Scenario: You are working in night as a RN in a ward. When the site manager enquire about bed status with Nurse in charge, she tells that there is no beds available for admissions. NIC does this because she wants to keep bed for taking rest doing night. You as a responsible RN need to write series of actions/ interventions you will initiate when you come to know about this situation.


Recognise

  • I will recognise that taking rest breaks using a bed intended for patients might result in a failure to provide necessary patient care and could place patient safety at risk.

Acknowledge

  • Considers that the action taken to mislead the hospital site manager was dishonest and does not promote the fundamental tenets of truth and honesty.

Escalate

  • Requests that the nurse in charge correctly inform the hospital site manager that the bed is empty. If this request is met with refusal, states that they would inform the site manager.
  • Acknowledges their professional duty to report to management any dishonest behaviour by a colleague that could result in the care of patients being compromised, and which could result in a notification to the Nursing and Midwifery Council. Failure to report concerns may bring their own fitness to practise into question and place their own registration at risk, reflecting the duty of candour.
  • Raises the concern with the manager at the earliest opportunity, verbally and in writing. Recognises the need to be clear, honest and objective about the reasons for concern.

Document

  • Recognises that they may be asked by the manager to record a witness statement, documenting what was seen and which steps were taken to deal with the matter, including to whom the incident was reported. The witness statement must be signed and dated.


Uphold

  • Acknowledges the need to keep to and uphold the standards and values set out in ‘The Code’: prioritise people, practise effectively, preserve safety, and promote professionalism and trust.