The first step in addressing a PPI is being able to identify the issue. As previously stated, a PPI is an issue that compromises client care/service by placing a client at risk or affects a nurse’s ability to provide care/service consistent with the Standards of Practice for Registered Nurses, Code of Ethics, other standards and guidelines, or agency policies or procedures.
In order to determine if your issue is a PPI, you can ask yourself the following questions:
- Does the issue present a risk to clients?
- Does the issue make it difficult to practice according to the Standards of Practice for Registered Nurses and/or Nurse Practitioners Standards of Practice, the CNA Code of Ethics, Acts or other legislation governing nursing practice?
- Does the issue conflict with the organization’s standards, guidelines, and/or policies?
If you answered “yes” to any of these questions, you may have a professional practice issue. If you answered “no”, your issue is not likely a professional practice issue but still needs to be explored further and resolved.
Professional Practice Issue Examples:
- Inappropriate use of social media such as friending or discussing clients on Facebook
- An RN from OBS being floated to ICU and being assigned a ventilated patient without appropriate support
- Withholding critical information about a client from the care team
- Inaccurate or missed documentation about a client