A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

Observe staff medication administration procedures.

Require staff to complete a medication administration review module.

Identify data that should be collected related to medication errors.

Re-evaluate staff performance in relation to the established standard.

Answer and Explanation

The Correct Answer is C

A. Observe staff medication administration procedures: While observation can provide valuable insights into workflow and potential areas for improvement, it may not address the underlying causes of medication errors or provide comprehensive data for quality improvement efforts.
B. Require staff to complete a medication administration review module: Education and training are important components of improving medication safety, but they may not be the most
immediate or effective response to addressing an elevated rate of medication errors.

C. Identify data that should be collected related to medication errors: This is the correct answer.

Before implementing interventions to address medication errors, it is important to gather comprehensive data on the types, causes, and frequency of errors. This data will help identify specific areas for improvement and guide the development of targeted interventions.
D. Re-evaluate staff performance in relation to the established standard: While ongoing evaluation of staff performance is important for maintaining quality care, it may not be the most appropriate first step when addressing an elevated rate of medication errors. Gathering data on medication errors and their contributing factors is essential for understanding the root causes of the problem and developing effective solutions.

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Correct Answer is B

Explanation

A. A client who has dementia and exhibits aphasia: While aphasia can be concerning, it is not necessarily indicative of immediate risk to the client or others.
B. A client who has bipolar disorder and displays constant pacing: This client is the highest priority because constant pacing may indicate agitation or escalating anxiety, which could lead to agitation or aggression and require immediate intervention to prevent harm to the client or others.
C. A client who has schizophrenia and uses neologisms: Neologisms, although indicative of disorganized thinking, do not necessarily present an immediate safety concern compared to constant pacing.
D. A client who has depressive disorder and has poor personal hygiene: While poor personal hygiene is important to address for the client's well-being, it may not present an immediate safety risk compared to the behaviors exhibited by the client in option B.

A. Complete similar tasks for all clients before moving on to the next task. B. Document nursing interventions as they are completed. C. Skip breaks to complete tasks if short on time. D. Complete the lowest priority task at the beginning of the shift. E. None F. None

Correct Answer is B

Explanation

A. Complete similar tasks for all clients before moving on to the next task:
While grouping similar tasks can be helpful, it may not always be the most efficient if client needs vary. Flexibility is needed to address immediate priorities.

B. Document nursing interventions as they are completed:
This ensures that documentation is accurate and timely, preventing delays and reducing the risk of forgetting important details later.

C. Skip breaks to complete tasks if short on time:
Skipping breaks is not a good time-management strategy. Breaks help prevent burnout and maintain productivity.

D. Complete the lowest priority task at the beginning of the shift:
Low-priority tasks should not be prioritized first; urgent, higher-priority tasks should be completed first to ensure client safety and care efficiency.

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A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

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