Nurses Gone Bad?
hhi
Created on October 24, 2024
Over 30 million people create interactive content in Genially.
Check out what others have designed:
MINERALS AND ROCKS
Escape games
NERVOUS SYSTEM ESCAPE ROOM
Escape games
CEVICHE ESCAPE GAME
Escape games
THUNBERG CASE. TIME SOLDIERS
Escape games
SPACE INVADERS GAME
Escape games
A WORLD OF SPORTS
Escape games
HARRY POTTER ESCAPE GAME
Escape games
Transcript
nurses
Gone bad?
Start game
© 2024 by Amy, Josh, Kailey, and Yena
These are not stories of heroism, but of those who betrayed the foundation of NURSING. Patients hurt. Policies broken. Trust shattered. Your job is to STOP history from repeating itself. As you navigate through each room, you must use your knowledge of the Professional Standards of Nursing to solve the questions. Choose the right path or risk losing everything. Your career, your license, your integrity.
Start game
Skip to room 2
Start
LEVEL 4 - FIRE GEM
ROOM 1
The BCCNM defines a professional standard as, “an expected and achievable level of performance against which actual performance can be compared. It is the minimum level of acceptable performance”. There are 4 standards created to ensure that nurses are competent and professional in their practice. Now let’s explore these standards and test your knowledge.
Start
Back
Standard 2: Knowledge-based practice
Standard 4: Ethical practice
Standard 1: Professional Responsibility and Accountability
Standard 3: Client focused provision of service
Q1: Which of the 4 standards would the following statement fall under? “Functions within own level of competence, within the legally recognized scope of practice and within all relevant legislation”
Previous page
Standard 2: Knowledge-based practice
Standard 4: Ethical practice
Standard 1: Professional Responsibility and Accountability
Standard 3: Client focused provision of service
Q2: Which of the 4 standards would the following statement fall under? “Collects information on client status from a variety of sources using assessment skills, including observation, communication, physical assessment and a review of pertinent clinical Data.”
Previous page
Consistently applies knowledge, skills and judgment in nursing practice
Provides nursing services and works with others to provide health care services in the best interest of clients
Understands, upholds and promotes the ethical standards of the nursing profession
Maintains standards of nursing practice and professional conduct determined by BCCNM
Q3: Which of the following options best defines the BCCNM Professional Standard 3: Client-Focused Provision of Service?
Previous page
All of the above
Protects client privacy and confidentiality
Makes equitable decisions about the allocation of resources under one’s control based on the needs of clients
Clearly and accurately represents self with respect to name, title and role
Initiates, maintains and terminates nurse-client relationships in an appropriate manner
Q4: Which of the following options fall under the BCCNM Professional Standard 4: Ethical Practice?
Previous page
That’s Correct! As nurses, we are authorized to perform tasks and make decisions based on our skill set and knowledge base. “Standard 1: Professional Responsibility and Accountability” refers to the laws and policies from a legal standpoint of nursing practice. In other words, nurses must act within their scope of practice but also within the boundaries of legal guidelines and regulations.
Previous page
Good Job! This statement demonstrates the ability to perform patient research and collect relevant information from different sources (ie lab results, health records, family, etc.) required for developing nursing care plans. Gathering comprehensive data and applying previous knowledge to determine patient status and outcomes are examples of knowledge-based practice.
Previous page
That’s Correct! "Client-Focused Provision of Service” refers to the care that nurses provide to better the well-being of our patients. Care plans are individualized according to patient-specific cases by communicating and collaborating with the clients themselves.
Previous page
You’re rocking it! Ethics plays a very large role in the nursing profession. There are many different layers we must consider in terms of ethical practice including, client privacy, confidentiality, mutual respect and caring. It is also important to recognize that there will be potential conflicts which require the use of critical thinking skills and equitable decision making.
That's not quite it... do you want to try again?
Yes, take me back!
Sorry, wrong answer!
I'll try again.
That's not quite it... do you want to try again?
Yes, take me back!
Sorry, wrong answer!
I'll try again.
Previous page
Congratulations, you answered all the questions! Let's move on to the next room!
Previous page
ROOM 2
Now that you've completed your Nursing Standards review, it's time to assess cases where some were broken. You'll have a nurse presenting each case to you, so make sure you can answer each of their questions to move on to the next one!
