Assignment task: Would anyone can help me with this case study not planning to submit exact answer
Joe is a nurse working in the Post-Anesthesia Care Unit (PACU) of a large teaching hospital. He has been a nurse for over 10 years and has worked in the PACU for the last five. Yesterday, Joe was caring for JJ, a 38-year-old female client who underwent an open cholecystectomy following a failed attempt at laparoscopic removal. About 45 minutes after arrival, JJ began to vomit. Joe quickly checked the orders and noted that JJ had an order for ondansetron IV. Joe went to the automated dispensing cabinet and found the medication on JJ's profile. The dispensing cabinet told him that the medication should be in the 2nd drawer, 6th compartment - as he had found the medication many times in the past. Reaching into the cabinet, Joe found a vial with the recognized teal cap. Joe grabbed the medication and went to the preparation counter to prepare the med for JJ. Joe went through his rights of medication administration a second time, this time closely looking at the label of the vial - the medication was cefuroxime. He reopened the automated dispensing cabinet and found that all the vials in the 2nd drawer, 6th compartment were cefuroxime. He checked the dispensing cabinet drawer by drawer in the non-controlled substance drawers and did not find ondansetron. Joe called the Pharmacy, and the tech came immediately to correct the situation. Although JJ did not receive the drug until approximately 15 minutes after vomiting, she did not have a second episode and was discharged from the PACU about 10 minutes later than expected. JJ experienced no adverse outcome.
1. Should Joe complete an incident report on the above scenario since the client did not receive the wrong medication and had no adverse outcome? Support your position.
2. Could the organizational culture surrounding errors influence Joe's decision to report the above scenario? Support your position.
3. Compare and contrast use of a Fair and Just Culture with the more traditional "shame and blame" culture.
4. If Joe's facility has an embedded culture surrounding medical error that embodies the Fair and Just Culture, what would the next steps be in investigating this scenario?
5. Does full and dedicated implementation of a Fair and Just Culture increase reporting and therefore opportunities to identify improvement initiatives in healthcare organizations? Support your position.
6. Read Silence Kills, how does this case study relate to the article?