The busy emergency department at a hospital has experienced a sharp increase in negative outcomes among clients with heart conditions in the past month. Which of the following actions should the nursing staff take to improve client outcomes?

A. An oncology nurse is a licensed nurse who is knowledgeable about blood transfusions and patient safety protocols. They are qualified to double-check the blood label against the client ID bracelet, as they understand the importance of this process in preventing transfusion reactions.
B. Assistive personnel (like nursing assistants or aides) typically do not have the training or authority to perform safety checks on blood products. They are generally involved in basic care tasks and do not have the necessary knowledge to verify blood transfusion details.
C. While phlebotomists are trained in drawing blood and may understand some aspects of blood work, they typically do not have the authority or training to verify blood products for transfusion. This task requires nursing judgment and knowledge of patient safety protocols.
D. A senior nursing student may have some knowledge of blood transfusion protocols, but they typically do not have the full licensure or experience of a registered nurse. While they may assist with many tasks, they should not be responsible for critical safety checks like verifying blood products for transfusion without supervision from a licensed nurse

A. While state boards of nursing do have regulatory authority over nursing practice and can take action against nurses who abuse substances, this does not negate the need for an internal program. Organizations should proactively address substance abuse to support employee health and safety, rather than relying solely on external authorities.
B. While safety is a critical concern, emphasizing punishment can create a culture of fear and may discourage employees from seeking help. A punitive approach may lead to further issues, such as hiding problems rather than addressing them.
C. While confidentiality is important, the involvement of the personnel department alone may not be sufficient to address the complexities of substance abuse. A comprehensive program should include input from healthcare professionals, mental health experts, and employee assistance programs to effectively manage and support affected employees.
D. This is the most appropriate consideration. A program focusing on screening, prevention, and early intervention can help identify issues before they escalate, support employees in getting the help they need, and create a healthier workplace culture.