Documenting Nursing Activities (Record System Used in an Agency)
Documenting Nursing Activities (Record System Used in an Agency) ( 27 Questions)
A nurse is documenting an incident report for a medication error that occurred on her unit.
Which of the following actions should the nurse take?
(Select all that apply.).
The nurse should include factual information about what happened and notify the risk management department. These actions are part of the steps of reporting medication errors and the good practice guide on recording, coding, reporting and assessment of medication errors.
the nurse should not state opinions about who was responsible for the error.
This could be seen as biased, unprofessional or accusatory.
The nurse should focus on the facts and the causes of the error, not on blaming individuals.
the nurse should not file the report in the client’s medical record.
This could violate the client’s privacy and confidentiality.
The report should be filed in a separate system that is accessible only to authorized personnel.
The nurse should include factual information about what happened and notify the risk management department. These actions are part of the steps of reporting medication errors and the good practice guide on recording, coding, reporting and assessment of medication errors.
the nurse should not discuss possible solutions to prevent future errors.
This could be premature, unrealistic or inappropriate.
The nurse should leave this task to the investigation team or the risk management department, who will analyse the incident and make recommendations based on evidence and best practice.
The nurse should include factual information about what happened and notify the risk management department. These actions are part of the steps of reporting medication errors and the good practice guide on recording, coding, reporting and assessment of medication errors.
Choice B is wrong because the nurse should not state opinions about who was responsible for the error.
This could be seen as biased, unprofessional or accusatory.
The nurse should focus on the facts and the causes of the error, not on blaming individuals.
Choice C is wrong because the nurse should not file the report in the client’s medical record.
This could violate the client’s privacy and confidentiality.
The report should be filed in a separate system that is accessible only to authorized personnel.
Choice E is wrong because the nurse should not discuss possible solutions to prevent future errors.
This could be premature, unrealistic or inappropriate.
The nurse should leave this task to the investigation team or the risk management department, who will analyse the incident and make recommendations based on evidence and best practice.