Role of risk managemet

 

The adult care unit at a local hospital required that all patients be checked every 2 hours by a nurse while they had an IV running. Mr. Key had an IV running and was checked at 7 AM as on time. At 9 AM, the IV site was noted to be red but the IV was on time. At noon the IV was noted to be infiltrated. A new IV was restarted and it was noted that fluids were behind by two hours. It was found that the patient got severely dehydrated due to the delayed delivery of fluids. In this case, risk management was called to review the case. What type of violation is presented in this scenario? A violation of the standard of care? A violation of policy? Both? What is the role of risk management?

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