A Charge Nurse Is Observing a Newly Licensed Nurse Care for a Client Who Has a Prescription
In the healthcare field, charge nurses play a crucial role in overseeing the care provided by the nursing staff. They are responsible for ensuring that all patients receive high-quality care and that newly licensed nurses are properly trained and supported. In this scenario, a charge nurse is observing a newly licensed nurse as she cares for a client who has a prescription. Let’s explore the importance of this observation and answer some common questions that may arise in this situation.
Observing a newly licensed nurse in action is an essential part of their training and development. It allows the charge nurse to assess their competency, identify areas for improvement, and provide guidance and feedback. This observation is particularly critical when the nurse is caring for a client who has a prescription. Medication administration is a complex and potentially risky task, so it is crucial to ensure that the nurse follows the proper protocols and ensures patient safety.
During the observation, the charge nurse should pay close attention to the following key aspects:
1. Does the nurse verify the client’s identity before administering medication?
2. Does the nurse correctly interpret the prescription and select the appropriate medication?
3. Does the nurse check for any allergies or contraindications before administering the medication?
4. Does the nurse calculate the correct dosage accurately?
5. Does the nurse use the proper administration route and technique?
6. Does the nurse document the medication administration accurately and promptly?
7. Does the nurse monitor the client for any adverse reactions or side effects?
8. Does the nurse provide appropriate education to the client regarding the medication?
9. Does the nurse address any questions or concerns raised by the client?
10. Does the nurse dispose of any unused medications properly?
Now, let’s address some common questions that may arise during this observation:
Q1. What should the nurse do if she is unsure about any aspect of the medication administration process?
A1. The nurse should consult with a more experienced nurse or the charge nurse for guidance and clarification.
Q2. What if the client refuses to take the medication?
A2. The nurse should document the refusal, notify the primary healthcare provider, and explore alternative options if necessary.
Q3. What if the client experiences an adverse reaction to the medication?
A3. The nurse should immediately notify the primary healthcare provider and provide appropriate interventions as per protocol.
Q4. Can the nurse delegate medication administration to a nursing assistant?
A4. No, medication administration is a nursing responsibility and should not be delegated to unlicensed personnel.
Q5. Can the nurse crush or split a tablet if the client has difficulty swallowing?
A5. The nurse should consult the primary healthcare provider to determine if the medication can be crushed or split.
Q6. Can the nurse administer medication from another nurse’s supply?
A6. No, each nurse should only administer medications from their assigned medication cart or supply.
Q7. Can the nurse administer medication without gloves?
A7. No, it is essential to follow infection control protocols and wear gloves during medication administration.
Q8. Can the nurse administer medication intravenously without proper training?
A8. No, intravenous medication administration requires specialized training and should only be performed by qualified nurses.
Q9. Can the nurse administer medication to a client who is asleep?
A9. The nurse should attempt to wake the client and confirm their willingness to take the medication before administration.
Q10. Can the nurse administer medication ordered by a healthcare provider who is not familiar with the client’s history?
A10. The nurse should clarify any unclear or potentially contradictory medication orders with the prescribing healthcare provider.
Q11. Can the nurse administer medication without verifying the client’s identity?
A11. No, verifying the client’s identity is a crucial step to ensure the right medication is given to the right person.
Q12. Can the nurse leave medication unattended during the administration process?
A12. No, medications should be supervised at all times to prevent errors or unauthorized access.
In conclusion, observing a newly licensed nurse caring for a client with a prescription is an important part of their training and development. It allows the charge nurse to assess their competency and provide guidance. By addressing common questions and ensuring adherence to proper medication administration protocols, patient safety can be maintained, and quality care can be delivered.