Nurses on the dialysis unit notice that changes in labeling of fluids have meant several alarming near misses in terms of wrong administration of fluids
They take this concern to the unit manager. As an advocate of nurse autonomy, the most appropriate response in this situation would be to:
a. Ensure that the nurses are aware of the reasons for the change and how the decision was made about the new labels.
b. Discuss concerns about the labels and develop potential solutions that take into account changes that can be made at the local level and those that need system intervention.
c. Suggest that the staff wait until they have become more familiar with the labels before taking further action.
d. Tell the staff that you will notify the pharmacy about these concerns and leave it up to the pharmacy to decide what should be done.
ANS: B
Participation in decision making regarding one's practice is an appropriate expectation for professional nurses, provides for greater autonomy and authority over practice decisions, contributes to supporting the professional nurse, and is a major component of job satisfaction (Kramer et al., 2008; Pittman, 2007). Autonomy is encouraged through supportive management and through unit-level support of changes without the need for complex, multilevel approval of changes that can be made locally.
You might also like to view...
A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte imbalance should the nurse assess?
a. Potassium b. Sodium c. Calcium d. Magnesium
A newly admitted older patient has severe edema in the lower extremities and no hair on the legs. What do these manifestations most likely indicate to the nurse?
A) A diet low in protein B) Exposure to the cold from a lack of heat C) Frequent falls and injuries because of unsteady gain D) Circulatory problems related to age and a chronic illness
A nurse colleague states that health care in the hospital is superior to the use of herbal medicine by a Native American. The belief this colleague is expressing would be categorized as:
a. egoism. b. ethnocentrism. c. humanism. d. medicocentrism.
Who is responsible for ensuring that health care workers use standard precautions?
A. The health care facility B. The Joint Commission C. The health care worker D. OSHA