A charge nurse on the night shift did not notify the ...

[appyboo]

A charge nurse on the night shift did not notify the anesthesiologist regarding an emergency case. The manager investigated the matter and learned the charge nurse thought the primary care nurse would call the anesthesiologist.
 
  Which response by the manager would be most appropriate? 1. It is in your job description and your duty.
  2. It is your responsibility. In the future, call anesthesia and transfer the call to the primary nurse.
  3. It's not the surgery nurse's responsibility to call anesthesia
  4. Why was this considered an emergency case?

Question 2

A manager has been informed by a reliable registered nurse that an assistant lied about bathing a client. The manager calls the assistant into the office with a written warning. Why is this action inappropriate?
 
  1. The registered nurse should issue the warning.
  2. The first warning should be verbal.
  3. The assistant should be allowed to discuss the matter.
  4. This type of action should be conducted by the human resources department.

[morganmarie791]

Answer to Question 1

2
Rationale 1: While this is probably a true statement, it is not the best response to the situation.
Rationale 2: The manager should obtain information; ask questions in a calm manner and offer instruction or solutions so the supervisor learns from the experience.
Rationale 3: The manager should remain calm while coaching.
Rationale 4: The question regarding the urgency of the case is not applicable to the situation.
Global Rationale:

Answer to Question 2

3
Rationale 1: It is inappropriate for the registered nurse to issue a warning.
Rationale 2: While many hospitals have a policy of verbal warning or coaching as a first step, the real issue is that the assistant's due process was not followed.
Rationale 3: The manager should investigate the matter and listen to the assistant's reasons for the registered nurse's complaint. If a written warning is appropriate, it should not be written until after the complaint has been investigated and the assistant has had an opportunity to discuss the issue.
Rationale 4: It is inappropriate for the human resources department to issue a warning.
Global Rationale:

[appyboo]

Excellent

[bbburns21]

TYSM