During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:
Review the correct procedure with staff members who use the mechanical lifts incorrectly.
Remind employees who sustain back injuries that they are solely responsible for their actions.
Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts.
File a grievance about inadequate funding and an unsafe work environment.
The Correct Answer is A
A. Review the correct procedure with staff members who use the mechanical lifts incorrectly: Reviewing and reinforcing proper use of equipment is a direct and practical approach to improving safety and reducing injuries.
B. Remind employees who sustain back injuries that they are solely responsible for their actions: Placing sole responsibility on employees ignores potential systemic issues and does not address the root cause of the problem.
C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts: Using Wikipedia as a source for developing procedures is inappropriate; reliable, evidence-based sources should be used for developing safety procedures.
D. File a grievance about inadequate funding and an unsafe work environment: While addressing funding and safety concerns is important, the immediate step should be to address procedural and equipment issues directly related to the injuries.
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Related Questions
Correct Answer is ["C","E"]
Explanation
A. Referring all errors in nursing judgment to state disciplinary boards: Nurse managers are responsible for addressing nursing errors appropriately within their organization and may involve disciplinary boards when necessary, but not all errors require such referral.
B. Verifying that attending physicians are properly licensed to provide care on patient care units: This responsibility typically falls under the purview of medical credentialing departments, not nurse managers.
C. Practicing within legal guidelines established under state law and nurse practice acts: Nurse managers must ensure their practice and that of their staff adheres to state laws and nurse practice acts to maintain legal and professional standards.
D. Creating an environment of severe consequences for nursing errors to ensure quality practice: A punitive approach can create a blame culture, which is counterproductive. A focus on education and system improvement is more effective.
E. Ensuring that nursing staff under their supervision are currently licensed to practice: Nurse managers are responsible for verifying that all nursing staff hold valid and current licenses to practice, ensuring compliance with regulatory requirements.
Correct Answer is D
Explanation
A. Progress through the workday without a plan: Working without a plan can lead to inefficient use of time and missed priorities, making it difficult to manage tasks effectively.
B. Put off important tasks until they feel motivated to start them: Procrastination can lead to delays and increased stress, affecting overall productivity and management effectiveness.
C. Only accept projects that exactly fit their specifications: Limiting acceptance to projects that fit exactly within specifications may hinder flexibility and the ability to address broader needs or priorities.
D. Decline requests that are not in alignment with their priorities: Prioritizing tasks and declining requests that do not align with current priorities helps manage time effectively and ensures focus on the most important tasks.
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