Read the scenario and address the discussion question:
Scenario
Nurse Lope is starting a busy shift in which she was finishing report on Mr. Johnson. During
report, Nurse Jim who was finishing his shift also gave Nurse Lope a medicine cup containing
three of Mr. Johnson's unopened medications that he reported were recently retrieved from the
medication dispenser. Nurse Lope was told that these were supposed to have been given 30
minutes ago and asked if she could give them during bedside hand-off. As Nurse Lope planned to
stay in Mr. Johnson's room to complete his vital signs and assessment, she agreed with this
plan.
When she opened Mr. Johnson's electronic medical record to administer these medications, she
noticed that these medications were scheduled to be given 3 hours ago. Additionally, one of the
medications had a barcode that was not scanning to Mr. Johnson's chart. Nurse Lope proceeded
to administer these medications so that she would not be late on the next round of medications,
which included some of the same ones. It was later discovered that the medication that was not
scanning was for another patient and should not have been given to Mr. Johnson.
Discussion Question
Outline the concept of professional accountability as it pertains to nursing. Examine the actions
of Nurse Jim and Nurse Lope. Discuss how you would approach this scenario if you were in
Jim's and Lope's position. Based on your analysis of how nurses demonstrate accountability in
clinical practice, the nursing process, and evidence-based practice, explain how you would
handle this situation if you were the nurse manager overseeing Jim and Lope.
Initial discussion question posts should be a minimum of 200 words and include at least two
references cited using APA format. Responses to peers or faculty should be 100-150 words and
include one reference. Refer to "RN-BSN Discussion Question Rubric" and "RN-BSN
Participation Rubric," located in Class Resources, to understand the expectations for initial
discussion question posts and participation posts, respectively.
Being accountable for our actions is a critical foundation in the practice of nursing.
Accountability reflects on the trust and character in the nurse-patient relationship. A nurse’s
character is ultimately what guides their care and as described as “the ‘“who,” “what,” “where,”
“when,” “why,” and “how” of nursing practice’ (American Nurses Association [ANA], 2015, p.
2). Each of these questions must be answered to provide a complete picture of the dynamic and
complex practice of nursing and its evolving boundaries and membership (ANA, 2015).
Scenario
Nurse Lope is starting a busy shift in which she was finishing report on Mr. Johnson. During
report, Nurse Jim who was finishing his shift also gave Nurse Lope a medicine cup containing
three of Mr. Johnson's unopened medications that he reported were recently retrieved from the
medication dispenser. Nurse Lope was told that these were supposed to have been given 30
minutes ago and asked if she could give them during bedside hand-off. As Nurse Lope planned to
stay in Mr. Johnson's room to complete his vital signs and assessment, she agreed with this
plan.
When she opened Mr. Johnson's electronic medical record to administer these medications, she
noticed that these medications were scheduled to be given 3 hours ago. Additionally, one of the
medications had a barcode that was not scanning to Mr. Johnson's chart. Nurse Lope proceeded
to administer these medications so that she would not be late on the next round of medications,
which included some of the same ones. It was later discovered that the medication that was not
scanning was for another patient and should not have been given to Mr. Johnson.
Discussion Question
Outline the concept of professional accountability as it pertains to nursing. Examine the actions
of Nurse Jim and Nurse Lope. Discuss how you would approach this scenario if you were in
Jim's and Lope's position. Based on your analysis of how nurses demonstrate accountability in
clinical practice, the nursing process, and evidence-based practice, explain how you would
handle this situation if you were the nurse manager overseeing Jim and Lope.
Initial discussion question posts should be a minimum of 200 words and include at least two
references cited using APA format. Responses to peers or faculty should be 100-150 words and
include one reference. Refer to "RN-BSN Discussion Question Rubric" and "RN-BSN
Participation Rubric," located in Class Resources, to understand the expectations for initial
discussion question posts and participation posts, respectively.
Being accountable for our actions is a critical foundation in the practice of nursing.
Accountability reflects on the trust and character in the nurse-patient relationship. A nurse’s
character is ultimately what guides their care and as described as “the ‘“who,” “what,” “where,”
“when,” “why,” and “how” of nursing practice’ (American Nurses Association [ANA], 2015, p.
2). Each of these questions must be answered to provide a complete picture of the dynamic and
complex practice of nursing and its evolving boundaries and membership (ANA, 2015).
