A risk management committee at a healthcare facility is reviewing recent staff interventions to evaluate adherence to legal and ethical regulations. Which documented action by a practical nurse (PN) demonstrates appropriate compliance with established standards of practice?
- Advocating for a competent adult client's right to refuse a prescribed blood transfusion by promptly notifying the healthcare provider.Answer
- BExplaining the potential complications and alternative treatments for a surgical intervention before witnessing the client's signature on the consent form.
- CDelaying the submission of a mandated report regarding suspected elder neglect until the attending provider can visually confirm the physical signs.
- DDiscussing a client's upcoming discharge needs in a public elevator with a social worker while referring to the client only by their room number and diagnosis.
Answer
Advocating for a competent adult client's right to refuse a prescribed blood transfusion by promptly notifying the healthcare provider.
A competent adult has the ethical and legal right to refuse any medical treatment, including life-saving interventions such as blood transfusions. The practical nurse acts ethically by respecting client autonomy, advocating for their wishes, and immediately notifying the provider so the refusal and its potential consequences can be formally addressed and documented.
Step-by-Step Solution
Key Concept
Client Rights, Advocacy, and Scope of Practice