Safe and Effective Care Environment Q 6
Which information should be reported to the state Board of Nursing?
A. The facility fails to provide literature in both Spanish and English.
B. The narcotic count has been incorrect on the unit for the past 3 days.
C. The client fails to receive an itemized account of his bills and services received during his hospital stay.
D. The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.
Correct Answer: B. The narcotic count has been incorrect on the unit for the past 3 days.
General advice from the Department of Health is that stocks of controlled drugs should be kept to the minimum required to meet the clinical needs of patients. They should be stored securely in a locked cabinet or safe to prevent unauthorised access, with the keys held in a safe place.
Option A: The Joint Commission conducts inspections with two main objectives: To evaluate the healthcare organization using TJC performance measures and standards. To educate and guide the organization’s staff in “good practices” to help improve the organization’s performance.
Option C: The Joint Commission on Accreditation of Hospitals will probably be interested in the problem in answer A. The Joint Commission offers many benefits to their members. They help members organize and strengthen their patient improvement programs and safety efforts. They raise health care consumer and community confidence in the quality of the organization’s care, services and treatment. This provides a competitive edge in the healthcare industry and a proven framework for organizational management. The Joint Commission helps to reduce risk management, liability insurance, and employee turnover costs.
Option D: The failure of the nursing assistant to care for the client with hepatitis might result in termination but is not of interest to the Joint Commission. The Joint Commission monitors and advocates for legislation that promotes better patient safety. When it comes to state legislation, The Joint Commission collaborates with patient safety authorities and state regulatory bodies to minimize unrealistic expectations and reform outdated rules. They push state regulatory bodies to rely more on private accreditation instead of mandatory state licensure inspections.