A registered nurse in the United States is asked by a supervisor to perform a procedure that the nurse has never been trained or assessed to perform. What is the nurse's best action?
Correct answer: C. Decline the assignment and explain the competency concern
- A. Perform it once while the supervisor watches
- B. Ask a nursing assistant to perform the procedure
- C. Decline the assignment and explain the competency concern
- D. Perform it after reviewing an online demonstration
Explanation
A nurse must practice within personal education, training, competence, and the applicable scope of practice. The nurse should explain the limitation and seek appropriate assistance, training, or reassignment. Supervision or an online demonstration does not establish competence for an unfamiliar procedure.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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