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?
Stages in Wound Healing
) Intradermal drug administration: (d) the needle is removed and the puncture site is covered with
Surgical Gloving
Use a rubber finger cot to cover an open wound on a finger.
Measuring the client’s height with a platform scale
Nurse measuring the recumbent height of a toddler