A nurse manager to the OB unit is having issues with a staff nurse who is rude to clients. In the past year the OB staff have complained to the manager regarding this staff nurse?s rudeness to clients
Other departments have also filed similar complaints. The manager pulls the staff nurse?s employee file and finds last year?s appraisal as exceptional. What course of action should the manager take with this nurse? 1. Terminate the staff nurse immediately.
2. Notify nursing administration of the issues and complaints.
3. Instruct the OB staff nurses to maintain a log of the nurse?s behavior.
4. Document the issues, confer with the staff nurse, and provide a plan of action.
4
Explanation: 1. Documenting the issues, one-on-one conference with the nurse, and providing a specific plan
of action with a specific time frame is the best course of action. The nurse may decide to give
notice of termination, reflect and change the behavior, or allow the manager time to see if the
issues in the plan of action have been met or terminate the nurse. Terminating the staff nurse
immediately could cause legal implications since previous appraisals do not support the
allegation of rude or unprofessional behavior. The manager may want to notify administration
and human resources but it is ultimately the manager?s responsibility to address the issues.
Instructing the other staff nurses to keep a log of issues is unprofessional.
You might also like to view...
A patient's medication administration record specifies that the patient is to receive 20 units of NPH insulin at 08:00 . Before administering this medication, the nurse must do which of the following?
A) Massage the chosen injection site. B) Assess the patient's understanding of diabetes. C) Assess the patient's urine for the presence of glucose. D) Have a colleague confirm the dosage.
The effects of alcohol on the CNS are directly related to the
1. amount consumed. 2. number of mixed drinks. 3. kind of alcohol consumed. 4. amount of food consumed with the alcohol.
A patient has had an air embolus. What should be the immediate action of the quick-thinking nurse?
a. Turns the patient to the left side and low-ers the head of the bed b. Calls the "code team" c. Gives oxygen at 100% in a nonrebreathing mask d. Notifies the charge nurse
An appropriate nursing intervention to immediately implement postoperatively for a patient who has had a surgical release of the transverse carpal ligament would be:
A) Neurovascular assessment of the hand every 3 hours B) Heat applied to the surgical site to reduce pain C) Active extension and flexion of the patient's wrist D) Assistance with required ADLs as needed