A practical nurse (PN) assigned to a medical-surgical unit notices that a registered nurse (RN) colleague exhibits slurred speech, bloodshot eyes, and an unsteady gait. The PN then observes the RN preparing to administer an intravenous medication to a client in an unsafe manner. Arrange the following actions the PN should take in the correct order of priority. (Place the first action at the top and the last action at the bottom.)
- 1Intervene immediately to prevent the RN from administering the medication.
- 2Direct the RN to step away from the immediate client care area.
- 3Notify the nursing supervisor regarding the RN's suspected impairment.
- 4Document the objective observations and actions taken in a facility incident report.
Cevap
The correct sequence of actions prioritizes immediate client safety, followed by risk isolation, management notification, and documentation: 1. Intervene to prevent administration, 2. Direct the RN away from the area, 3. Notify the supervisor, 4. Document the incident.
The correct order follows the nursing process and safety prioritization (Maslow's hierarchy). Immediate physiological safety is the highest priority, requiring the nurse to first stop the unsafe administration of medication. Once the immediate act is halted, removing the impaired colleague from the clinical area secures the ongoing safety of the environment. After safety is established, the nurse must fulfill mandatory reporting requirements by notifying the nursing supervisor, who can formally address the impairment. Finally, objective documentation of the event is a legal requirement completed after the situation is secure.
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Anahtar Kavram
Mandatory Reporting of Impaired Coworkers and Client Advocacy