A newly hired certified nurse's aide (CNA) has been 15 minutes ...

[james0929]

A newly hired certified nurse's aide (CNA) has been 15 minutes late returning from mealtime 4 days this week. The nurse manager coaches the employee and finds the CNA thought meal breaks were 45 minutes.
 
  What is the most appropriate response from the nurse manager? 1. Document the tardy behavior in the CNA's record.
  2. Show the CNA the break hours in the employee handbook.
  3. Warn the CNA tardiness is not tolerated and follow up in 2 weeks.
  4. Warn the CNA that the charge nurse will be timing future meal breaks.

Question 2

A nursing assistant has taken long lunch breaks for the last 2 days and today is 15 minutes late returning from the cafeteria.
 
  What should the manager do? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Go to the cafeteria and confront the assistant.
  2. Send a message with a nurse going to lunch for the assistant to return to the unit immediately.
  3. Call the cafeteria and ask that they send the assistant back to the unit.
  4. Meet with the assistant and calmly say, You have been late back from lunch for 3 days this week.
  5. Anticipate that the assistant will give an explanation for the lateness.

[elizabethrperez]

Answer to Question 1

2
Rationale 1: Since the CNA was misinformed regarding the length of meals, the coaching should be documented, but not as tardiness in the real sense of the word.
Rationale 2: The first step is to determine whether the employee is aware of the policy. It seems this employee was not. It would be most appropriate to show the employee where the policy is written.
Rationale 3: Warning the employee is not justified at this time.
Rationale 4: Threatening the employee is not justified.
Global Rationale:

Answer to Question 2

4,5
Rationale 1: The manager should take a few moments to prepare before this meeting occurs.
Rationale 2: The manager should not include other staff in this issue.
Rationale 3: The manager should not get cafeteria workers involved in this confrontation.
Rationale 4: It is important to stay calm and to relate the facts. This assistant has been late twice already this week and is late again today.
Rationale 5: The manager should anticipate that the assistant will offer a reason for the lateness. It will be up to the manager to decide if the explanation is reasonable.
Global Rationale:

[james0929]

Excellent

[recede]

Gracias!