A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

The nurse who caused the error

The nurse who identifies the error

The quality improvement committee

The charge nurse

Answer and Explanation

The Correct Answer is B

Choice A rationale: The nurse who caused the error is not responsible for completing an incident report, which is a tool for quality improvement and risk management. The incident report should include the facts of the error, the actions taken, and the outcome of the client.
Choice B rationale: The nurse who identifies the error should notify the nurse who caused the error, the charge nurse, and the provider, but they are and they are responsible for completing the report.
Choice C rationale: The quality improvement committee may review incident reports but is not directly responsible for completing them.
Choice D rationale: The charge nurse may oversee the incident report process but is not primarily responsible for completing it.

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Correct Answer is C

Explanation

a. Identify the client using two identifiers - While this is an important step for medication safety, it should occur immediately before administering the medication, not necessarily before removing it from the dispensing cabinet.

b. Document the administration of the medication - Documentation is crucial but should occur after the medication has been administered to ensure accurate recording.

c. Remove the medication from the medication dispensing cabinet - This is the first step in the medication administration process as it ensures the correct medication is retrieved from the cabinet and ready for administration.

d. Compare the amount of medication available to the inventory record - While this is an important step for medication reconciliation and ensuring accurate inventory management, it should occur after the medication has been removed from the cabinet and administered to the patient.

A. Include the medications the client received during surgery on the client's medication list. B. Send a list of the prescribed medications to the client's pharmacy. C. Review the adverse effects of the medication with the client. D. Compare the current and newly prescribed medications and note any discrepancies.

Correct Answer is D

Explanation

Choice A rationale: While medications received during surgery are essential to the client's history, they might not be pertinent to the current medication regimen and reconciliation process for transfer.
Choice B rationale: Sending a list of prescribed medications to the pharmacy isn't a direct action for medication reconciliation, which involves cross-checking current and new medications for discrepancies.
Choice C rationale: Discussing adverse effects with the client is important for their understanding but doesn't directly address the reconciliation process.
Choice D rationale: During medication reconciliation, comparing the current medications with newly prescribed ones is crucial. Noting any differences or discrepancies helps
ensure the accuracy of the client's medication regimen during their transfer to another facility.

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A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

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