A charge nurse witnesses an assistive personnel failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

Alert the infection control department

Discuss the issue with the AP

Reinforce facility protocols at the next staff meeting

Notify the unit manager about the incident

Answer and Explanation

The Correct Answer is B

a. Alert the infection control department:

While the infection control department plays a role in ensuring proper infection prevention practices, directly alerting them may not be the most immediate action to take. The charge nurse should first address the issue internally before escalating it to other departments.

b. Discuss the issue with the AP:

This is the most appropriate initial action to take. Speaking directly with the assistive personnel allows the charge nurse to clarify the correct protocol, provide education or retraining if necessary, and address any misunderstandings or lapses in adherence to facility policies.

c. Reinforce facility protocols at the next staff meeting:

While reinforcing facility protocols is important, waiting until the next staff meeting may not address the immediate concern of the observed failure to follow protocol. Direct communication with the individual involved is more effective for addressing the specific incident in a timely manner.

d. Notify the unit manager about the incident:

Notifying the unit manager about the incident may be necessary if the issue persists or if further action is required beyond the initial discussion with the assistive personnel. However, it may not be the first step to take when addressing an isolated incident.

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Correct Answer is B

Explanation

a. MS 10 mg IV every 4 prn for pain

This choice is incorrect because it lacks clarity and proper formatting. "MS" could be misunderstood as "morphine sulfate," but it's not specified. Additionally, "every 4 prn for pain" is not a standard way to write a prescription. It should indicate the frequency (e.g., every 4 hours) and the indication for administration (e.g., prn for pain).

b. Morphine sulfate 10 mg IV q 4 hr IV prn for pain

This choice is the correct transcription of the prescription. It clearly states the medication (morphine sulfate), the dosage (10 mg), the route (IV), the frequency (every 4 hours), and the indication for administration (prn for pain).

c. MSO4 10 mg IVP q 4 prn for pain

This choice is incorrect due to the use of abbreviations that may not be universally understood. While "MSO4" likely stands for morphine sulfate, it's preferable to write it out completely to avoid confusion. Additionally, "q 4" is not clear and should be written as "every 4 hours."

d. Morphine sulfate 10.0 mg every 4 hours IV prn for pain

This choice is incorrect because it specifies the dosage with unnecessary precision (10.0 mg instead of 10 mg). While this level of precision is not typically required in medication prescriptions, it doesn't make the prescription incorrect per se. However, it's not the most common or standard way to write medication orders.

A. Root cause analysis B. Benchmarking C. Risk benefit analysis D. Structure audit

Correct Answer is B

Explanation

a. Root cause analysis:

Root cause analysis is a method used to identify the underlying causes of problems or adverse events. It involves systematically investigating an issue to determine the primary factors that contributed to its occurrence. Root cause analysis aims to identify not only the immediate causes but also the underlying systemic or process-related factors that led to the problem.

b. Benchmarking:

Benchmarking involves comparing an organization's performance, processes, or outcomes to those of other organizations or industry standards that are recognized as leaders or best practices. It allows organizations to identify areas for improvement by learning from the successes and best practices of others. Benchmarking can help organizations set performance targets, improve processes, and achieve excellence in various areas.

c. Risk benefit analysis:

Risk-benefit analysis is a method used to evaluate the potential risks and benefits associated with a decision, action, or intervention. It involves assessing the likelihood and severity of potential risks and comparing them to the expected benefits or outcomes. Risk-benefit analysis helps decision-makers weigh the advantages and disadvantages of different options to make informed decisions that maximize benefits while minimizing risks.

d. Structure audit:

A structure audit is an evaluation of the organizational structure, policies, procedures, and resources in place within an organization. It assesses the adequacy and effectiveness of the organizational infrastructure in supporting the delivery of services or achieving organizational goals. Structure audits help identify strengths and weaknesses in the organization's structure and processes, providing insights into areas that may require improvement or enhancement.

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A charge nurse witnesses an assistive personnel failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

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