, told them to get the hell out, and turned the water as warm as I could. When the head nurse came in to respond to the alarm, I told her what had happened. Once we had the patient warmed back up, dressed warmly, and in bed, she had me fill out an incident report. Both the aides involved had complaints by other patients against them and were fired. The fact that anyone can look at a person who is so in need of help and do something like that to them is completely repulsive to me.

“I’ll check on them later,” the resident doctor said, before she turned her back on me and went back to sleep.What that pedia resident told me made my jaw drop.Excuse me? You’ll check on them later?It was 5AM. I was a young NICU nurse scared out of my wits.A premature baby self-extubated, and while she’s currently doing fine on oxygen inhalation, I need someone to order labs and assess her to see if she’ll need to be reintubated. You just don’t extubate a patient who has been on mechanical ventilation, let alone a preemie who didn’t receive a surfactant!Another baby had hypoglycemia despite being on TPN and I needed someone to compute how much D5050 I need to give him, because he is on NPO and obviously the TPN isn’t cutting it and he is also a preemie who might go into hypoglycemic coma or worse, a code, idk.Then a baby delivered via forceps extraction wasn’t breathing and has had meconium staining so I can’t stimulate unless someone did endotracheal suctioning which we weren’t allowed to do, and the OB resident was yelling at me, “Where the hell is your pedia res???”I ran so fast to the ER on-call room. I thought maybe she got tied up with admissions. The ER turned out to be eerily empty. I burst into the on-call room to see her sleeping there, ignoring her cellphone which I’ve been ringing for quite some time now.I woke her up to give my report and she told me she’ll look into them later. This infuriated me and I blurted out, “you better not be going there at 6AM!” Which is the time my shift ends.When my charge nurse arrived for the morning shift, I told her I will be writing an incident report for mouthing off on a resident and the whole incident on why I mouthed off at her.That b*tch of a resident had the audacity to ask the chief nurse if she could write me up for an ethics violation. I stood firm on my well-written incident report. She was suspended for a month. But what infuriated me most is that the whole pediatrics department tried to cover it all up and explained (rather patronizingly) to us that the resident was suffering from depression and anxiety.If you are a healthcare professional and you feel you are having mental health issues, you fix those issues before laying hands on a patient. This is a high-pressure job and people rely on us to deliver the best care at all times. Endangering 3 infants because you’d rather sleep during your shift because you are depressed is a sorry excuse of being a doctor.This is the worst case of doctor behavior I’ve ever encountered. Oh sure, there are a lot more assholes, especially the “alpha” men who like to throw their weight around and get off on humiliation and control of female nurses. I can deal with that. It is rather unfortunate that it exists, but I’ve developed my own strategy for physician “quirks” to make my work easier. However, there was no workaround in this pediatric resident’s behavior. Which is why I consider her the worst.

No.There is a myth that “free markets create efficiency”. This myth came about because some free markets create efficiency.We need to understand why this happens some of the time, and when it does not.Efficiency emerges when competing vendors are forced to compete and improve to secure customers. And if the customers are well informed, willing to switch vendors, in charge of all the information, and hold all the commercial cards, then this could happen. These are perfect markets, and are actually quite rare.Even with empowered buyers, the vendors can fight back, forming pricing cabals, monopolies and buying political policy to tilt things in their favor. Cheating a bit is way easier than actually competing and improving efficiency.Efficiency is the very last thing that profit-seeking enterprises want to do. They only resort to the efficiency thing as a last resort, when all other options have been removed.So there are a bunch of markets where perfect conditions are almost impossible to achieve. In public transport the customers are forced to use the services of local monopolies. Unable to switch. In utilities it is hard to switch vendors, and frequently the vendors fix prices.And Healthcare is the worst of them all. People are sick and desperate, so are unable to make considered choices. They have no expert knowledge on the procedures. They have no insider knowledge on failings and mishaps. And they have no real ability to switch. It is the worst possible form of market.So, in Healthcare it is practically impossible to get multiple vendors to compete on price, safety and efficiency. The patients themselves lack freedom to move, lack information and lack power in the relationship.BUTThere is one way to restore efficiency. That is to create a buyer who is not the patient. If the buyer is instead a commissioner of services, and that commissioner has all the money, all the facts, all the data on quality outcomes, all the incident reports on breaches of safety. If that commissioner knows what everyone else charges, and can shift contracts at the drop of a hat…THEN you can get efficiency. Then the vendors have no choice but to lower prices, improve quality and so on.We already have one of the most efficient health delivery systems in the world. It’s failings are due to poor funding, not a lack of efficiency.Those lobbying for privatization want it to become less efficient. Because then where there are currently no profits there would be huge piles of cash to be made.