Which practice best demonstrates accountability during shift changes?

• A. Conduct counts at set times, cross-check with the prior shift, and document discrepancies.
• B. Avoid documenting discrepancies.
• C. Change counts to fit the narrative.
• D. Rely on memory without verification.

Answer: (A)

During shift changes, accountability means having a trustworthy handoff that leaves a clear, verifiable trail of what is in custody and what was counted. Conducting counts at set times creates a regular, objective check rather than relying on memory. Cross-checking with the prior shift adds a second layer of verification, catching discrepancies that one shift alone might miss and ensuring continuity of accountability. Documenting any discrepancies is essential; it records what doesn’t match and guides follow-up steps to resolve issues, preserving integrity and transparency of the handoff. If discrepancies aren’t documented, counts are altered to fit a narrative, or people rely solely on memory without verification, the chain of accountability is broken. Those practices fail to provide the necessary verification, record-keeping, and traceability.