A nurse is providing teaching to an assistive personnel (AP) about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

Choice A reason: Changing the facility's vendor for central line products is not a quality improvement strategy. The vendor is not the cause of the infections, but the process of insertion, maintenance, and removal of the central line. The nurse manager should focus on improving the quality of care rather than the quality of products.

Choice B reason: Using resources that identify benchmarks of best practices is a quality improvement strategy. The nurse manager should compare the facility's performance with the standards and guidelines of evidence-based practice, such as the Centers for Disease Control and Prevention (CDC) or the Institute for Healthcare Improvement (IHI). The nurse manager should also implement interventions to reduce the infection rate, such as staff education, audits, and feedback.

Choice C reason: Identifying the staff caring for clients who acquire an infection is not a quality improvement strategy. The nurse manager should not single out or blame the staff for the infections, but rather involve them in the quality improvement process. The nurse manager should foster a culture of safety and teamwork, and encourage the staff to report and prevent errors.

Choice D reason: Reporting the incidence of infection to the health department is not a quality improvement strategy. The nurse manager should report the infection rate as required by law, but this does not improve the quality of care. The nurse manager should use the data to identify the gaps and areas of improvement, and monitor the outcomes of the quality improvement plan.

Choice A reason: Demonstrating use of the pump during medication administration is not the priority action by the charge nurse. This would not ensure that all staff nurses are competent and confident in using the new pump. It would also interrupt the workflow and patient care.

Choice B reason: Pairing an inexperienced nurse with an experienced nurse is not the priority action by the charge nurse. This would not address the knowledge gap of the staff nurses who are not paired. It would also create a dependency on the experienced nurse and a potential risk for errors.

Choice C reason: Planning an in-service education program on the unit is the priority action by the charge nurse. This would provide the staff nurses with the opportunity to learn about the new pump, its features, functions, and troubleshooting. It would also allow the charge nurse to assess the staff nurses' learning needs and evaluate their competency.

Choice D reason: Contacting the manufacturer of the pump for assistance is not the priority action by the charge nurse. This would not address the immediate needs of the staff nurses who are using the new pump. It would also depend on the availability and responsiveness of the manufacturer.