A nurse is reinforcing teaching about colostrum with a new mother who is breastfeeding. The mother asks. Why is colostrum so important for my baby?

Which of the following responses should the nurse make?

Incident report

When a nurse makes a medication error, such as administering an incorrect dose or an extra dose, it is important to document the incident in an incident report. Incident reports are confidential documents that provide a record of the event, facilitate communication among healthcare providers, and allow for further investigation and analysis to prevent future errors.

Provider's progress notes in (option A) is incorrect. The provider's progress notes are typically used to document the provider's assessment, diagnosis, treatment plan, and progress of the client. Medication errors made by nursing staff are not typically documented in the provider's progress notes.

Controlled substance inventory record in (option C) is incorrect. The controlled substance inventory record is used to track the administration and use of controlled substances. It may not be the appropriate location to document a medication error. However, it is important to follow institutional policies regarding the documentation of medication errors involving controlled substances.

Nursing care plan in (option D) is incorrect. The nursing care plan is a document that outlines the nursing diagnoses, goals, interventions, and evaluations related to the client's care. While medication administration may be a part of the nursing care plan, documenting a medication error in this location is not the standard practice. Incident reports are specifically designed for reporting and documenting errors or incidents that occur during client care.

Soiled linens are placed on the floor.

Soiled linens placed on the floor can potentially harbor pathogens and serve as a source of infection. It is important to handle soiled linens properly by placing them in designated containers or bags for proper disposal or laundering.

Dampened cloths used for dusting the area in (option B) is incorrect because it may be a source of infection if they are not properly cleaned and disinfected between uses. It is important to use clean and dry cloths for dusting, or if dampened cloths are used, they should be washed and disinfected regularly.

Uncapped sharps put in a puncture-resistant container in (option C) is incorrect because are not a direct source of infection. However, it is crucial to handle sharps safely to prevent accidental needlestick injuries and potential transmission of bloodborne pathogens. Proper disposal of sharps in puncture-resistant containers is important for safety and infection control.

Waste containers lined with single bags in (option D) is incorrect because they are not a direct source of infection. Using single bags in waste containers helps with proper disposal and prevents leakage or spillage of waste materials. It is important to handle and dispose of waste according to institutional policies and infection control guidelines.

In summary, when caring for an immunocompromised client, the nurse should be vigilant about sources of infection. Placing soiled linens on the floor can be a potential source of infection and should be avoided. Proper handling of sharps, using clean cloths for dusting, and following appropriate waste disposal practices are also important for infection control.