A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take? (Select all that apply.)
Identify the medication name and dosage administered to the client in the report.
Make a copy of the incident report for personal record keeping.
Include the time the medication error occurred in the report.
Obtain an order from the client's provider to complete the report.
Place a copy of the completed report in the client's medical record.
Correct Answer : A,C
A. Identify the medication name and dosage administered to the client in the report: Providing specific details about the medication involved is crucial for accurately documenting the incident.
B. Making a copy of the incident report for personal record keeping: While keeping a personal copy might seem practical, the official incident report should be filed according to institutional policies. Personal record keeping might not align with these policies.
C. Include the time the medication error occurred in the report: Documenting the time helps in understanding the sequence of events and aids in investigating the error.
D. Obtaining an order from the client's provider to complete the report: Typically, healthcare providers do not need to issue an order for a nurse to complete an incident report; it's part of the facility's standard reporting process.
E. It is not necessary to place a copy of the report in the client's medical record.
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Related Questions
Correct Answer is D
Explanation
A. Mentioning that the client is the president of a local bank might not be pertinent to the client's current health status or care needs and is not typically included in a change-of- shift report unless relevant to the care plan.
B. The fact that the client's partner came to visit two hours ago might be important for emotional support or social interaction but might not be crucial information for the oncoming nurse unless relevant to the client's condition.
C. The client has routine vital signs prescribed”is not as critical to include in the change-of-shift report because it is standard practice and does not provide specific, immediate information about the client’s current status or any changes that need to be monitored closely.
D. This is critical information for the incoming nurse. It informs them that the client is currently away from the unit, which may affect the plan of care, including monitoring, medication administration, or any interventions needed during the client’s absence. It is important for the incoming nurse to be aware of the client's current status and whereabouts.
Correct Answer is C
Explanation
A. Instructing the AP to request assistance when unsure about a task is important for future situations, but it does not immediately address the current incorrect transfer, which could pose a risk to the client.
B. Demonstrating the proper client transfer technique for the AP directly addresses the immediate issue, ensuring the client is safely transferred and the AP learns the correct method through observation and practice.
C. Helping the AP assist the client with the transfer ensures the client's safety in the moment, but it does not provide the AP with the knowledge or skills needed to perform the task correctly in the future.
D. Referring the AP to the facility procedure manual is useful for long-term learning, but it does not provide the immediate guidance needed to correct the current unsafe transfer.
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