Question

Case: Pleasant Dreams self as night-shift charge nurse on a medical-surgical Imagine yourself as night. on a medical-surgical unit. For several months staff nurse whose performance you consider unsatisfactory. of quiet times during her shift to doze off at the have had a problem with a staff nurs She seems to continua nursing station. You have orally rep and you have reached the point for her conduct. Her position ho continually take advantage of quiet times during her ve orally reprimanded her several times for sleeping on the job, hed the point where you believe you can no longer simply scold her Her position, however, is that it's no big deal, that she's always certain to call signals as long as she's at the nursing station. (Your hospital has a clear policy ing written warnings, but policy is relatively loose concerning oral warnings; these be unlimited and issued at your discretion, so you can deliver as many as you believe necessary.) For a written warning to become official and be entered into an employee's personnel file, it must be agreed to and countersigned by the unit's nurse manager and the director of nursing. You issued the offending nurse two written warnings, both cleared only through the unit manager. However, you believe you can go no further without backing from the director of nursing, and there has been no follow-up from that direction. Meanwhile, the employee continues to be a problem. Questions recourse, if any, do you have in pursuing the disciplinary policy in the manner in the case? You know the disciplinary policy lists "sleeping on the job as an 1. What recourse, if any, described in the case? You know infraction. 2. Assuming that you be patients under your care 3. If no follow-up from the director ung that you believe the problem to be severe enough to constitute a risk to der your care, what can you do about the troublesome employee! ne director of nursing is forthcoming, what might you eventually consider doing to protect yourself?

Answer 1

1) When one is tired or having problems they may effect their work.So first talk to the nurse and ask what her problem is and try to console her and give advice to overcome it.Guide her so she can be able to perform her duty. Help her by lending your hand untill she overcomes her problem.

2) Of the problem is severe that may contribute for the risk of patients under your care , I will ask her to do her job correctly if she does be able to change I will give a written warrant to the unit manager again and along with it I will ask the complete care of the patient to be in my hands.So that I can give care to him and help them to recover.Moreover I will take this matter to director of nursing because it not only effects the remaining nurses and patients but to the whole system . Because caring the patient is the main objective to healthcare system.