A client's surgical wound dehisced when a nurse mistakenly removed the staples before this had been ordered
The nurse is distraught, and acknowledges that she forgot to check the client's orders and assumed the client was on a later postoperative day than he actually was. Following root cause analysis, which organizational response is appropriate? Select all that apply.
A) The nurse's actions will be categorized as being intentionally reckless.
B) The nurse will be found to have committed a human error.
C) Systems around the documentation of orders will be reviewed.
D) The nurse will be disciplined by an impartial review board.
E) The nurse's at-risk behavior will be weighed according to standards of practice.
Ans: B, C
Feedback:
The nurse's action will likely be categorized as a human error. There is no evidence of malice (intentional recklessness) or failing to appreciate the gravity of an action (at risk behavior). As such, discipline is an unlikely response. As with any error, systemic factors must be examined.
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