A nurse witnesses a newly licensed nurse take a client's prescribed pain medication instead of administering it to the client. Which of the following actions should the nurse take?
Instruct the newly licensed nurse to complete an incident report.
Document the incident in the client's medical record.
Provide the client with information about the incident.
Communicate the incident to the nurse manager.
The Correct Answer is D
A. While completing an incident report is important for documenting the event, the witness should not instruct the newly licensed nurse to do so. Instead, it is the responsibility of the observer (the witness nurse) to report the incident to the appropriate authority to ensure that it is addressed properly.
B. Documenting the incident in the client's medical record is not appropriate in this case. The client’s medical record should only contain information relevant to the client’s care and treatment, not details about medication errors or policy violations.
C. While transparency is important, directly informing the client about a medication error is not typically the responsibility of the witnessing nurse. The primary focus should be on addressing the immediate issue and ensuring it is reported to the appropriate authorities rather than discussing the incident with the client.
D. The nurse manager is responsible for overseeing the unit and addressing incidents such as medication errors. Reporting the incident to the nurse manager ensures that it is investigated according to facility protocols.
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Related Questions
Correct Answer is C
Explanation
A. While it's important to understand the reasons behind a client's refusal of surgery, initiating a mental health consult might be premature unless there is clear evidence that the refusal is due to a mental health issue. This step should be considered if there are indications of mental health concerns or if the refusal is accompanied by signs of significant emotional distress.
B. Providing information about alternative treatment options and their outcomes is a crucial step. This ensures that the client is fully informed about all possible ways to manage their condition. However, this should be done in conjunction with exploring the client’s concerns and reasons for refusal.
C. Discussing the client’s concerns about the procedure is an essential action. This approach allows the nurse to understand the reasons behind the client’s refusal, whether they are related to fear, misunderstandings about the procedure, or other factors. Addressing these concerns can help the nurse provide appropriate information and support, and potentially help the client feel more comfortable with their treatment decision.
D. Informing the client about the consequences of uterine prolapse and the need for intervention is also important. However, this information should be provided in a way that respects the client’s autonomy and is part of a broader discussion.
Correct Answer is ["C","E"]
Explanation
A. The incident report should not be placed in the client’s medical record. Incident reports are considered internal documents and are used for quality improvement and risk management purposes. Including the report in the client’s medical record could compromise the objectivity of the report and may lead to legal and ethical issues.
B. There is no need to obtain an order from the client’s provider to complete an incident report. The report is a standard procedure for documenting errors and is part of the nurse’s responsibility to ensure patient safety and quality of care. It should be completed as per the facility’s protocol without requiring a provider’s order.
C. It is essential to include specific details such as the medication name and dosage administered in the incident report. This information helps in understanding what went wrong and is crucial for investigating the error, identifying patterns, and implementing corrective actions.
D. Making a personal copy of the incident report is not recommended. Incident reports are confidential and should be handled according to facility policies. Personal record keeping of such reports can violate confidentiality agreements and potentially lead to legal issues.
E. Including the time the medication error occurred is important for the incident report. This detail helps in understanding the timeline of the events leading up to and following the error, which is crucial for investigating the cause and impact of the error.
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