A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?

Rationale:

A. When opening a sterile package or tray, the top flap should be opened away from the body to prevent contamination from the nurse’s uniform. Opening the flap toward the body risks breaking sterile technique, which is especially critical during procedures like thoracentesis. This is a break in sterile field, and the nurse manager should intervene immediately to prevent potential infection.

B. Using clean gloves is appropriate for non-sterile tasks like discontinuing an IV infusion.

C.The telephone number is considered an acceptable identifier according to The Joint Commission if it is in the medical record and used in combination with another identifier (like full name or date of birth).

D. Emptying a colostomy pouch when it is one-third full is appropriate practice to prevent overflow and maintain hygiene.

Rationale:

A. A red rash is concerning but not typically an immediate life-threatening condition compared to other options.

B. Severe flank pain may indicate a serious condition but is not as immediately critical as a life-threatening injury.

C. Multiple fractures can be serious but are generally less urgent compared to critical injuries involving major arteries.

D. A punctured femoral artery is a life-threatening emergency requiring immediate intervention to prevent massive blood loss and ensure survival.