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. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.
B. Reviewing the LPN's personnel file provides insight into the LPN's past performance and any previous issues, which can help in understanding the current situation and deciding on the next steps.
C. Talking with the clients is important to understand their concerns, but it does not directly address the LPN's behavior and effectiveness.
D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.
Correct Answer is D
Explanation
Rationale:
A. Nonmaleficence is the principle of doing no harm, which is not directly demonstrated by completing a course.
B. Veracity involves truthfulness, not specifically related to taking a course before transferring units.
C. Autonomy is related to respecting individuals' rights to make their own decisions and is not demonstrated by completing educational requirements.
D. Fidelity refers to being faithful to one’s commitments and promises, which includes taking steps to ensure competency in a new area of practice, thus demonstrating dedication to providing competent care.