What action is most important for the charge nurse to take?
A. Confront the nurse manager as a group and ask why nothing has been done to change the surgeon’s behavior.
B. Attend procedures performed by the surgeon and demand halting the procedure if the client becomes distressed.
C. Document client reactions to invasive procedures performed by the physician in their medical record.
D. Report the physician’s lack of concern for clients’ pain during invasive procedures to the Director of Nursing.
The Correct Answer and Explanation is:
Correct Answer: D. Report the physician’s lack of concern for clients’ pain during invasive procedures to the Director of Nursing.
Explanation:
In addressing a situation where a physician exhibits a lack of concern for clients’ pain during invasive procedures, the charge nurse must prioritize actions that ensure patient safety, address the issue through appropriate channels, and adhere to professional standards. Here’s why reporting the physician’s behavior to the Director of Nursing is the most appropriate action:
- Patient Safety and Advocacy: The primary responsibility of any healthcare professional, including the charge nurse, is to advocate for patient safety and comfort. If a physician consistently disregards patients’ pain during invasive procedures, it compromises patient safety and well-being. Reporting this issue to the Director of Nursing ensures that the concern is addressed at a higher level where corrective actions can be implemented to protect patients.
- Proper Chain of Command: Reporting to the Director of Nursing follows the proper chain of command within the healthcare facility. This step is crucial because it ensures that the concern is addressed through appropriate administrative and clinical channels. The Director of Nursing has the authority and responsibility to initiate investigations, implement changes, or take disciplinary actions as necessary.
- Documentation and Monitoring: While documenting client reactions (Option C) is important for record-keeping and future reference, it does not actively address the issue or lead to immediate changes in the physician’s behavior. Documentation alone does not resolve the problem or ensure systemic changes.
- Collaborative Resolution: Confronting the nurse manager as a group (Option A) or demanding halts to procedures (Option B) may not be effective or professional ways to handle the situation. These actions might lead to conflicts, misunderstandings, or disruptions in patient care.
- Focused and Effective Intervention: Reporting the issue directly to the Director of Nursing provides a structured approach for resolution. The Director can investigate the situation, involve relevant stakeholders, and ensure that appropriate measures are taken to address the concern and prevent recurrence.
In summary, reporting the physician’s behavior to the Director of Nursing is the most effective action for ensuring that patient concerns are addressed appropriately, maintaining professional standards, and fostering a safe and respectful healthcare environment.