The nurse witnessed a more senior nurse make six unsuccessful attempts at starting an intravenous (IV) line on a client. The senior nurse persisted, stating, "I refuse to admit defeat." This resulted in unnecessary pain for the client
How should the first nurse best respond to this colleague's incompetent practice?
A) Report the nurse's practice and have the nurse manager address the matter.
B) Encourage the nurse to attend an in-service on IV starts.
C) Reassure the nurse that this is a difficult skill and give her feedback on her performance.
D) Document an unmet outcome in the client's plan of care.
Ans: A
According to the study Silence Kills: The Seven Crucial Conversations for Healthcare (Maxfield, Grenny, Patterson, McMillan, & Switzler, 2005), an appropriate response to incompetence is to report the matter and enlist the manager to conduct follow-up. Reassuring the nurse and encouraging education are not sufficient responses to incompetence. This action does not constitute an unmet outcome on the part of the client.
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