A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence based practice (EBP) is the nurse taking?

Explanation:

A. Bathtub with rails:

Having a bathtub with rails is generally considered a safety measure, as it can assist the client in safely entering and exiting the bathtub. Rails provide support and stability, especially for older adults who may have mobility issues. Therefore, this finding is not typically identified as a safety risk.

B. Raised toilet seats:

Raised toilet seats can also be beneficial for older adults with mobility challenges, as they make it easier to sit down and stand up from the toilet. Similar to bathtub rails, raised toilet seats are considered a safety measure rather than a safety risk.

C. Electric cords behind furniture:

Electric cords behind furniture pose a tripping hazard, especially for older adults who may have reduced balance or vision. Trips and falls can lead to serious injuries, so it's important to keep walkways clear of obstacles, including electric cords. Therefore, this finding is identified as a safety risk.

D. Water heater temperature 54.4°C (130° F):

The recommended safe water heater temperature to prevent scalding injuries is typically around 48.9°C (120°F). A water heater temperature of 54.4°C (130°F) is higher than the recommended safe range and can increase the risk of scalding injuries, especially for older adults with sensitive skin or reduced sensation. Therefore, this finding is identified as a safety risk.

E. Throw rugs:

Throw rugs are common tripping hazards, particularly if they are not secured to the floor or have curled edges. Older adults can easily trip on throw rugs, leading to falls and injuries. It's recommended to remove or secure throw rugs to reduce the risk of falls, making this finding a safety risk.

Explanation:

A. "Reporting is voluntary for health care workers."

This statement is incorrect. Reporting child abuse is not voluntary for healthcare workers; it is a legal requirement in many jurisdictions. Failure to report suspected abuse can lead to legal and professional consequences.

B. "Civil liability can result if the abuse can't be proven."

While civil liability may be a concern in some situations, it is not the primary reason for reporting child abuse. The main purpose of reporting is to ensure the safety and well-being of the child, not to prove abuse in a legal sense.

C. "Evidence of abuse must be collected prior to reporting."

This statement is incorrect. While collecting evidence can be important in legal proceedings, it is not the responsibility of healthcare workers to collect evidence of abuse before reporting. Suspected cases of abuse should be reported promptly to the appropriate authorities, who are responsible for investigating and gathering evidence.

D. "If suspicion of abuse exists then reporting is mandatory."

This statement correctly reflects the legal and ethical obligation of healthcare workers to report suspected cases of child abuse. Healthcare professionals are mandated reporters, which means they are required by law to report any suspicion of child abuse or neglect, even if there is no concrete evidence. Reporting is not voluntary for healthcare workers, and failure to report suspected abuse can result in serious consequences, including legal penalties and professional sanctions.