The practical nurse (PN) observes a newly hired PN who is preparing to open an ampule as seen in the picture. Which action should the PN take?
Explanation & Rationale
A. Encourage the newly hired PN to continue with the skill by gently snapping the ampule open: Encouraging continuation without correcting improper technique can lead to glass injury or contamination of the medication. B. Call the charge nurse to the medication: Involving the charge nurse may be necessary if an incident occurs, but it is not the first action in this case. Immediate, direct correction of unsafe technique is within the observing PN’s responsibility to prevent harm and ensure proper aseptic practice. C. Advise the newly hired PN to reposition the ampule: The safest initial action is to instruct the new PN to reposition the ampule correctly, typically by using a protective gauze or alcohol swab and snapping it away from the body. This prevents cuts from glass shards and maintains sterile handling of the solution. D. Take the ampule from the newly hired PN: Physically taking the ampule could startle the new PN, increasing the risk of breakage or injury. Providing calm verbal instruction to correct the position is safer and promotes learning through guided supervision.