A nurse preceptor is evaluating the performance of a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention by the preceptor?
A.
Documents client tasks upon completion
B.
Starts a task then determines what supplies are needed
C.
Completes a client assessment while infusing an IV antibiotic over 30 min
D.
Returns to the nurses’ station after completing several tasks in the same location
The Correct Answer and Explanation is:
The action by the newly licensed nurse that requires intervention by the preceptor is:
B. Starts a task then determines what supplies are needed
Explanation:
In nursing practice, efficiency and safety are paramount. The newly licensed nurse’s action of starting a task before determining what supplies are needed demonstrates a potential lapse in planning and organization, which can lead to interruptions in workflow, wasted time, and possible delays in patient care.
Planning and Preparation: Before initiating a task, especially those that involve clinical procedures or interventions, it is crucial to plan and prepare adequately. This includes gathering all necessary supplies and ensuring that everything is in place to complete the task efficiently and safely. Starting a task without first collecting the required supplies can lead to several issues:
- Increased Risk of Interruptions: If the nurse realizes mid-task that certain supplies are missing, they will need to leave the patient’s bedside to retrieve them. This interruption can impact the continuity of care and may disrupt the patient’s experience.
- Time Wastage: The nurse will spend additional time retrieving supplies, which could have been used more productively if everything had been prepared beforehand. This can contribute to delays in patient care, especially in a busy clinical environment.
- Potential for Errors: Not having all necessary supplies ready can lead to incomplete tasks or errors. For example, if a nurse starts an intravenous medication administration and realizes that they are missing a necessary component, it could result in incorrect administration or delay in treatment.
Best Practice: A well-organized approach involves reviewing the task, gathering all required supplies, and then proceeding with the task. This ensures that the nurse is prepared and can perform the task efficiently and safely without unnecessary interruptions.
In summary, the preceptor should address this issue by guiding the newly licensed nurse on the importance of thorough preparation and planning before initiating tasks. This practice not only promotes efficiency but also enhances patient safety and care quality.