Question

In the begging of the shift, the practical nurse notices that Mrs. Smith, 35 years old, had cefazolin (Ancef) 2 g IV infused 1 hour ago. The physician’s order states ceftriaxone (Rocephin) 2g IV. what should the practical nurse do?

a) Complete an occurrence report.

b) Contact the physician to request an order for cefazolin.

c) Immediately notify the pharmacist.

d) Reflect on the situation with a colleague.

Answer 1

The answer is ----------- a ) Complete an occurance report.

Explanation :

Occurance report is a report that is written when there is certain incident that occurs as a accident . This helps in documentation of the mistake when it is still fresh in the minds of the staff. This helps in medicolegal purposes and also provides information to other nurses which helps in prevention of the same mistake again and let's them to be cautious.  

It has to be written as soon as the such incidence occur with pen clearly mentioning name of the patient, age, bed number, diagnosis and the mistake occurred and the patient status after that.

While the other options include -----

• The doctor has to be called and notified but not for the order change but for mentioning the untoward incident and patient status.
• Reflect with colleague can be done more toward the objective so as to the same incident doesn't gets repeated.
• Pharmacist too has to be notified . But immediate step is writing an occurance report.

Thank you.