A nurse manager is asking the staff how to improve conditions on the unit. A new nurse on the unit relates that a client complained because family members were able to hear the verbal report outside the room during nursing rounds
The nurse might suggest that: 1. Nursing rounds take place in instead of outside of the client's room.
2. The unit be closed to family and visitors during rounds.
3. Clients be allowed to choose whether a written or oral report is used.
4. Nurses tape record their reports outside the room.
2. The unit be closed to family and visitors during rounds.
Rationale:
In order for the client's privacy to be protected, closing the unit during nursing rounds permits nurses to talk freely and relate important information regarding the client and care. Rounds could take place in the room, but if the family is present, confidentiality is compromised. The staff and manager should determine the form of report used, keeping in mind the confidentiality of the client. Taped reports are acceptable if conducted in private but not out on the unit.
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