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A Nurse Manager’s To Do List The nurse manager presented in the scenario is above all, a nurse who belongs to the group of “professional nurses that experience situations each day in which they must lead, manage, and follow” (Yoder-Wise, 2014, p. 6). The manager as she walks in to her unit, is aware of the fact that “care routines must be managed” (Yoder-Wise, 2014, p. 5). In prioritizing her decisions, the nurse manager would need to sort out which problem or issue has the high urgency and importance. Therefore, “a problem with high urgency and importance rankings should be dealt with first” (NDC, 2007, p. 12). Of the five issues she is faced with, the number one priority to address would be the staffing issue related to the RN who called in. As in any staffing problem, the nurse manager needs to consider not only the patient quality care and …show more content…
Without much consideration of the situation at hand, the easy way out would be to call the staffing office for an additional nurse to fill in the deficit. However, as cited in NDC (2007) nurse managers “must balance the needs of followers for growth with the needs of the organization for productivity. They look at what needs to be done and what is right for the organization, then develop plans, establish standards, and take coordinated action” (” (p. 5). Therefore, the best approach the manager would take would be: (1) take note of the day’s census, the nurse-patient ratio, anticipated discharges, and the number of available beds for possible admissions. It is only when all the information are made available that the nurse manager would be able to take appropriate action and decide whether another nurse is needed or to distribute the patients to the other nurses. Whatever decision the manager would make, it is critical that he/she keeps in mind that
It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
The nursing manager needs to delegate the authorities to subordinate nurses. Taking routine patient details, checking their histories and making relevant decisions are some of the most important examples. Also, the source of power that can be found in managing the nursing department is the setting of nursing shifts. Nancy must have been extremely rigid and strict towards managing the routine of the nurses and not allowing the nurses to become flexible and work with their ease. Nancy needs to realize that she is running a department which deals with treating the patients. Therefore, the subordinates of Nancy must be happy and satisfied with their routines. Only if the nurses are happy and satisfied with their working environment then they can provide effective and quality health care to the patients. Nancy need to use the underlying sources of power efficiently to make the nurses satisfied and motivated to perform their tasks
The second option is to call off duty because patient’s safety is key. The primary role of nurses is to provide patient-centered care. The disadvantage of calling off is that it might impact in her record as an occurrence and it might affect her appraisal.
Complex care of patients provides the nurse with a myriad of decisions to be made-however, it must be remembered that although the
If the other RNs all agree and look to the nurse manager to make sure that that is an ok solution it shows they all support the initiative taken but still know the nurse manager is the leader. The nurse manager’s response could be that she appreciates the RN’s initiative to find a solution and that she will look at the schedule to see if she thinks that the RN’s solution would work. Also that the RN that switches patients also agrees and is happy to help out others knowing that if that happened to be her then the other RN would also help her out and switch patients. The outcome could be a switch of how the patients are assigned for the time being and that those five unstable, heavy workload patients are not assigned together for any other
The next step is identifying the various ways in which workload worries may be solved. Managers usually are expected to follow specific guidelines for staffing management such as nurse-patient ratio and classification method for assessing the acuity. Current manger needs to gather enough information to assess the problem well enough. It is important to be aware of nursing input about the problem in the unit. This can be done through a meeting with the staff, one to one conversation, email to the nurses or suggestion box with the time limit to response. Manger needs to assure staff about the confidentiality. Also, manger needs to differentiate between true workload and additional tasks that resulting the workload. After enumerating all the viable
Prioritizing care is one of the first things that nurses learn in their career. Prioritizing requires critical thinking whether it comes to discharging a patient, caring for a patient, or delegating a task to a LPN or CNA. As the charge nurse they must look at the whole picture and not just the tasks that need to be done. The charge nurse is the one makes the assignments for the individual nurses, so if there happens to be a float nurse from a different department they might give them the patients with the lowest acuity depending on the nurse’s experience. The charge nurse must know which patients could be discharged if there was an emergency to arise or not enough hospital beds for those patients who need to be admitted. For example, the nurse is not going to recommend someone who came in with a heart attack; they would most likely recommend someone who is two days post op and is being discharged to a rehab facility in a couple of days. It is the charge nurses duty to make that everyone providing great and safe care to the patient.
