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Zorluk: OrtaAccident, Error, and Injury Prevention

A nurse on a medical-surgical unit realizes they have just administered a full dose of an immediate-release antihypertensive medication to the wrong client. Arrange the following actions in the priority order the nurse should perform them. (Place the first and most urgent action at the top, and the final administrative action at the bottom.)

  1. 1Assess the client's vital signs and current physiological status.
  2. 2Notify the healthcare provider of the medication error.
  3. 3Inform the unit charge nurse or nursing supervisor.
  4. 4Document the administered medication and provider notification in the medical record.
  5. 5Complete an institutional incident or variance report.

Cevap

The correct sequence is to first assess the client, then notify the healthcare provider, inform the charge nurse, document the clinical event in the medical record, and finally complete the institutional incident report.
Following any clinical error, the nursing process dictates that assessment is always the first step. The nurse must determine if the client has been harmed. Next, the provider is notified so medical interventions can be ordered. Informing the charge nurse follows the chain of command. Clinical documentation occurs next to maintain an accurate health record. Finally, the incident report is completed as an internal administrative task, completely separate from the client's medical record.

Adım Adım Çözüm

1
Assess the client's vital signs and current physiological status.
Establishes the client's baseline condition and identifies immediate adverse effects.
Direct client care and physiological safety always take priority over communication and paperwork.
2
Notify the healthcare provider of the medication error.
Allows the provider to give necessary orders based on the nurse's assessment.
Medical intervention may be required immediately to counteract the medication.
3
Inform the unit charge nurse or nursing supervisor.
Engages unit leadership in the event.
Leadership needs to be aware for patient monitoring, risk management escalation, and supporting the nurse.
4
Document the administered medication and provider notification in the medical record.
Creates a legal, clinical record of the objective facts.
Clinical documentation must reflect what actually occurred and what assessments were made.
5
Complete an institutional incident or variance report.
Fulfills administrative and risk-management requirements.
This is purely administrative, does not affect immediate patient outcomes, and must be kept separate from the clinical chart.

Anahtar Kavram

Nursing prioritization and risk management following a medication error.
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Konular

Accident, Error, and Injury Prevention

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