When Things Go Wrong
During surgery, the surgeon begins experiencing dizziness, has difficulty concentrating, and is making noticeable errors. The surgeon insists they can finish the procedure and tells the staff not to say anything-
What should the team do, and what principle takes priority over the surgeon's wishes?
what is The team must immediately notify the appropriate leadership and activate the incapacitated provider process. If necessary, the procedure should be paused or transferred to another qualified provider.
Patient safety and the delivery of competent, uninterrupted care always take priority over a provider's desire to continue working.
After receiving a verbal medication order, the nurse's next required action before carrying out the order
What is to read back the complete order to the provider and obtain confirmation
An employee sustains a needlestick injury while cleaning up after a procedure. The first priority before completing any required report
What is immediately washing the affected area and reporting the exposure so appropriate medical evaluation and post-exposure management can begin?
During a Quality Improvement study, several near misses are identified even though no patients were harmed- these events reveal
What is system vulnerabilities and provide opportunities to prevent future patient harm?
A staff member witnesses a patient fall but the patient states they are "fine" and refuses treatment. still should be completed
What is completing an incident report and notifying the appropriate supervisor or physician
Before administering any medication, what should always be verified using at least two patient identifiers
What is confirming the correct patient before medication administration?
A Quality Improvement project identifies an opportunity to improve patient outcomes. After implementing a change, the next essential step
What is measuring and evaluating the results to determine whether the intervention was effective and whether additional changes are needed?
During chart review, you discover a documentation error that could affect patient care. The appropriate risk management response
What is correcting the record and notify the appropriate provider if needed, and never altering or concealing the original entry
Which medication requires an independent count by two licensed healthcare professionals at every beginning and end of shift
What are controlled substances (narcotics)?
Risk assessment is not a one-time event. According to policy, when should a patient's risk be reassessed
What is whenever there is a significant change in the patient's condition or before each phase of care as appropriate
A medication is drawn into a syringe but is not administered during the procedure- the medication should
What is discard the unused medication according to facility policy
During the preoperative assessment, a patient reports a recent change in their medical condition that was not previously documented. before proceeding with surgery the nurse should
What is notifying the surgeon and anesthesia provider so the patient's risk can be reassessed before the procedure?
A surgeon requests an intraocular medication that has not yet been labeled on the sterile field. What is the safest action before it is handed off?
What is draw up the medication with the RN and ensure it is properly labeled before administration?