NRS 415 Topic 2 DQ 2

Discussion: Nurse Lope is starting a busy shift in which she was finishing report on Mr. Johnson. During report, Nurse Jim who was finishing his shift also gave Nurse Lope a medicine cup containing three of Mr. Johnson’s unopened medications that he reported were recently retrieved from the medication dispenser

NRS 415 Topic 2 DQ 2 Assessment Description

Read the scenario and address the discussion question:

Scenario

Nurse Lope is starting a busy shift in which she was finishing report on Mr. Johnson. During report, Nurse Jim who was finishing his shift also gave Nurse Lope a medicine cup containing three of Mr. Johnson’s unopened medications that he reported were recently retrieved from the medication dispenser. Nurse Lope was told that these were supposed to have been given 30 minutes ago and asked if she could give them during bedside hand-off. As Nurse Lope planned to stay in Mr. Johnson’s room to complete his vital signs and assessment, she agreed with this plan.

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NRS 415 Topic 2 DQ 2 When she opened Mr. Johnson’s electronic medical record to administer these medications, she noticed that these medications were scheduled to be given 3 hours ago. Additionally, one of the medications had a barcode that was not scanning to Mr. Johnson’s chart. Nurse Lope proceeded to administer these medications so that she would not be late on the next round of medications, which included some of the same ones. It was later discovered that the medication that was not scanning was for another patient and should not have been given to Mr. Johnson.

NRS 415 Topic 2 DQ 2 Discussion Question

Outline the concept of professional accountability as it pertains to nursing. Examine the actions of Nurse Jim and Nurse Lope. Discuss how you would approach this scenario if you were in Jim’s and Lope’s position. Based on your analysis of how nurses demonstrate accountability in clinical practice, the nursing process, and evidence-based practice, explain how you would handle this situation if you were the nurse manager overseeing Jim and Lope.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 2.2, 2.5, 2.6, 9.4.

NRS 415 Topic 2 DQ 2 Sample

Nursing professional accountability entails the obligation of nurses to provide secure, morally sound, and efficient care to patients. This encompasses the adherence to established protocols, the maintenance of proficiency, and the assumption of accountability for one’s actions and choices (Grace et al., 2023). Nurse Jim’s failure to provide drugs promptly jeopardized patient safety. Nurse Lope provided the drugs without cross-referencing them with Mr. Johnson’s file, resulting in a medication mistake. The lack of professional responsibility is apparent in the given case. Ensuring prompt medicine administration is of utmost importance in Jim’s role. If he cannot, he should convey the problem to the arriving nurse and record it in the patient’s medical record. In Lope’s role, it is important to cross-reference the prescriptions with the patient’s file before administering them and to examine any discrepancies in the information thoroughly. NRS 415 Topic 2 DQ 2

As a nurse manager, I would investigate the factors that caused the medication mistake and uncover any underlying systemic problems that may have had a role in it. In addition, I would instruct the personnel to emphasize the significance of professional responsibility and the proper protocols for administering medicines (Alrabadi et al., 2021). I will also execute remedial measures, which may include further instruction, changes to protocols, or disciplinary measures if deemed required. Ultimately, I would foster a culture of accountability by actively motivating employees to own ownership of their activities and to promptly disclose any mistakes or close calls, free from the apprehension of reprisal. Nurses must comply with established standards of practice, maintain competence, and assume accountability for their actions. As nurse managers, we have a crucial responsibility to foster a culture of responsibility and enforce remedial measures in response to violations.

NRS 415 Topic 2 DQ 2 References

Alrabadi, N., Shawagfeh, S., Haddad, R., Mukattash, T., Abuhammad, S., Al-Rabadi, D., Farha, R. A., AlRabadi, S., & Al-Faouri, I. (2021). Medication errors: a focus on nursing practice. Journal of Pharmaceutical Health Services Research, 12(1), 78–86. https://doi.org/10.1093/jphsr/rmaa025

Grace, P. J., Peter, E., Lachman, V. D., Johnson, N. L., Kenny, D. J., & Wocial, L. D. (2023). Professional responsibility, nurses, and conscientious objection: A framework for ethical evaluation. Nursing Ethics, 31(2–3), pp. 243–255. https://doi.org/10.1177/09697330231180749 NRS 415 Topic 2 DQ 2