Which is the most appropriate action for the nurse-manager to take based on this information? As a nurse-manager of a medical-surgical unit reviews the month's risk-management data, she notices that a number of incident reports were completed because 6 p.m. medications were administered late. Dinner is served between 5:30 p.m. and 6 p.m. Staff take their dinner breaks between 5 p.m. and 6:30 p.m.
A. Terminate the nurses responsible for failing to administer medications on time. B. Decide that the staff must postpone dinner breaks until at least 7 p.m. C. Decide that the kitchen staff must change the time they deliver supper trays. D. Investigate when medications are given, staff and client dinner times, the number of medications that must be given at 6 p.m., and staff availability between 5 p.m. and 6 p.m.
Investigate when medications are given, staff and client dinner times, the number of medications that must be given at 6 p.m., and staff availability between 5 p.m. and 6 p.m.-rationale: an effective nurse-manager knows that to accurately evaluate risk-management findings, she must look at the entire process and the circumstances surrounding each incident. terminating staff without such evaluation doesnt resolve all the problems contributing factors. she shouldnt change dinner breaks or kitchen delivery times unless she has evaluated how these factors influence medication administration.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: analysisreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 321.