A registered nurse realizes that an incorrect intravenous (IV) high-alert medication has just been initiated for an adult client. Arrange the following nursing actions in the priority sequence the nurse should perform them to mitigate harm and manage the error.
- 1Stop the intravenous infusion of the incorrect medication immediately.
- 2Assess the client's vital signs and monitor for adverse physiological reactions.
- 3Notify the healthcare provider of the error and the client's current status.
- 4Administer prescribed antidotes or supportive interventions as ordered.
- 5Complete a facility incident or variance report detailing the event.
Cevap
The correct priority sequence is to first stop the infusion, then assess the client, notify the healthcare provider, implement prescribed interventions, and finally complete an incident report.
When a medication error occurs, the nursing process and safety principles dictate a specific priority framework. First, stop the source of harm immediately (stop the IV). Second, assess the client for adverse effects to gather data. Third, notify the healthcare provider using the gathered assessment data. Fourth, carry out any new emergency prescriptions or interventions to stabilize the client. Finally, complete administrative reporting only after the client's physiological needs are met.
Adım Adım Çözüm
Anahtar Kavram
Prioritization of Care Following a Medication Error