This topic contains a solution. Click here to go to the answer

Author Question: A client's surgical wound dehisced when a nurse mistakenly removed the staples before this had been ... (Read 93 times)

genevieve1028

  • Hero Member
  • *****
  • Posts: 601
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?



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dajones82

  • Sr. Member
  • ****
  • Posts: 359
Answer to Question 1

Ans: B, C
Feedback:
The nurse's action will likely be categorized as a human error. There is no evidence of malice (intentional recklessness) or failing to appreciate the gravity of an action (at risk behavior). As such, discipline is an unlikely response. As with any error, systemic factors must be examined.

Answer to Question 2

Ans: B
Feedback:
Asking why is essential to the process of root cause analysis. Asking a series of why questions can reveal underlying causes. Each of the other listed questions addresses a valid aspect of the event, but none address the underlying causes, which is the focus of root cause analysis.




genevieve1028

  • Member
  • Posts: 601
Reply 2 on: Jul 22, 2018
Excellent


pangili4

  • Member
  • Posts: 346
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

More than 4.4billion prescriptions were dispensed within the United States in 2016.

For a complete list of videos, visit our video library