A director over multiple nursing units has known for the past ...

[nmorano1]

A director over multiple nursing units has known for the past year of the implementation of a new electronic bar coding medication administration system and has done nothing to prepare staff for the transition.
 
  After the first month of implementation the nursing staff is much stressed. The CNO (chief nurse officer) is concerned because the director: 1. Did not implement the bar coding system in a timely fashion.
  2. Did not schedule additional staff while implementing the new system.
  3. Did not take a client care assignment.
  4. Has not participated in the administration of medications.

Question 2

A medical-surgical nurse manager has received a complaint by a client regarding the noise level on the unit. The manager reviews the schedule and reprimands the nursing staff that cared for the client. This action by the manager is:
 
  1. Appropriate and timely.
  2. Inappropriate and increases the nursing staffs level of stress.
  3. Inappropriate and should be reported.
  4. Appropriate and should be a model for future disciplinary actions.

[kthug]

Answer to Question 1

2
Explanation: 1. New technology, increased expectations, and increased pressures for efficiency has made the
role for nurses stressful. The directors ability to administer medications and/or take a client
assignment will not be as helpful as ensuring adequate staff is available during a time of
transition to a new process.

Answer to Question 2

2
Explanation: 1. Authoritative or punitive supervisory behavior is closely related to stress levels. It may or may
not be appropriate to report this situation to administration. More information is needed to
determine the extent of the reprimand.

[nmorano1]

TYSM

[at]

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