In the UK, a nurse notices that a patient’s care plan says they need two-hourly repositioning, but records show this has been missed repeatedly. The patient has no current skin damage. What should the nurse do?
Correct answer: B. Report the pattern as a possible neglect concern
- A. Record that repositioning was completed to avoid criticism
- B. Report the pattern as a possible neglect concern
- C. Wait until pressure damage develops before escalating
- D. Ask the patient to remind each staff member about the plan
Explanation
Repeatedly missed essential care can indicate neglect and creates a foreseeable risk even when harm has not yet occurred. The nurse should ensure immediate care, document accurately, and escalate the pattern through clinical and safeguarding channels.
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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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