Which situation is most likely to result in the nurse making a medication error?
1. The nurse has worked three 12-hour shifts in three days.
2. The nurse uses an online program to access medication information.
3. The nurse insists on documenting medication administration immediately after giving the medication.
4. The nurse prepares medications for administration in a secluded area.
1
Explanation: 1. Some of the reasons for errors in this area are time pressures, fatigue, understaffing, lack of knowledge about the drug and/or the patient, documentation, and systems failure. This nurse may be fatigued secondary to long work hours and decreased sleep time.
2. Lack of knowledge about the drug is a common reason for medication errors. This nurse is using an acceptable method to learn about the medication.
3. The standard is to document the medication administration immediately after giving the medication. This nurse is trying to follow policy. Breakdowns in policy or systems can encourage error.
4. Time pressure and constant interruption lead to error. This nurse has attempted to decrease these factors by working in a secluded area.
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