A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?
Provide information about the risks of a surgical procedure to the client.
Request the client sign the informed consent form after administering a preoperative sedative.
Mark the client's surgical site with a small strip of nonporous tape.
Call a "time out" to verify client identity before starting a surgical procedure.
The Correct Answer is D
A. Provide information about the risks of a surgical procedure to the client. Providing risk information is part of informed consent, not specifically part of Universal Protocol.
B. Request the client sign the informed consent form after administering a preoperative sedative. Informed consent should be obtained before administering sedatives to ensure the client is fully aware and able to consent.
C. Mark the client's surgical site with a small strip of nonporous tape. The surgical site should be marked with a permanent marker to ensure it remains visible and clear throughout the surgical preparation and procedure.
D. Call a "time out" to verify client identity before starting a surgical procedure. This is correct. The Universal Protocol includes a "time out" to verify the correct patient, procedure, and site before starting the surgery.
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Related Questions
Correct Answer is A
Explanation
A. Compile a list of the client's current medications to compare with new medications. Medication reconciliation is a key component of The Joint Commission's National Patient Safety Goals. It helps prevent medication errors by ensuring that all medications are reviewed and documented.
B. Label syringes, but not medicine cups or basins, during a procedure. All medications and solutions should be labeled to prevent medication errors, including those in syringes, medicine cups, and basins. Not labeling all items can lead to confusion and errors.
C. Use one client identifier for treatments, care, and services. Using at least two identifiers (e.g., name and date of birth) is recommended to ensure correct patient identification and reduce the risk of errors.
D. Perform a daily assessment of wounds using the Braden scale. The Braden scale is used for assessing pressure ulcer risk, not for daily wound assessment. While regular assessment of wounds is important, the Braden scale is not the correct tool for this purpose.
Correct Answer is C
Explanation
A. Offer the client hot chocolate or tea prior to rest periods. While warm beverages can be comforting and help some people relax, hot chocolate and many teas contain caffeine, which can interfere with sleep. Even decaffeinated options might not be the best choice close to bedtime due to the fluid content, which could increase the need for nighttime urination, disrupting sleep.
B. Encourage the client to ambulate in the hallway before resting. Light physical activity, such as ambulating, can help promote relaxation and reduce muscle tension, which might aid sleep. However, it is essential to consider the client's postoperative status and ensure that ambulation is safe and appropriate for their condition. Overexertion close to bedtime might have the opposite effect and increase alertness.
C. Cluster routine care activities to allow rest periods without interruptions. This is a highly recommended intervention. By clustering care activities, the nurse can minimize disturbances during rest periods, allowing the client to have longer, uninterrupted sleep. This is crucial in a hospital setting where frequent interruptions can significantly impact the quality of sleep.
D. Encourage the client to watch television to relax. While watching television can be relaxing for some, it can also be stimulating and potentially interfere with sleep due to the light and noise. Blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. Therefore, this is generally not recommended as a sleep aid.
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