Unsafe Practice Issues Unsafe practice situations are defined as particular circumstances in which the obligation of the registered nurse to provide safe, competent, ethical care cannot be fulfilled. The unsafe practice situation could be a result of inadequate staffing, outdated policies and procedures, inappropriate or inadequate supplies and equipment, or inappropriate staff mix decisions. Document the Problem State objective facts, dates, times, place, setting, people present. Document the problem when it occurs and keep a copy. Document all conversations, meetings, and decisions made in relation to the problem.
Documentation is an essential step in the process of addressing unsafe practice situations.
If you are documenting anything which is hearsay or unsubstantiated speculation, note it as such in order that follow-up can occur with the original source. Brainstorm alternatives to address the problem. Develop a plan of action. Work together and distribute the work involved in addressing the concern. Your Plan Decide the most appropriate level at which to address the problem - begin with your immediate supervisor and proceed as necessary.