Brian is a new nurse and has been working in the medical unit for the last 2 months. Last month, a client died because of a nosocomial infection

Brian is a new nurse and has been working in the medical unit for the last 2 months. Last month, a client died because of a nosocomial infection. The hospital administration and educators have been speaking to staff about reducing nosocomial infection rates and the importance of

hand hygiene in that endeavor. Brian notices that Dr. Wells enters his

client’s room without using hand sanitizer or washing her hands, assesses

the client, and then goes to the next client. Brian is aware that this is poor

hygiene and against hospital policy. Brian is concerned for his client’s

safety and those of other clients and wonders how best to address the

problem. Brian is worried that because he is new that he may not be the

best person to address the issue. He feels certain that since this is a big

problem, others must be watching and they will speak to the doctor, so he

chooses to say nothing.

1. What are possible actions that Brian could have taken instead of

Silence? Where is your answer?

2. What could the possible outcomes be of each action? Where is your answer?

3. If Brian’s client develops an infection as a result of poor hand

washing practices, will Brian be held responsible since he was

aware of the problem and did nothing? Where is your answer?

4. What are Brian’s ethical and legal responsibilities as a nurse? Where is your answ