During a post-flight debrief, a nurse mentions that she made an error in calculating medication dosage during the flight. Following Just Culture principles, how should the team leader respond?
Ignore the error since it did not result in patient harm.
Reassign the nurse to a different role temporarily.
Collaborate with the team to evaluate the situation, understand the root cause, and provide constructive feedback.
Consider disciplinary action for the nurse to address the error.
In a Just Culture, the focus is on understanding the root cause of the error and addressing system issues rather than blaming the individual. The team leader should encourage reporting, evaluate contributing factors, and implement corrective actions to prevent recurrence. Offering additional training and discussing the error in an open, non-punitive manner are also appropriate responses. Ignoring the issue or considering disciplinary action are not consistent with Just Culture principles.
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BCEN CFRN
General Principles of Flight Transport Nursing Practice
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