The hospital policy and procedure manual states that medications should be charted immediately after administration. The nurse routinely charts the medications as they are being prepared for administration. What does this practice reflect?
1. An honest error in judgment
2. A violation of hospital policy and procedure
3. Use of the two schools of thought doctrine
4. Logical and appropriate variation in practice
2
Rationale: This practice is a violation of the policy and procedures of the hospital and therefore is a violation of standard of care. The honest error in judgment rule allows the court to evaluate the standards of care given a patient even if there was an honest error in judgment. What the court evaluates is the care given and whether that care met the prevailing standards, not if the judgment was correct. The two schools of thought doctrine is used when the court evaluates the standards of care given when the nurse chooses among the alternative modes of treatment. The alternative mode still has to meet standards of care. Violating hospital policy and procedure is not logical or appropriate.
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