THIS IS MY RESPONSE:
Thank you for your post, Kendyl.
I agree about the many concerns about the nurse’s
behavior. I agree I would first make sure that all
required actions were done in the wake of the occurrence before checking in
with the patient, the provider, and the nurses. I’d like to address the
mistake with the two nurses and arrange for an in-service to remind the nursing
team of the medicine administration procedure. The nurse’s past and behavior
after the occurrence would determine the nature of the disciplinary penalty.
This could be an opportunity for instruction or a sign that something needs to
be written up or dismissed.
THIS IS THE POST I AM RESPONDING TO:
Professional accountability is a crucial ethical principle to have
as a nurse. Having accountability is taking responsibility for one’s own
actions and their outcome. Nurses have to be honest and hold themselves to a
high standard when providing care to patients as they make life changing
decisions every day. Even in the small moments that seem insignificant, it is
important for the nurse to uphold this standard (Luggar-Schmit, 2024). In this scenario, nurse Lope
accepts these medications from nurse Jim and blindly trusts that they are okay
and gives them to a patient, even when the MAR showed that they were not due at
this time and not the correct medications for the patient. Nurse Jim left
unfinished work for the next shift and handed off medications that were his
responsibility to give. He was dishonest about the time frame that he was
supposed to have given them in and he was giving incorrect medications. If I were
nurse Jim, I would have either given or withheld the medications myself after
doing my correct medication checks and verifying with the MD that they were
okay to give late. If I were nurse Lope, I would refuse to give the medications
handed to me by Jim unless they were verified and within the time frame. I
would ask that Jim and I review the MAR together before he leaves and check the
medications prior to giving them. I would have notified the physician of the
medication error and followed up with the patient. If I still somehow managed
to give the medications at the wrong time and to the wrong patient, I would
report the mistake according to hospital policy and monitor the patient’s
condition.
There are
many concerns about the nurse’s behaviors I would address as the nurse manager.
Both nurses did not follow safe standards of care and ultimately the patient
was given incorrect medication. I would first ensure that all the necessary
steps were taken following the incident and follow up with the provider,
patient, and nurses. I would calmly discuss the error with both nurses and
provide an in service for the nursing staff to attend to remind them of
protocol with providing medications. The disciplinary action would be based on
the nurse’s actions following the incident and their history. This could be a
teaching moment or a moment that indicates a need for a write up or dismissal.
It is important to provide an environment that encourages staff to report
errors without fear of losing their job or license. This can improve patient
safety and trust within the workplace (Nursing Center, 2019).
Please use correct APA:
Down below is examples
APA
MOST COMMON RESOURCE FORMATS YOU’LL LIKELY USE
Most common format for ARTICLE resource – Pay
attention to capitalization/lowercase and italics/plain text.
Author, A. A/. (Date). Title of article: If there’s a colon, capitalize the
first word after the colon. Journal Title,
volume(issue),
pages. URL – ONLY if the link takes the reader DIRECTLY to the article
(Do NOT include a link to a sign-in page (such as the GCU library,
ebscohost, sciencedirect) – If there is not a link DIRECTLY to the source, stop
the reference after the page numbers).
Author, A. A/if organization, Write Out Name in Full – Do not abbreviate
Organization’s Name. (Year). Title of work (x ed.-not in italics). Publisher
(if different from author. DOI (if it has one)
or URL (if it is an e-book without a DOI)
Jones, L. (2021, September 22). How to eat and stay slim. Journal of Healthy Living, 4(3), 120. http://journalofhealthyliving.org
Long, M.A, and
Short. I.T.
(2020). APA made simple: How to cite references. Happy Writing Magazine, 8(11), 103-105.
