In the UK, a written duty of candour letter is sent after a notifiable safety incident, but it omits a known consequence of the incident. What should the nurse do?

Correct answer: B. Inform the appropriate senior person and arrange a prompt correction

  • A. Leave the letter unchanged until the patient asks about the omission
  • B. Inform the appropriate senior person and arrange a prompt correction
  • C. Delete the original letter and replace it without explanation
  • D. Wait until the investigation report is published before communicating again

Explanation

The communication should be open, accurate and updated when relevant information is identified. The nurse should escalate the omission and support a prompt further explanation, while keeping the original record rather than deleting or concealing it.

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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.

Practise Safeguarding and Duty of Candour

50 free Safeguarding and Duty of Candour MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.

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