A nurse posts a photo of a patient without the patient’s consent. Which principle has the nurse violated?

Choice A rationale
Correcting the physician’s orders to match the chart is not within the nurse’s scope of practice. Nurses should not alter physician orders.
Choice B rationale
Ignoring the discrepancy is not appropriate. Nurses have a responsibility to ensure patient safety and accurate documentation.
Choice C rationale
Documenting the discrepancy but taking no further action does not address the potential risk to patient safety. Further action is necessary.
Choice D rationale
Documenting the discrepancy and notifying the physician is the correct course of action. This ensures that the physician is aware of the issue and can make any necessary corrections.

Choice A rationale
Providing an opportunity for team members to ask questions is important for effective communication and teamwork, but it is not the primary action to verify the correct patient, procedure, and surgery. This action is more related to ensuring that all team members are on the same page and can clarify any doubts, but it does not directly verify the patient’s identity and procedure.
Choice B rationale
Discussing personal matters unrelated to the surgery is incorrect and unprofessional. It does not contribute to verifying the correct patient, procedure, and surgery. This action can lead to distractions and potential errors in patient care.
Choice C rationale
Reviewing the surgical instruments and equipment is important for ensuring that the necessary tools are available and functioning properly, but it does not directly verify the patient’s identity and procedure. This action is more related to the preparation and readiness of the surgical team.
Choice D rationale
Confirming the patient’s identity and procedure is the correct action to verify the correct patient, procedure, and surgery. This involves verifying the patient’s identity using at least two identifiers, confirming the procedure with the patient or their representative, and ensuring that the correct procedure is on the schedule. This step is crucial to prevent wrong-site, wrong- procedure, and wrong-patient surgeries.