A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?
Make a copy of the incident report for the provider.
Submit the incident report to the risk manager.
Place the incident report in the client's chart.
Document in the chart that an incidence report has been filed.
The Correct Answer is B
Rationale:
A. Making a copy of the incident report for the provider is not necessary; the report should be handled according to the facility’s protocol.
B. Submitting the incident report to the risk manager ensures it is reviewed and addressed appropriately, which is crucial for risk management and quality improvement.
C. Placing the incident report in the client’s chart is not appropriate as it is considered a confidential document related to quality and safety, not part of the client’s medical record.
D. Documenting in the chart that an incident report has been filed is not sufficient; the report should be submitted to the risk management team for review.
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Correct Answer is D
Explanation
Rationale:
A. Evaluate the results should occur after a resolution has been implemented, not at the initial stage.\
B. Brainstorm solutions is a subsequent step after identifying and understanding the problem.
C. Implement a resolution should be done after identifying and brainstorming possible solutions.
D. Identify the problem is the crucial first step in conflict resolution. Understanding the nature of the conflict between the pharmacy and the staff nurses is necessary before moving on to developing solutions or implementing changes.
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.