A nurse who has worked on a unit for 8 years has just accepted a ...

[dalyningkenk]

A nurse who has worked on a unit for 8 years has just accepted a position as a nurse practitioner at an indigent clinic. How should the nurse handle leaving the current position?
 
  1. Leave by the end of the week.
  2. Tell the manager as soon as the decision is made.
  3. Advise the human resources department prior to the unit manager.
  4. Discuss the matter with colleagues well in advance of telling the manager.

Question 2

An emergency room nurse manager is preparing for a night-shift nurses annual appraisal. The manager is apprehensive because there are issues to address regarding rudeness and unprofessional behavior.
 
  How should the manager prepare for conducting this appraisal? 1. Place the evaluation in an envelope with specific details in addressing the nurses behavior and allow the
  nurse to review it during his next shift.
  2. The manager should complete the evaluation and ask a peer to review it and provide feedback.
  3. The manager should schedule a time to conduct the appraisal in private.
  4. The manager should allow the human resources manager to conduct the appraisal.

[qytan]

Answer to Question 1

2
Rationale 1: Nearly every job has a required notice period, often equivalent to one schedule. Leaving without working out the required notice period is not professional.
Rationale 2: The nurse should discuss this matter with the manager as soon as the decision is made and should work out the required notice.
Rationale 3: The nurse should tell the manager before contacting HR.
Rationale 4: Telling colleagues that one has accepted a new position before telling the manager is not professional.
Global Rationale:

Answer to Question 2

3
Explanation: 1. Scheduling a time for the nurse manager to conduct a performance evaluation with the
night-shift nurse is the correct response. Placing the evaluation in an envelope allowing the
nurse to review it during a shift is unprofessional and does not allow for dialog between the
nurse and manager. Allowing a peer to review the managers evaluation of another employee
is unethical, unprofessional, and illegal. The human resources manager may give the appraisal
but this does not allow dialog and questioning between the manager and staff nurse.