You are director of nursing in a hospital that recently completed an expansion program and opened a new 36 bed medical/surgical unit. Recently you have not done too badly in keeping your nursing staff up to required levels in spite of a general shortage of nurses in your geographic region, but the opening of the new units has strained your resources to the extent where you are short several nurses. this shorage is particularly evident on the evening shift (3-11). You have more than enough people willing to work days and nights. In response to your long-running recruiting efforts, a well-qualified register nurse has applied for employment. You are impressed with her; she seems energetic and personable, and she is immediately available. Also, she is quite willing to take a position on the evening shift. Unfortunately, although she is willing to work 3-11 shift, she has also stated during her initial interview that she cannot work any weekends. she stated that weekend work causes severe inconvenience in her family life, and she repeats her willingness to work evenings, but only Monday thru Friday. You have not explained to her that scheduling practices in your hospital require everyone below the level of the day, evening or night shift supervisor to work every other weekend. Address all 6 questions. 1-Define and summarize the problem. 2- If you alter or do not alter your schedule, is this a case of discrimination? why or why not. 3- Knowing your critical need for nurses on weekends, what are you going to tell this applicant? 4- If you adhere to your scheduling policy and the nurse refuse the job, what problems will you be facing? 5- If you alter your schedule policy and offer the applicant a monday- friday position that she accepts, what problems are you likely to face? 6- What is the optimal solution in this situation. explain, why you chose this strategy. basically, defend your position. Be specific and detail in your answers.
Answer: The rules and regulations are for everyone and for all the members working in the hospital. The problem is that the nurse is unable to work on weekends and the hospital needs the staff members and nurse to work on weekends also. Although the nurse is more capable and ready to work in the evening shifts also, but not willing to work at weekend.
In this case we can manage the things because getting a good nurse and willing to work is difficult. So we can change her shift as well as can solve the problem such as she can work alternate weekends. The will solve the problem for both.
Offering weekends off for the particular one nurse will lead many problems as other staff members and nurses will ask for the same and it will be partiality among the members.
The solution can be that she should be appointed on the basis that she has to work on every alternative weekends.
You are director of nursing in a hospital that recently completed an expansion program and opened a new 36 bed medical/s...
Documentation Recently a training was held by an outside organization for the care team at the skilled nursing facility in which you are the manager at. This training focused on the importance of documentation, and their motto was "if it wasn't documented, it didn't happen." After the training was held, one of the medical assistants asked to speak with you. She related that a few days ago, one of the nurses gave a patient their insulin injection but didn't document...
Documentation Recently a training was held by an outside organization for the care team at the skilled nursing facility in which you are the manager at. This training focused on the importance of documentation, and their motto was "if it wasn't documented, it didn't happen." After the training was held, one of the medical assistants asked to speak with you. She related that a few days ago, one of the nurses gave a patient their insulin injection but didn't document...
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A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went...
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