Which situation represents an exception to the blame-free environment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A) A nurse routinely changes nursing notes after a client is discharged.
B) A physician order is overlooked on a newly admitted client.
C) An unlicensed assistant drops a client.
D) A nurse does not complete an incident report after a medication error.
E) A nurse miscounts narcotics.

Question

Quizplus · Accepted Answer

1. Exceptions include failure to report an adverse event or error, criminal acts, false reporting, or refusing to participate in a system designed to prevent errors. Changing nursing notes is illegal unless specific protocols are followed, which would be unlikely on a routine basis.
2. Human errors are handled by the just culture of the blame-free environment. Overlooking an order is a human error.
3. Human errors are handled by the just culture of the blame-free environment. Client accidents are considered human errors.
4. Exceptions include failure to report an adverse event or error, criminal acts, false reporting, or refusing to participate in a system designed to prevent errors.
5. Human errors are handled by the just culture of the blame-free environment. Miscounting errors are considered human errors.

Which Situation Represents an Exception to the Blame-Free Environment? Note