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. 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.
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.
Professional Accountability in Nursing
Professional Accountability in Nursing
Thesis Statement: Professional accountability in nursing is essential for maintaining patient safety and quality care. Nurses must adhere to ethical standards, clinical guidelines, and best practices to ensure accountability in their practice.
Professional accountability in nursing encompasses the responsibility that nurses have to uphold ethical standards, provide safe and competent care, and adhere to legal and regulatory requirements. It involves being answerable for one's actions and decisions in the delivery of patient care. In the scenario presented, Nurse Jim and Nurse Lope's actions raise questions about professional accountability and highlight the importance of following established protocols and procedures.
Nurse Jim demonstrated a lack of accountability by handing over medications that were overdue for administration without verifying the accuracy of the information. He should have taken the time to confirm the timing and appropriateness of the medications before passing them on to Nurse Lope. If I were in Nurse Jim's position, I would double-check the medication administration record, consult with the charge nurse if there were any discrepancies, and ensure that the medications were given at the correct time to the right patient.
On the other hand, Nurse Lope also displayed a lapse in professional accountability by administering medications without verifying their accuracy and appropriateness. Despite noticing discrepancies in the medication schedule and barcode scanning issue, she proceeded with administering the medications out of fear of falling behind schedule. If I were in Nurse Lope's position, I would prioritize patient safety over time constraints, clarify any discrepancies with the medication orders, and consult with a pharmacist or the healthcare team if necessary.
As a nurse manager overseeing Jim and Lope in this scenario, I would address the issue by emphasizing the importance of professional accountability in nursing practice. I would conduct a thorough review of the incident, provide education on medication safety protocols, reinforce the significance of double-checking medication orders, and encourage open communication among team members. Additionally, I would implement measures to prevent similar errors in the future, such as conducting regular audits of medication administration practices, promoting a culture of safety and accountability, and providing ongoing training on error prevention strategies.
In conclusion, nurses demonstrate professional accountability by upholding ethical standards, following evidence-based practices, and ensuring patient safety in clinical practice. Handling situations like the one presented requires a commitment to accountability, continuous learning, and a focus on quality care delivery. By fostering a culture of accountability and supporting nurses in their practice, healthcare organizations can enhance patient outcomes and promote a culture of safety and excellence in nursing care.