The team leader notices that a staff member has again omitted several pertinent items of patient assessment and care on the chart. The most appropriate action by the leader is to:
1. complete the chart with notation of items of which this nurse has personal knowledge. Counsel the errant nurse privately.
2. call the staff member at home and have him or her return to complete the patient's charts correctly, without overtime.
3. pass the complete information verbally to the next shift via report.
4. write a report of reprimand on the nurse and forward it to the RN supervisor. Leave the charts as is.
1
Timely communication via charting is the legal and professional responsibility of LPNs. The team leader may make a signed addendum to a chart if the leader has personal knowledge of the events.
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