The nurse has observed the resident physician move between patients without performing hand hygiene on multiple occasions. Each time, the nurse asks the resident physician to perform hand hygiene before moving on to the next patient; the resident physician scoffs at the nurse and continues examining patients. Which action by the nurse is most appropriate?

Report the resident to the chief resident. The nurse should escalate the issue up the chain of command to the chief resident; after multiple attempts to hold the resident accountable, this is the next step. Involving the nurse manager, submitting an incident report, and continuing to provide in-the-moment feedback to the resident may be helpful, but escalation up the chain of command is the most appropriate action.

The nurse has observed the resident physician move between patien...

Category: Management of Care
Difficulty: 8

Topics: Communication & Documentation Delegation, Prioritization and Leadership Disease Prevention Health Care Ethics, Law, and Policy Health Care Quality Health Promotion

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