A nurse is working on a medical unit in a hospital undergoing a Joint Commission review. The investigator asks the nurse to explain "never events." What examples should the nurse use to explain these kinds of events? (Select all that apply.)
a. Surgery on the wrong body part
b. Paralyzed leg after falling from a bed
c. Death from falling out of bed
d. Having to restart an intravenous (IV) infusion
e. Canceling surgery because blood work is not safe
ANS: A, B, C
A. B. C. The Joint Commission considers "never events" to be sentinel events. Examples of these events include surgery on the wrong body part, loss of body function from a fall, or a death after a fall. D. E. Having to restart an IV infusion and canceling surgery are not considered sentinel events.
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