The staff nurse, in the tenth hour of a 12-hour shift, is told by the house supervisor that the nurse replacement will be 2 hours late and the staff nurse must work these extra 2 hours. The nurse is unable to stay over
What is the best action for the nurse to talk? a. Talk to the person over the house super-visor.
b. Refuse and go home on time because from being too tired to work.
c. Fix some strong coffee and call home to explain the situation.
d. Ask if the supervisor could work a double because the supervisor needs the money.
A
When nurses are concerned that their patients require more care than they can provide, they must report this. If the nurse does not get adequate direction or an answer from the immediate super-visor, then the nurse should follow the chain of command and report it to the person above the supervisor. It would not be advisable or prudent to go home and abandon the patient assignment without adequate staffing or to work a double shift when the nurse has admitted being too tired. Loading up on caffeine may give the nurse immediate energy, but the fatigue may impair judg-ment and reasoning in patient care.
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