Which situation represents an exception to the blame-free environment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A nurse routinely changes nursing notes after a client is discharged.
2. A physician order is overlooked on a newly admitted client.
3. An unlicensed assistant drops a client.
4. A nurse does not complete an incident report after a medication error.
5. A nurse miscounts narcotics.
1,4
Rationale 1: Exceptions include failure to report an adverse event or error, criminal acts, false reporting, or refusing to participate in a system designed to prevent errors. Changing nursing notes is illegal unless specific protocols are followed, which would be unlikely on a routine basis.
Rationale 2: Human errors are handled by the just culture of the blame-free environment. Overlooking an order is a human error.
Rationale 3: Human errors are handled by the just culture of the blame-free environment. Client accidents are considered human errors.
Rationale 4: Exceptions include failure to report an adverse event or error, criminal acts, false reporting, or refusing to participate in a system designed to prevent errors.
Rationale 5: Human errors are handled by the just culture of the blame-free environment. Miscounting errors are considered human errors.
Global Rationale:
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