Which statement accurately reflects the nurse-manager's accountability? The nurse-manager of a 20-bed coronary care unit is off duty when a staff nurse makes a serious medication error. The client, who received an overdose of medication, nearly dies.
A. The nursing supervisor will notify the nurse-manager at home. B. The nurse-manager is off duty; therefore, she need not be notified. C. The nurse-manager should be informed when she returns to duty. D. The nursing supervisor decides to call the off-duty nurse-manager if time permits
Unfortunately, a nurse’s job is never done. In the situation, this couldn’t be more true. If there is a nurse-manager on duty or off duty, she or he must still be in charge of the nurses and what the nurses do. Someone has to be in charge of the nurses while they are on duty. If the hospital is so small that it can’t afford to have a nurse-manager on duty at all times, then someone must either be on call or a supervisor must be on call to assist with questions from the nursing staff.
If the nurse manager was off duty and a staff nurse makes a serious error that almost kills a patient, the off-duty nurse manager would be responsible and the nursing supervisor would contact the nurse-manager at home.
The nursing supervisor will notify the nurse-manager at home.
RATIONALE: The nurse-manager is accountable for what happens on the unit 24 hours per day, 7 days per week. If a serious problem occurs, the nurse-manager should be notified as soon as possible.
CLIENT NEEDS CATEGORY: Safe, effective care environment
CLIENT NEEDS SUBCATEGORY: Safety and infection control
COGNITIVE LEVEL: Analysis
REFERENCE: Craven, R.F., and Hirnle, C.J. Fundamentals of Nursing: Human Health and Function, 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2007, p. 121.