The nurse manager's unit has been very short-staffed due to an increased number of employee health issues. The nurse manager began enforcing mandatory overtime for the remaining staff to cover open shifts
The nurse manager is examining a recent set of incident reports that occurred on the unit. Which of the following employee incidents might be related to these staffing issues? Select all that apply.
1. Sixteen units of regular insulin were ordered for the client, but the nurse gave 61 units of regular insulin.
2. All of the clients under the nurse's care received their 9 a.m. medications after 11:30 a.m.
3. The nurse slipped on a wet floor after the client spilled his water on the floor.
4. The nurse was injured while attempting to turn a 420-pound person alone.
5. The nurse gave the client another client's medications.
Answer: 1; 2; 4; 5
Rationale:
• Sixteen units of regular insulin was ordered for the client, but the nurse gave 61 units of regular insulin. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. This is an error related to not following specific principles of client rights regarding medication administration.
• All of the clients under the nurse's care received their 9 a.m. medications after 11:30 a.m. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. These medications were not administered within a safe window of time due to poor staffing and nurse fatigue.
• The nurse slipped on a wet floor after the client spilled his water on their floor. This issue sounds like an accident, unrelated to staffing.
• The nurse was injured while attempting to turn a 420-pound person alone. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. Nurses should seek help when attempting to turn or lift people who are larger. The nurse should have sought help in this instance. This might have been related to poor staffing.
• The nurse gave the client another client's medications. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. When nurses are hurried, they can make mistakes. This might have been related to poor staffing.
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