A nurse manager wants to decrease the number of medication errors ...

[Wadzanai]

A nurse manager wants to decrease the number of medication errors that occur in her department. The manager arranges a meeting with the staff to discuss the issue. The manager conveys a total quality management philosophy by:
 
  a. Explaining to the staff that disciplinary action will be taken in cases of additional errors.
  b. Recommending that a multidisciplinary team should assess the root cause of errors in medication.
  c. Suggesting that the pharmacy department should explore its role in the problem.
  d. Changing the unit policy to allow a certain number of medication errors per year without penalty.

Question 2

You are hired as a new manager. When the offer of employment is made, you agree to at-will employment.
 
  Later, you become very concerned about the policies and practices of your organization and their impact on patient care. You speak with your supervisor several times about your concerns, but no action is taken. In considering your next steps, you:
 
  a. Consider your increased vulnerability under the terms of your employment.
  b. Recognize that your supervisor is more vulnerable than you are because of her more senior position.
  c. Are more likely as a leader to take action because you are well protected from repercussions by federal and state regulations.
  d. Contact your union to discuss your concerns and review your options.

[sierramartinez]

Answer to Question 1

ANS: B
Quality management stresses improving the system, and the detection of staff errors is not stressed. If errors occur, reeducation of staff is emphasized rather than imposition of punitive measures such as disciplinary action or blaming.

Answer to Question 2

ANS: A
Managers of at-will employees have greater latitude in selecting disciplinary measures for specific infractions. State and federal laws do provide a level of protection; however, an at-will employee may be terminated at any time for any reason except discrimination. At-will employees, in essence, work at the will of the employer. Nurses in these positions need to know their rights and accountability.

[Wadzanai]

Gracias!

[amandalm]

TYSM