A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)
"We use an automated dispensing device to track the use of controlled substances."
"You are required to have a second nurse witness disposal of a controlled substance."
“If a client refuses a medication, you can place it in your pocket to administer later."
"Activities of the automated dispensing machine will be reviewed periodically."
"We count the amount of a controlled substance available before removal from a medication drawer.”
Correct Answer : A,B,D,E
Explanation:
A. "We use an automated dispensing device to track the use of controlled substances."
This is a valid statement. Automated dispensing devices (ADDs) help track the use of controlled substances by requiring users to log in, record transactions, and provide an audit trail of medication access.
B. "You are required to have a second nurse witness disposal of a controlled substance."
Having a second nurse witness disposal of controlled substances is a common practice to ensure accountability and prevent diversion. This statement aligns with safety protocols.
C. “If a client refuses a medication, you can place it in your pocket to administer later."
This statement is incorrect and potentially dangerous. Controlled substances should never be pocketed or carried around for later administration, as this increases the risk of diversion and compromises medication safety.
D. "Activities of the automated dispensing machine will be reviewed periodically."
Reviewing the activities of the automated dispensing machine is an essential part of medication safety and helps detect any discrepancies or irregularities in medication access and administration.
E. "We count the amount of a controlled substance available before removal from a medication drawer."
Counting the amount of controlled substances before removal from a medication drawer is a standard procedure to ensure accurate inventory management and detect any discrepancies or losses promptly.
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Related Questions
Correct Answer is ["A","B","E"]
Explanation
Explanation:
A. Improve communication among staff members:
This is an important goal related to patient safety as effective communication is crucial for providing safe and coordinated care. Improving communication helps prevent errors and ensures that critical information is shared among healthcare team members.
B. Correctly identify clients prior to administering medications:
This is a key patient safety goal as medication errors can have serious consequences for patients. Ensuring the correct identification of clients before medication administration helps prevent medication errors and enhances patient safety.
C. Increase job satisfaction for staff members:
While job satisfaction is important for staff well-being, it is not directly related to the National Patient Safety Goals. The NPSGs primarily focus on specific actions and protocols aimed at improving patient safety outcomes.
D. Educate clients about health promotion and prevention:
While patient education is valuable, it is not a specific National Patient Safety Goal. The NPSGs are typically focused on systematic changes and protocols within healthcare organizations to enhance patient safety.
E. Prevent catheter-associated urinary tract infections in clients:
This is a relevant National Patient Safety Goal as healthcare-associated infections, including catheter-associated urinary tract infections (CAUTIs), are a significant patient safety concern. Implementing strategies to prevent CAUTIs aligns with the NPSGs' goal of reducing healthcare-associated infections.
Correct Answer is D
Explanation
Explanation:
A. Evaluating the collected data:
This step in EBP involves assessing and analyzing the data that has been gathered through research or other sources. It includes examining the quality, relevance, and reliability of the data to determine its applicability to the clinical question or problem being addressed. Evaluation of data is crucial in EBP to ensure that decisions and interventions are based on sound evidence.
B. Implementing recommendations:
Implementing recommendations is a later step in EBP that comes after evaluating the evidence. Once credible sources have been identified, and the data has been analyzed, recommendations or interventions based on the best available evidence are put into practice. This step involves applying evidence-based guidelines, protocols, or interventions to patient care to improve outcomes and quality of care.
C. Identifying a problem:
This is the initial step in the EBP process where a specific clinical problem or question is identified. It involves recognizing gaps in knowledge, areas of uncertainty, or issues that require improvement in clinical practice. Identifying a problem is essential as it sets the stage for formulating focused research questions and seeking relevant evidence to address the problem effectively.
D. Searching for credible sources:
Searching for credible sources is a critical step in EBP where healthcare professionals gather evidence from reputable and reliable sources. This includes conducting literature searches, accessing databases, and reviewing published studies, clinical guidelines, systematic reviews, and other scholarly sources. The goal is to find the best available evidence to answer clinical questions, guide decision-making, and inform evidence-based practice.
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