A new nurse is working in a hospital

A new nurse is working in a hospital.
Which of the following actions by the nurse is NOT related to one of the National Patient Safety Goals?

A.
Refraining from changing alarm settings.

B.
Using 2 patient identifiers for medication administration.

C.
Giving report to a provider in SBAR format.

D.
Arriving 15 minutes prior to the start of the shift.

The correct answer and Explanation is :

The correct answer is D. Arriving 15 minutes prior to the start of the shift.

Explanation:

The National Patient Safety Goals (NPSGs) are set by The Joint Commission to improve patient safety across healthcare settings. These goals focus on critical aspects of patient care to minimize risks and enhance safety. Here’s how the provided actions relate to the NPSGs:

  • A. Refraining from changing alarm settings: This action is related to patient safety as it involves maintaining consistent alarm settings to ensure timely alerts about patient conditions. Changing alarm settings can lead to missed or delayed notifications, potentially compromising patient safety.
  • B. Using 2 patient identifiers for medication administration: This practice is directly related to the NPSGs, specifically Goal 1, which emphasizes the importance of accurate patient identification to prevent errors in medication administration. Using two identifiers (such as name and date of birth) helps ensure that the correct patient receives the correct medication.
  • C. Giving report to a provider in SBAR format: This action aligns with NPSG Goal 2, which focuses on improving communication among caregivers. The SBAR (Situation, Background, Assessment, Recommendation) format is a structured method for communicating critical information, which helps in preventing misunderstandings and errors.
  • D. Arriving 15 minutes prior to the start of the shift: While arriving early can be beneficial for ensuring a smooth transition and being prepared for the shift, it is not specifically addressed by the National Patient Safety Goals. This practice, although important for personal responsibility and continuity of care, does not directly relate to the specific safety objectives outlined by the NPSGs.

In summary, while all the other actions directly contribute to patient safety and align with NPSGs, arriving 15 minutes early is a best practice but not a formal NPSG requirement.

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