A practical nurse (PN) working in a long-term care facility witnesses another staff member aggressively grabbing a resident's arm and shouting at them. Arrange the following actions the PN should take in the correct chronological order.
- 1Intervene immediately to separate the staff member from the resident.
- 2Assess the resident for any physical injuries and provide necessary care.
- 3Notify the nursing supervisor about the witnessed incident.
- 4Document the objective, factual details of the event in the medical record.
Answer
The correct sequence is to first intervene to ensure safety, assess the resident for injuries, notify management to remove the staff member, and finally document the event.
In any scenario involving active harm, the nursing process dictates that immediate safety intervention is the first priority. This is followed by assessment of the client, notifying the chain of command to manage the offending staff member and initiate legal reporting, and finally creating an objective medical record of the event.
Step-by-Step Solution
Key Concept
Procedural escalation for suspected client abuse and prioritizing client safety.