A nurse is caring for clients when a peer tells the nurse to get ready to take a new admission who is on the way. What action will the first nurse take in this situation?
1. Approach the charge nurse or manager for confirmation
2. Set up for the admission
3. Refuse the assignment
4. Ask another nurse to take the assignment
1. Approach the charge nurse or manager for confirmation
Rationale:
The second nurse is inappropriately trying to use line authority. The peer can advise, using staff authority, but not direct, which is used in line authority. The appropriate action by the first nurse is to check with the person who does have line authority or who is able to make this type of decision. Setting up for the admission without checking with authority could cause confusion on the unit and a gap in client care. Refusing the assignment may not be in the best interest of the unit or current clients as a conflict could ensue. Asking a third nurse to take the assignment is not within the purview of the nurse and could result in more unit confusion.
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