The nurse has recently assumed the position of chief nurse in a long-term care facility with a record of poor patient care. How should this nurse approach the issue of effective discipline regarding patient care activities?
1. Set variable standards of care depending upon the nurse's previous experience.
2. Fire any nurse who does not meet established standards of care.
3. Establish a formal discipline plan to be used when standards of care are not followed.
4. Eliminate standards of care until the chief nurse can assess the situation.
3
Rationale: Effective discipline is an essential part of the nurse manager's role in supervision and delegation. The nurse should set firm standards so that everyone knows what is expected and should establish a formal discipline plan. Standards of care should never be eliminated. Unless a particular employee is doing something illegal, immoral, or dangerous to patients, it would be better not to fire the employee until the nurse has more information and has set the tone of the care expectations.
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