Clinical Nurse Leader Practice Exam

When a medication error occurs during a patient transfer to a skilled nursing facility, what is the primary responsibility of the Clinical Nurse Leader (CNL)?

1. Notify the hospital of the error

2. Notify the skilled nursing facility of the error

3. Investigate the error in the transfer process

4. Inform the family about the error

The correct answer is: Investigate the error in the transfer process

The primary responsibility of the Clinical Nurse Leader (CNL) in the event of a medication error during a patient transfer to a skilled nursing facility is to investigate the error in the transfer process. This role emphasizes the CNL's accountability in ensuring patient safety and advocating for high standards of care. Investigating the error is crucial for several reasons. It allows the CNL to understand how the mistake occurred, which can lead to identifying systemic issues that need to be addressed to prevent future errors. By thoroughly assessing the transfer process, the CNL can ensure that both the sending and receiving facilities have accurate information regarding the patient’s medications, treatment plans, and any specific needs the patient might have. This proactive approach enhances continuity of care and safeguards against potential harm during transitions. Further, while notifying the hospital, the skilled nursing facility, or the family may be important steps following the investigation, the investigation itself is foundational. It is not enough to just inform others about the error; proactive measures need to be taken to learn from it and improve processes for the future, which aligns closely with the CNL's role as a leader in quality care and patient advocacy.