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Zorluk: OrtaLegal and Ethical Practice

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.

  1. 1Intervene immediately to separate the staff member from the resident.
  2. 2Assess the resident for any physical injuries and provide necessary care.
  3. 3Notify the nursing supervisor about the witnessed incident.
  4. 4Document the objective, factual details of the event in the medical record.

Cevap

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.

Adım Adım Çözüm

1
Intervene immediately to separate the staff member from the resident.
The resident is protected from further physical or emotional harm.
According to the hierarchy of nursing actions, immediate client safety and preventing further injury always takes absolute precedence.
2
Assess the resident for any physical injuries and provide necessary care.
The resident's clinical status is determined.
After securing the environment, the nurse must evaluate the resident to treat any injuries sustained during the incident.
3
Notify the nursing supervisor about the witnessed incident.
The chain of command is activated.
The supervisor must be alerted to remove the accused staff member from the premises and to fulfill the facility's legal obligation for mandatory reporting.
4
Document the objective, factual details of the event in the medical record.
A legal record of the incident is created.
Accurate, objective documentation is required for the client's health record and for the inevitable investigation by adult protective services.

Anahtar Kavram

Procedural escalation for suspected client abuse and prioritizing client safety.
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