Start
Q3
Q2
Q1
CASE 1: Sarah Hennings, a 34 year old Registered Nurse with a history of dedicated patient care, finds herself stuck in a situation that results in unprofessional decisions that led to serious consequences for her career. Sarah started prescribing medications to eight of her friends/family members. She also prescribed 14 medications to a neighbor in a non-clinical setting and accessed the health records of 179 individuals outside of her practice.
Continue
Back to case details
Professional Responsibility and Accountability
Client focused provision of service
Knowledge-based practice
Ethical practice
Q1: As an RN, prescribing medications to clients in a non-clinical setting is considered as “out of scope” practice. Which BCCNM Professional Standard is Sarah violating in this situation?
Previous page
Back to case details
Professional Responsibility and Accountability
Client focused provision of service
Knowledge-based practice
Ethical practice
Q2: In addition to accessing health records from 179 individuals outside of her workplace, Sarah also failed to protect confidentiality by carelessly leaving empty medication containers and documentation in public places. Which of the four BCCNM Professional Standards recognizes patient privacy and confidentiality?
Previous page
Back to case details
Provide training on the legal and ethical boundaries of their roles.
Encourage nurses to prescribe medications to their loved ones if they are "trusted."
Q3: As a result of her actions, Sarah now requires supervision during practice for the next 2 years and must pay a fine of $5000 to the BCCNM. Failure to do so will result in suspension. Sarah is also prohibited to supervise students or other health professionals while she is practicing under supervision. What should Sarah do to prevent similar situations from occurring with other healthcare professionals?
Encourage nurses to be flexible with their scope of practice.
Do nothing, assuming most healthcare workers will follow the rules on their own.
Previous page
Congratulations, you answered all the questions! Let's move on to our second case.
Previous page
Good Job! In this case, Sarah is not performing within her legally recognized scope of practice and failing to follow protocols and standards. As an RN, Sarah was not allowed to prescribe medications to patients and the fact that she did so in a non-clinical setting is considered a violation of professional responsibility and accountability.
Previous page
That’s Correct! "Standard 4: Ethical Practice” recognizes not only client privacy and confidentiality but also honesty and integrity as well which Sarah failed to uphold in this case. As nurses, if we fail to follow these ethical standards, we begin to lose patient trust and respect when it comes to professional interactions with our clients and other health care providers.
Previous page
You got this! Understanding the legal and ethical boundaries of the nursing profession should be the foundation to our practice. Remember, nurses are only capable of functioning within their legally recognized scope of practice as outlined in the BCCNM Standard 1: Professional responsibility and Accountability. Therefore, one of the best ways that Sarah can ensure these situations do not occur is to educate her fellow colleagues.
Sorry... could you repeat that?
Oh, maybe you didn't hear me right?
Close, but not quite...
I'll try again!
That's not the answer I was looking for!
I know which one it is, I'll try again!
Q3
Q2
Q1
CASE 2: Jennifer Kanoga has worked at the Chilliwack General Hospital as an RPN for the last 5 years. On her busy unit one day, she failed to follow an independent double check and discrepancy for high-alert medication but was so distracted that she never caught her mistake. She failed to do so on another occasion which resulted in serious consequences.
Continue
Back to case details
Obtain consent from the patient prior to assessment
Know how and where to access information such as medication labels to support safe, competent and ethical client care
Set priorities when developing a nursing care plan for her patient
Q1: In this scenario, Jennifer violated the BCCNM Professional Standard #2: Knowledge-based practice. Which of the following statements best describes what she failed to do when preparing high-alert medication for her patient?
Provide patient confidentiality when documenting medication administration on the MAR
Previous page
Back to case details
Updating her education on high-alert medications, ethics and professional responsibility in addition to providing a learning plan to her employer
Require her to take the NCLEX Exam again
Complete a special training program on the 7 medication administration rights and 3 checks
Go back to nursing school
Q2: As a result of her actions, Jennifer was suspended of her nursing registration for three weeks, prohibited to independently handle, administer and waste high-alert medications for six months. Which of the following do you think is an appropriate term for her punishment as a result of her actions?
Previous page
Back to case details
Perform the 7 medication administration rights and 3 checks in a timely manner
Do all 3 checks prior to seeing the patient to save time as she needs to provide equal care to all her patients
Q3: What do you think Jennifer should have done to prevent errors during medication administration?