Most common format for a BOOK resource
Author, A. A/if organization, Write Out Name in Full – Do not abbreviate
Organization’s Name. (Year). Title of work (x ed.-not in italics). Publisher
(omit if same as author). DOI (if it has one)
or URL (if it is an e-book without a DOI)
American
Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional
nursing education. https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf
Martinez, D. L. (2009). Writing with humor (2nd
ed.). A1 Press. http//doi.org/10.1036/0091393733
Most common format for a CHAPTER in a
BOOK resource
Author, A. A. & Author, B. B. (Year).
Title of chapter. In E. E. Editor, F. F.
Editor, & G. G. Editor (Eds.), Title of book (X ed., Vol. X, pages). Publisher.
Boone, J. A. & Cairns, C. A. (2008). Writer’s block demystified. In K. Clements, M. L.
Pickle, & L. V. Hanson (Eds.), Writers write
right (3rd ed., pp. 23-37).
Genius Press.
Most common format for a WEBSITE or WEBPAGE (Pay
attention to capitalization/lowercase and italics/plain text.)
Author. (Year, Month day). Title of page. Site
Name (if different from author name). URL
Murphy, P. (2015,
September 23). 7 habits of highly
effective nursing students. Minority Nurse. https://minoritynurse.com/7-habits-of-highly-effective-nursing-students/.
All Nursing Schools Staff. (2019, October 8). Balancing work and nursing school. http://www.allnursingschools.com/articles/balancing-act/
WEBSITE or WEBPAGE with no “apparent author” – look at
the first part of the link
https://www.azbn.gov/education/nurse-practice-act
Reference: Arizona Board of Nursing. (2021). Nurse practice act. https://www.azbn.gov/education/nurse-practice-act
Note. When using two or more sources with the same author
and year, add lowercase letters after the year (2011a, 2011b, etc.).
Author. (Year, Month day). Title of page. Site
Name (if different from author name). URL
National Geographic. (2011a). Hybrid Cuban-American crocodiles on the rise. http://bit.ly/24ndK95
National Geographic. (2011b). Iceman’s stomach sampled – filled with goat
meat. http://bit.ly/1QAf58E
APA
MOST COMMON CITATION FORMATS YOU’LL LIKELY USE
One or two authors – paraphrased
information: (Author last name, date).
Citation: (Martinez, 2009).
Single author – “quoted
information”: (Author last name, date, page number or paragraph number).
Citation: “quoted information” (Martinez, 2009, p. 3).
Citation: “quoted information” (Martinez, 2009, para.
10).
Reference: Martinez, D. L. (2009). Writing with humor (2nd
ed.). A1 Press. http//doi.org/10.1036/0091393733
Citation: (Levy and Fagerström,
2020).
Two authors – “quoted
information”: (Author last name, Author last name, and Author last name, date,
page number or paragraph number).
Citation: “quoted information” (Levy and Fagerström, 2020, p. 3).
Citation: “quoted information” (Levy and Fagerström, 2020, para.10).
Reference: Levy, M. R.,
and Fagerström, L. (2020). Differences and similarities in scope of practice
between registered nurses and nurse specialists in emergency care: An interview
study. Scandinavian
Journal of Caring Sciences,
34(2), 492–500.
Three or more
authors – paraphrased information: (First author’s last name et al., date)
Citation: (Schnock et
al., 2021).
Three or more
authors – “quoted information”: (First author’s last name et al., date, page
number or paragraph number). (Quotes are not
permitted on any discussion forum. Allowed in assignment submissions)
Citation: (Schnock et
al., 2021, p. 3).
Citation: (Schnock et
al., 2021, para. 10).
Schnock, K. O., Kang, M.-J., Rossetti, S. C., Garcia, J.,
Lowenthal, G., Knaplund, C., Chang, F., Albers, D.,Korach, T. Z., Zhou, L.,
Klann, J. G., Cato, K., Bates, D. W., & Dykes, P. C. (2021). Identifying
nursing documentation patterns associated with patient deterioration and
recovery from deterioration in critical and acute care settings. International
journal of Medical Informatics, 153(4), 206-219.
