The quality assurance (QA) committee determines the standards of care for the hospital. An opening exists on the committee. Which applicant should be accepted based upon the principles of quality assurance?
A) A new graduate registered nurse from a Bachelor's in Science of Nursing (BSN) program has just completed orientation and an internship for 3 months and is working in the emergency unit caring for clients across the lifespan.
B) A licensed practical/vocational nurse with gerontology certification is newly hired to the hospital with 6 years of experience working in a nursing home and is currently enrolled into a BSN program.
C) A registered nurse (RN) with an Associate's Degree in Nursing, certified in critical care with 3 years' experience in critical care nursing and 4 years' experience in medical–surgical nursing, is currently enrolled in a RN to Master's Science of Nursing (MSN) program.
D) A registered nurse with an advanced degree and certification in medical–surgical nursing has 5 years of experience floating to multiple medical–surgical nursing units and 2 years of experience working in a maternity unit, recently passed the Health Care Quality Management certification.
Ans: D
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The quality assurance committee establishes standards of care based upon best evidence, recommendations from accreditation and regulatory agencies, and expert advice arising from educational preparation, and experiences in nursing and working with the hospital system being served. The standards of care set the minimum expectation for practice. When provided a group of applicants, the most qualified nurse will be chosen. The new graduate registered nurse (RN) has limited experience in nursing and working in the hospital, so the committee would not choose this candidate as their first choice. The licensed practical/vocational nurse offers experience, commitment to lifelong learning, and certification in gerontology, but does not have any experience working at the hospital. The last two RNs have 7 years of experience working at the hospital and offer two areas of nursing and certification. The last candidate offers the most because of already completing an advanced degree, providing two certifications, with the one in Health Care Quality Management, which prepares the nurse to have a working knowledge to decrease medical errors, decrease client days, improve the quality of client care, and improve client safety—all aspects of QA programs.
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