A nurse is reinforcing teaching with a newly licensed nurse regarding sources of medication information. Which of the following resources should the nurse include as reliable references for the nurse to use to evaluate medication information? (Select all that apply.)(Select All that Apply.)

Explanation:

A. Battery: Battery refers to intentional harmful or offensive touching without consent. In the context of healthcare, it usually involves physical contact or procedures performed without the patient's consent. An inadvertent medication error, even if it causes harm, does not typically constitute battery unless there was an intentional act of administering the wrong medication against the patient's will.

B. Assault: Assault is the threat of harmful or offensive contact. It involves creating a reasonable apprehension of imminent harmful or offensive contact in the patient's mind. An inadvertent medication error, while it may cause harm, does not typically constitute assault unless there was an intentional threat of harm made to the patient.

C. Abuse: Abuse involves the intentional mistreatment or harm of another person. An inadvertent medication error is not considered abuse unless there was an intentional act to harm the patient.

D. Malpractice: Malpractice refers to professional negligence or failure to provide the standard of care expected in a particular profession, such as nursing. In the scenario described, the inadvertent medication error resulting in a severe allergic reaction and prolonging the client's hospitalization could be considered a case of malpractice. The nurse failed to meet the standard of care expected in administering medications safely, leading to harm to the patient.

Explanation:

A. Medical condition:

Including the client's medical condition in the Situation component of the ISBARR communication tool is important because it provides an overview of the client's health status. This may include a brief description of the primary diagnosis, current symptoms, or any significant changes in the client's condition since the last shift. It helps the receiving nurse understand the context and urgency of the report.

B. Treatment:

While treatment information is crucial for providing comprehensive care to the client, it is typically included in the Background or Assessment components of the ISBARR communication tool. The Situation component focuses on summarizing the client's current status rather than detailing specific treatments or interventions.

C. Vital signs:

Vital signs, such as heart rate, blood pressure, respiratory rate, temperature, and oxygen saturation, are essential clinical data. However, they are usually included in the Assessment component of the ISBARR communication tool, where the nurse provides a detailed assessment of the client's physiological parameters and trends.

D. List of medications:

Similar to treatment information, a list of medications is typically included in the Background or Assessment components of the ISBARR communication tool. It is important for the receiving nurse to know what medications the client is taking, including doses, frequencies, and any recent changes, but this information is more detailed and specific than what is typically included in the Situation component.