Who's Liable?
A nurse accidentally administers the wrong medication while following hospital protocol during a busy shift.
Both- nurse on duty & in scope
A new staff repeatedly demonstrates poor time management and disorganized care, but the preceptor does not report it to leadership.
inadequate feedback
Positive- respiratory assessment while patient resistant to care- Give Result
Patient learned to trust and cooperate
A nurse does not communicate effectively during shift handoff.
Describe your thinking to help me understand.
A new nurse forgets to document a medication administration.
Tell me about your process
A respiratory therapist performs an unauthorized procedure on a patient while off-duty and not assigned to that patient.
Employee- they were rogue
A new staff uses improper technique during endotracheal suctioning; preceptor didn't say anything
Failure to intervene
Positive- Initiative during downtime. Give result
demonstrated teamwork
An orientee administers medication that was on hold.
Describe your thinking to help me understand.
A respiratory therapist uses incorrect PPE when entering an isolation room.
A hospital-employed nurse educator gives incorrect training that leads to a patient injury.
The hospital- nurse was working in scope
The new staff is left alone with patients during high-risk procedures.
Failure to supervise and evaluate
Communicate with the other disciplines
A respiratory therapist incorrectly sets ventilator parameters.
Tell me as if I'm a provider
A nurse educates the patient with incorrect side effect information
A hospital-employed phlebotomist mislabels a blood sample, leading to a patient receiving the wrong medication. The error occurred during a routine shift while following standard procedures.
Both
A preceptor lets new staff administer IV medications without verifying their training or observing the procedure.
Failure to assess
Developmental- Delayed documentation of procedure- give Alternative Result
A nurse delayed sharing a flagged lab result
Tell me what you think is going on with this patient
An orientee skips hand hygiene before a procedure.
Tell me about your process
A nurse, still in uniform but off-duty, stops to help a patient in the hospital lobby and causes harm by using an outdated technique while refusing help from other staff.
Employee only; nurse was not on duty
A new staff displays poor communication or behaves inappropriately with staff or patients. The preceptor doesn’t like conflict and does not address it.
Failure to enforce professionalism
Developmental- Orientee seems closed to feedback- Give alternative action question
can we talk about what went well and what we can build on?
An orientee is unprepared and unengaged during patient rounds.
Tell me what's happening right now.
An orientee does not speak up during a rapid response situation.
What are your subsequent choices?