Which health care team member would the RN state is accountable for establishing systems to communicate competency requirements related to delegation quizlet?

d. Case study 4

Sentinel event is a serious adverse event involving the death of the client due to medical error. Therefore the nurse manager will identify the death of a client due to overdose of digoxin (Cardoxin) as a sentinel event. So, from the chart above it is implied that case study 4 is an example of a sentinel event. A decrease in white blood cells and hair loss are common findings in the client who is receiving chemotherapy. Therefore the nursing manager will not identify case study 1 as a sentinel event. A near miss is an unplanned event that did not result in injury, illness, or damage, but that had the potential to do so. In case study 2, the healthcare providers, before surgery began, realized that the wrong leg had been prepped; the error did not reach the client. Therefore it is an example of a near-miss event. The medication errors that cause moderate harm, but not the death of a client, are classified as an adverse event. In case study 3, the overdose of insulin (Humulin N) resulted in seizures but not the death of the client. Therefore it is an example of an adverse event.

a. Refer the mother to the psychiatrist.

It is the responsibility of the psychiatrist, who is the primary healthcare provider, to discuss the test results with the mother. Explaining to the mother the results of the tests is beyond the scope of the nurse's role. The mother should be referred to the psychiatrist, not the psychologist, because the psychiatrist is the leader of this health team. Teaching about the tests should have been done before, not after, the tests were administered. It is important that this student get the testing and counseling needed since the future problems of bullies include a higher risk for conduct problems, hyperactivity, school dropout, unemployment, and participation in criminal behavior. Chronic bullies seem to continue their behaviors into adulthood, negatively influencing their ability to develop and maintain relationships

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