The nursing staff on the surgical unit complains to the manager that they do not have enough time to complete all wound care and dressing changes. What is the manager's most appropriate action to take?
a. Decrease the patient-to-nurse ratio within budget limits
b. Offer an in-service session on time-management strategies
c. Suggest a continuing quality improvement committee to assess the issue
d. Report the complaints to the director of nurses at the next management meeting
C
The most appropriate action by the nurse manager is to assess the issue through establishing some quality improvement/quality care activities. There may be a need to look at nurse-patient ratios and there may be a need to provide an in-service session on time management. However, these are not known until some assessment is completed and data are obtained. Totally Quality Management (TQM) or Continuous Quality Improvement (CQI) projects assist in looking at all aspects of quality and safe care practices. Reporting the complaint to the director of nurses may be indicated, but this will not immediately address the concerns of the staff.
You might also like to view...
The nurse is concerned that a client with potential hepatic failure is at risk for developing ascites. Which assessment finding supports the nurse's concern?
A) Increased abdominal girth B) Gallbladder pain C) Yellow-tinged skin D) Bleeding and bruising easily
Your patient has a newly diagnosed heart murmur. He asks you if he can listen to it. What would be your best response?
A) Listening is called auscultation, is done with the diaphragm, and requires a trained ear to hear a murmur. B) Listening is called palpation, and I would be glad to help you to palpate your murmur. C) Heart murmurs are pathologic and may require surgery. If you would like to listen to your murmur, I can provide you with instruction. D) Listening is called auscultation and should be done with both the bell and diaphragm. If you would like to listen to your murmur, I would be glad to help you.
A 3-month-old infant has a hypercyanotic spell. What should be the nurse's first action?
a. Assess for neurologic defects. b. Prepare the family for imminent death. c. Begin cardiopulmonary resuscitation. d. Place the child in the knee–chest position.
A master's degree in nursing differs from a generic nursing degree in what way? A master's degree in nursing
a. requires a level of specialization to be se-lected. b. prepares the nurse for nursing administra-tion. c. increases the authority and responsibilities of the nurse. d. enables the nurse to become a nurse edu-cator.