Collaborative work with a buddy nurse
Call the pharmacist to double check the patient’s medications after administering them
That's not quite it... do you want to try again?
Yes, take me back!
That's not quite it... do you want to try again?
Yes, take me back!
That's not quite it... do you want to try again?
Yes, take me back!
Previous page
Great job! It is very important, especially with high-alert medications, to perform the 7 medication rights and 3 checks during medication administration. Knowing how to recognize high-alert warnings and where to find them demonstrates competent knowledge, skills and judgment needed for nursing practice.
Previous page
Nice work! Although her actions demonstrate a lack of knowledge and attention to detail regarding high-alert medications, she would not be required to retake the NCLEX exam or restart her nursing education. Instead, an appropriate requirement would be for Jennifer to update her knowledge on high-alert medications and maintain an education plan with her employer to show consistent learning.
Previous page
You got it! When administering any medication, especially with high-alert warnings, nurses must ensure that each right and check is completed so that we can minimize medication errors. As outlined in the “BCCNM Standard 2: Knowledge-based Practice”, nurses must continue to apply knowledge, skills and critical judgment including at times of medication administration.
Previous page
Congratulations, you answered all the questions! Let's move on to our third case.
Q3
Q4
Q2
Q1
CASE 3: Shannon Whieldon works in the pediatric unit at BC Children’s Hospital. During her patient rounds one day, she failed to administer and manage infusions of Oxytocin and appropriate doses of Erythromycin. Shannon had gotten an order from the MRP to administer Erythromycin to the patient. However, she got a verbal order from the MRP.
Continue
Back to case details
Professional Responsibility and Accountability
Client focused provision of service
Knowledge-based practice
Ethical practice
Q1: Shannon realizes it’s already 1130 and has to go on break! She gives a handover report to her covering nurse and fails to relay the doctor’s verbal order for administering Erythromycin. Which standard is Shannon failing to uphold in this handover situation?
Previous page
That’s Correct! In order to facilitate continuity of client care, it is important to communicate with other members of the health care team about new information or relevant changes and delegate tasks appropriately. Doing so will ensure that nurses deliver health care services thoroughly and in the best interest of the patient.
That's not quite it... do you want to try again?
Yes, take me back!
Previous page
Back to case details
Proceed to administer the medication to the patient and document afterwards
Complete an assessment on the patient and determine any changes in vital signs as a result of a late medication administration
Apologize to the covering nurse for failing to relay important information
Decide not to administer the medication and instead document that the parents made an informed refusal for the administration of Erythromycin
Q2: When Shannon comes back from break, she remembers that the Erythromycin order from the doctor was not shared with the covering nurse and therefore, the infant did not receive the medication. Which of the following options do you think Shannon should NOT do in this situation?
Previous page
Good work! This would not be an appropriate action that Shannon should take however, this is what she actually did in real life. Instead of documenting her mistake, she decided to hide it by stating that the parents had refused this medication for their child. This act was not only considered unethical but also “disgraceful” as stated by the discipline committee panel for this case.
That's not quite it... do you want to try again?
Yes, take me back!
Previous page
Back to case details
Two-week suspension
BCCNM discipline committee will decide on the penalty and settle the issue after the hearing is completed
She should not be penalized
Take the NCLEX again
Q3: At this time, the committee has not yet determined Shannon’s penalty and dues for the acts that she performed. Which of the following options do you think is an appropriate punishment in this case?
Previous page
Nice work! A panel of the Discipline Committee will review her actions and determine which standards were violated based on the Health Professions Act, RSBC 1996. They will conduct a hearing where the panel committee will determine the appropriate penalty and costs. The determination will be made available to the public when it is final.
That's not quite it... do you want to try again?
Yes, take me back!
Previous page
Back to case details
Break down and cry
Watch Nurse Jackie to destress
Post about your day on social media
Engage in self-reflection and set SMART goals
Q4: After Shannon’s hearing, she returns home and is trying to process her day. What would be an appropriate option that would help mitigate Shannon’s mistakes in the future?
Previous page
You got it! To be a responsible nurse it is very important to self-reflect, so we can determine which areas are needed for improvement. This can help us grow into competent nurses by processing our mistakes and emotions into a meaningful asset.
That's not quite it... do you want to try again?
Yes, take me back!