Leslie Charleston admits that she has been having trouble staying awake on the night shift after she is found sleeping in the day room. She stated that her babysitter moved out of state and she has not found a new babysitter
Her husband leaves for work when she gets home, and she is left with a 1-year-old and a 3-year-old until after supper. She is not getting adequate rest and is exhausted. What is your initial response?
a. Call together all of the night shift nursing assistants, explain Leslie's problem, and suggest that they excuse her from the 0100 and 0300 rounds until she can get some rest
b. Offer to have your babysitter also watch Leslie's children during the day so she can sleep
c. Review options with Leslie and give her a written warning. If she is found sleeping again on night shift, she will be terminated
d. Encourage her to switch to working day shifts
C
It is inappropriate for a nursing assistant to sleep during her shift. The facility policy for probation or warnings should be instituted. Response A is inappropriate. The nursing assistants should not have to cover the assignment of another nursing assistant. Responses B and D are possible options, but sharing your babysitter and switching to day shift would not resolve Leslie's need to solve her own personal problems.
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