A nurse is preparing a client for a bedside thoracentesis to treat a large pleural effusion. Which actions must the nurse perform to prevent procedural errors and ensure client safety? Select all that apply.
- Verify the client's identity using two unique identifiers prior to the start of the procedure.Cevap
- Conduct a 'time-out' with the healthcare team immediately before the provider begins the procedure.Cevap
- Ensure that the healthcare provider has properly marked the intended insertion site.Cevap
- DDelegate the task of explaining the procedure's risks and alternative treatments to the unlicensed assistive personnel (UAP).
- EAdminister the prescribed intravenous sedative before verifying that the informed consent document is signed.
- FInitiate droplet precautions to prevent contamination of the sterile field during the fluid drainage.
Cevap
The correct actions are verifying identity with two identifiers, conducting a time-out, and ensuring the provider has marked the correct site.
To prevent accident and error during invasive procedures, nurses must follow the Universal Protocol. This includes verifying the client using two unique identifiers, ensuring the procedural site is marked by the provider, and conducting a final 'time-out' with the entire team to confirm the client, procedure, and site. These steps are standard safety requirements designed to prevent devastating medical errors.
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Universal Protocol and Procedural Safety