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Zorluk: OrtaAccident, Error, and Injury Prevention

A nurse discovers that a client is receiving a continuous intravenous (IV) medication infusion that was intended for the client in the adjacent bed. Arrange the following nursing actions in the order they should be performed, from first to last.

  1. 1Stop the intravenous medication infusion immediately.
  2. 2Assess the client's vital signs and physiological status.
  3. 3Notify the healthcare provider of the medication error.
  4. 4Implement any new emergency prescriptions or supportive care.
  5. 5Submit an objective incident report to risk management.

Cevap

The correct sequence is to first stop the incorrect infusion, then assess the client, notify the healthcare provider, implement new emergency orders, and finally complete the incident report.
In the event of an active medication error involving a continuous IV infusion, the nurse's first action is to stop the infusion to prevent further harm. After the hazard is mitigated, the nurse assesses the client's condition to determine if any injury occurred, reports the findings to the healthcare provider, implements any new orders for stabilization, and finally completes an incident report for facility risk management.

Adım Adım Çözüm

1
Stop the incorrect medication infusion.
Further administration of the wrong medication is halted.
The most immediate threat to the client's safety is the ongoing infusion of the incorrect medication. Stopping it immediately prevents further harm and limits exposure.
2
Assess the client.
The client's current physiological status and any adverse effects are determined.
Once the source of potential harm is stopped, the nurse must evaluate the client's condition (e.g., vital signs, respiratory status) to identify any immediate physiological compromise.
3
Notify the healthcare provider.
The provider is informed of the error and the client's assessment data.
The provider needs accurate, up-to-date assessment data to determine the next medical interventions, order antidotes, or request specific laboratory tests.
4
Implement emergency prescriptions.
Supportive care or antidotes are administered.
Medical interventions are applied to stabilize the client or reverse the effects of the incorrect medication.
5
Complete an incident report.
The event is formally documented for quality improvement and risk management.
Administrative reporting is essential for identifying systemic issues and preventing future errors, but it is the lowest priority compared to direct client care.

Anahtar Kavram

In an active emergency or error scenario involving an ongoing hazard (like a wrong IV infusion), the priority is to stop the hazard before assessing the client.
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Konular

Accident, Error, and Injury Prevention

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