The charge nurse is beginning rounds after attending morning report. W

QUESTION

The charge nurse is beginning rounds after attending morning report. Which clients should the nurse be concerned for developing a never event? (Select all that apply.)

1. Client with hemophilia receiving Factor replacement transfusions
2. Client recovering from a stroke with foul-smelling urine in a catheter drainage bag
3. Client recovering from total knee replacement surgery complaining of right calf pain
4. Client with heart failure being fitted for a C-pap mask for use at home for sleep apnea
5. Client with renal failure with a newly diagnosed stage III pressure ulcer on the left heel

ANSWER:

Correct Answer: 2, 3, 5

The Centers for Medicare and Medicaid Services (CMS) issued a ruling to deny reimbursement of federal funds to pay for services by physicians and hospitals for treatment of never events, which are preventable errors, injuries, and infections. These events include urinary tract infections, deep vein thrombosis, and pressure ulcers. The client with hemophilia and the client being fitted for a device to prevent sleep apnea are less at risk for developing a never event.