A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?
Verbally question the staff about the new equipment.
Ask each nurse to read the procedure and sign a form acknowledging competency.
Require each nurse to take a written examination about the new equipment.
Allow time during the workday when each nurse can demonstrate proficiency.
The Correct Answer is D
Rationale:
A. Verbally questioning the staff does not effectively assess hands-on competency with the equipment.
B. Reading the procedure and signing a form does not ensure that the staff can actually use the equipment correctly.
C. A written examination tests knowledge but not practical skills.
D. Demonstrating proficiency ensures that staff can correctly operate the equipment in a practical setting, which is the most effective way to evaluate competency.
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Correct Answer is B
Explanation
Rationale:
A. Protective isolation could be managed by any qualified RN, LPN, or AP depending on the complexity.
B. A client actively dying and requiring IV pain medication needs specialized assessment and pain management, which is appropriate for an RN.
C. A client 3 days postoperative requires ongoing care that can be managed by an LPN with supervision.
D. Frequent ambulation is a task that can be managed by an AP, though supervision may be needed.
Correct Answer is D
Explanation
Rationale:
A. A red rash is concerning but not typically an immediate life-threatening condition compared to other options.
B. Severe flank pain may indicate a serious condition but is not as immediately critical as a life-threatening injury.
C. Multiple fractures can be serious but are generally less urgent compared to critical injuries involving major arteries.
D. A punctured femoral artery is a life-threatening emergency requiring immediate intervention to prevent massive blood loss and ensure survival.