In the UK, a nurse learns that an incident may meet the threshold for a notifiable safety incident, but the nurse is unsure whether the threshold has been met. What should the nurse do?
Correct answer: A. Escalate the concern promptly through the organisation’s incident process
- A. Escalate the concern promptly through the organisation’s incident process
- B. Decide personally that the threshold is not met and take no action
- C. Tell the patient that the incident definitely meets the threshold
- D. Wait until the next team meeting before raising the concern
Explanation
The nurse should report and escalate the concern promptly so the provider can assess the statutory threshold and begin appropriate action. Individual uncertainty is not a reason to delay reporting or make an unconfirmed statement to the patient. The duty of candour is a provider responsibility, supported by timely staff escalation.
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About Safeguarding and Duty of Candour
Safeguarding covers recognising signs of abuse, neglect, exploitation and domestic violence in children and adults, responding to disclosure, recording facts, sharing information lawfully and escalating to the safeguarding lead or relevant authority. Duty of candour requires openness, apology, explanation and reporting after qualifying harm, and is distinct from investigating blame or proving negligence.
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