Alana is a registered nurse with an ADN degree who floats between several different medical and surgical units of a hospital
Today was Alana's fifth 12-hour shift in a row and she
committed a medication error while providing care for one of the four patients to whom she
was assigned. What factor is most likely to have contributed to this adverse event?
A) The fact that Alana has an ADN degree
B) The fact that Alana floats between several units
C) The fact that Alana was working overtime
D) The fact that Alana was responsible for four patients
Ans: C
While it is not possible to establish causative factors without knowing more details
of this situation, there is known to be a close correlation between overtime and adverse events.
Adverse events are not typically linked to having an ADN degree or providing care for four
patients. Unfamiliarity with a unit is a safety risk, but overtime is a more likely cause of an
error.
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