A client's surgical wound dehisced when a nurse mistakenly removed the staples before this had been ordered.
The nurse is distraught, and acknowledges that she forgot to check the client's orders and assumed the client was on a later postoperative day than he actually was. Following root cause analysis, which organizational response is appropriate? Select all that apply.
A) The nurse's actions will be categorized as being intentionally reckless.
B) The nurse will be found to have committed a human error.
C) Systems around the documentation of orders will be reviewed.
D) The nurse will be disciplined by an impartial review board.
E) The nurse's at-risk behavior will be weighed according to standards of practice.
Question 2
A nurse failed to document the administration of a client's warfarin and the nurse on the next shift administered the drug again, believing that it had been overlooked.
When performing root cause analysis in order to identify the essential cause of this error, what question should first be asked?
A) Has this, or something very similar, ever happened on the unit before?
B) Why did the second nurse administer this drug to the client?
C) What could the two nurses have done to ensure this didn't happen?
D) What were the possible adverse outcomes that could have resulted from this error?
The surgical nurse assists the client into the correct position
nurse
Surgical Hand Hygiene/Sterile Scrub
Preparing the Patient’s Skin for Surgical Procedures
Measuring the client’s weight with a standard platform scale
Client is positioned