Author Question: The nurse manager orienting newly hired nurses has explained the organization's blame-free ... (Read 145 times)

faduma · **on:** Jul 8, 2018

The nurse manager orienting newly hired nurses has explained the organization's blame-free environment. Which remark by one of the nurses indicates understanding of the policy?

1. If I make a mistake and report it, I will not be reprimanded or punished.
2. When I make a mistake, I should immediately fill out an incident report.
3. It is left up to each employee to self-monitor so we do not report others' mistakes.
4. When I make a mistake, I should report it and look for ways to prevent it from recurring.

Question 2

The nurse manager is concerned about a family members complaint regarding professional behavior of a nurse on the unit. Which is the most effective method to address this issue?

1. Post a memo to the nursing staff about expected professional behavior.
2. Send an e-mail to the nursing staff about expected professional behavior.
3. Address the complaint with the individual nurse via the telephone.
4. Discuss the complaint with the individual nurse face to face.

ynlevi · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

4
Rationale 1: If the nurse is involved in at-risk or reckless behavior that results in an error, action will be taken.
Rationale 2: Incident reports are not the first step after making a mistake.
Rationale 3: Failure to report personal mistakes or the mistakes of others is an at-risk behavior and is not tolerated in a blame-free environment.
Rationale 4: Mistakes should be reported and reflected upon so that the same mistakes will not be made again.
Global Rationale:

Answer to Question 2

4
Explanation: 1. The more important or difficult issues should be communicated face to face to the nurse
involved so that the individuals response can be seen and questions can be answered
appropriately. Posting a memo is incorrect because the purpose of a memo is to convey general
information to a group, and it has a low level of personal intimacy. Sending an e -mail is
incorrect because the purpose of e-mail is to broadcast information to large groups, and it has
a low level of personal intimacy. Addressing the complaint over the telephone is incorrect
because a telephone conversation is less intimate than face-to-face communication, and the
individuals response cannot be seen.