An experienced ICU nurse manager is orienting a newly hired nurse manager to the organization. The ICU manager makes occasional notes in a small notebook. The new manager asks why the ICU manager is taking notes

Question

What are the most likely rationales for this behavior? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "It saves me time in the long run,"
2. "Taking notes helps me to address issues immediately so they do not escalate."
3. "Although this looks time consuming, it is just how I learned to manage."
4. "It helps me to remember what to address in staff meetings."
5. "Having notes helps protect me when evaluations are written."

Answer 1

1,2,4,5
Rationale 1: Taking notes does save time for the manager when evaluations are written or if other issues come up on the unit.
Rationale 2: On a busy unit, the manager must rely on written notes as a reminder of issues that should be discussed with staff.
Rationale 3: Note taking is quick and this statement does not provide rationale for why notes are taken.
Rationale 4: Notes will help the manager remember what should be addressed in staff meetings.
Rationale 5: Having notes about the incidents cited in evaluations helps to protect the manager in case a staff member disputes the situation.
Global Rationale: