A charge nurse witnesses assistive personnel failing to follow facility protocol when discarding contaminated lines. Which of the following actions should the nurse take first?

Alert the infection control department

Discuss the issue with the AP

Reinforce facility protocols at the next staff meeting

Notify the unit manager about the incident

Answer and Explanation

The Correct Answer is B

a.   While alerting the infection control department is important, directly addressing the issue with the involved personnel should be the initial action.
b.   Discussing the issue with the assistive personnel (AP) allows for immediate clarification of the protocol and provides an opportunity to correct the behavior.
c.   Reinforcing facility protocols at a staff meeting may be necessary but should not be the first step when immediate action is required.
d.   Notifying the unit manager is important, but addressing the issue with the AP directly is the first step in resolving the situation and preventing future occurrences.

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Correct Answer is B

Explanation

a. Root cause analysis: Root cause analysis is used to investigate the underlying causes of errors or adverse events, rather than comparing performance metrics between different units or organizations.
b. Benchmarking: Benchmarking involves comparing performance metrics, such as medication error rates, against those of other similar units or organizations to identify areas for improvement and best practices.
c. Risk benefit analysis: Risk benefit analysis involves weighing the potential risks and benefits of a particular course of action, such as a medical intervention, to make informed decisions. It is not directly related to comparing performance metrics.
d. Structure audit: Structure audit involves assessing the physical or organizational aspects of healthcare delivery, such as the availability of resources or adherence to protocols, which is not specifically addressed in the scenario.

A. Measuring oxygen saturation for a client who has dyspnea B. Performing nasal hygiene for a client who has an NG tube C. Pouching a client's ostomy bag for a new colostomy D. Inserting a rectal suppository for a client who is vomiting

Correct Answer is C

Explanation

a. Measuring oxygen saturation requires nursing judgment and assessment skills, which are beyond the scope of practice for an assistive personnel (AP).
b. Nasal hygiene for a client with an NG tube involves specific skills and requires nursing assessment to ensure proper technique and patient comfort.
c. Pouching a client's ostomy bag involves routine care that can be safely performed by assistive personnel under the direction and supervision of a nurse.
d. Inserting a rectal suppository requires nursing judgment and assessment to determine appropriateness based on the client's condition, which is beyond the scope of practice for an AP.

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A charge nurse witnesses assistive personnel failing to follow facility protocol when discarding contaminated lines. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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