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?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Fire any nurse who does not meet established standards of care.
2. Firmly enforce the standards of care guiding the facility.
3. Set variable standards of care depending upon the nurse's previous experience.
4. Establish a discipline system that is progressive.
5. Encourage supervisors to be consistent in applying discipline.
2,4,5
Rationale: 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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