Decision making in RN’s practice starts with the beginning of a nurse’s day. The nurse must prioritize which patient to access first and which patient to administer medications first, especially in light of upcoming surgeries and procedures. The nurse must also consider patient’s current blood and other test results in order to decide whether it might be necessary to contact the healthcare provider and report any abnormalities. Since the nurse is the person that is the most with the patient during his hospital stay, she is the one that is the most familiar with that patient and his condition. Therefore even a subtle change she notices in her patient’s condition on assessment, can lead to change of treatment which in some cases might save that patient’s life or greatly contribute to the positive o...
In a code or emergency situation it is very important for the nurse leader to be able to make quick decisions. In this case, there would be little time to make a group decision and it would be appropriate for the leader to step up and be an autocratic leader. An autocratic leader exercises gr...
According to Ritter (2010, p. 28), Unhealthy work environment found personnel having characteristics such as, abusive behavior, disrespect, and lack of leadership, only to mention a few traits. This was certainly demonstrated in this unit that day. I was only too happy to have walked into the unit that day, if not only to assist the nurse but, reassure and provide care to the patients who were subjected to the animosity and turmoil in the unit. I don’t believe a mandatory staff ratio in this case would have helped but, I think having a time frame on when the nurse could safely receive her patients and time to settle each one would be beneficial. The unit needs a lot of work in collaboration and teamwork. I agree with the statement in the American Association of Critical Care Nurse (AACN, 2005) in that it is important to have methods in place for improvements in working relationships, whether it is nurse to nurse or nurse to physician. Finally, the knowledge and abilities of each professional are respected when true collaboration exists and as a result, the goal for providing safe, quality care for patients is attainable. After all, our ultimate responsibility is to our patients. I think we missed
In 1990 the interview guide for nurse manager was introduced on the basis of the “continuous quality improvement” and “right sizing”. With the reduction in the layers of administrators more weightage was given on the proper screening and selection of the first line managers. The unit culture was the way to go ahead. Managers creating culture integrated with incremental change was valued.
In the first six months of beginning a role as a nurse manager, an assessment of the workplace including the role of the union is important. Knowledge of past relationships between manager, staff particularly union workers are key elements to consider. A nurse manager must learn to create a unified environment. The purpose of this paper is to discuss how I will develop my role as a nurse manager in the first six months using the following tools: observation, changes on the nursing unit, staff motivation, scheduling, ethics and mentoring. In addition, understanding and adhering to union clauses or contracts will prevent unintentional violations.
“The nurse manager skills inventory is a tool that is used by nurse managers and their supervisors in capturing the skills as well as behaviors of the nurse manager as per the requirements of a successful nurse manager” (American Association of Critical Care Nurses, 2006). This paper will be a reflection of what I evaluated myself with the use of the nurse manager skills inventory.
A level of trust and mutual respect must be in place for the emergency department to operate appropriately. “Teamwork and inter-professional collaboration are a requirement for efficient, safe healthcare delivery”(Glymph et al., 2015, p. 183). A relationship must be built on trust and knowledge of the desired goal and mission. Nurse Betty has worked diligently with the medical director to create such an environment and culture in her emergency department. She has collaborated with the medical providers and the health care staff to foster a positive attitude and a winning team. The medical providers looked at all of the various complaints that come into the emergency department and created triage orders for the majority of the most common and critical complaints. The triage orders are in place to allow a nurse to initiate care from the onset of care. A nurse cannot place an order without verbal or written permission but with these triage orders in place a nurse can begin to direct the patient’s care. The protocols and triage order sets are in place because of necessity and because of trust. The medical providers trust the critical thinking and care provided by the nursing staff. Nurse Betty has had a great deal to do with the incorporation of preset orders and policies. She has been a liaison between hospital administration and the health care
. This essay will discuss the duties of a shift leader and skills necessary for the successful running of a hospital ward; and explore challenges from the perspective of a newly qualified nurse.