An infection control nurse is assessing infection control precautions implemented by staff in a facility.

Select 2 client situations that require follow-up by the infection control nurse.

Rationale:
A. Attempting venipuncture without prior training or experience is unsafe and outside the nurse’s scope of practice. This could cause harm to the client, including infiltration, infection, or other complications.

B. Asking the charge nurse or an experienced nurse to assist ensures client safety and adherence to professional standards. The nurse demonstrates responsibility by recognizing their limitations and seeking supervision, which aligns with ethical and legal obligations to provide safe care.

C. Notifying the provider about the nurse’s inability is not the most appropriate action because providers do not perform routine venipuncture in most settings. The correct approach is to seek assistance from qualified nursing staff.

D. Obtaining written consent to attempt the procedure does not mitigate the risk associated with a nurse performing a skill they have not been trained to perform. Consent does not replace proper training or supervision.

Rationale:
A. Meeting with a committee of nurses from each shift to discuss the conflict is an important step in resolving the issue, but it should not be the first action. Without a clear understanding of the underlying causes, the meeting may not effectively address the conflict.

B. Gathering information regarding the situation is the first step the nurse manager should take. This involves assessing the perspectives of all parties, identifying the source and severity of the conflict, and collecting objective facts. This step aligns with the nursing process and effective conflict management, as it ensures that any interventions are informed and appropriate.

C. Acknowledging the conflict and encouraging teamwork is a supportive approach, but it does not address the root causes. Without gathering information first, this action may be premature and ineffective in resolving the conflict.

D. Encouraging nurses to resolve the conflict autonomously may be suitable for minor disagreements, but in this case, a conflict between day and night shift staff likely affects unit function and patient care. The nurse manager must first assess the situation before deciding on the appropriate level of intervention.