A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?
The nurse manager waits until the end of the work week to document any problems that had occurred throughout the week.
The nurse manager keeps a log or summary sheet of all reported errors, unusual incidents, and accidents.
The nurse manager advises the recipient of uncivil behavior to keep personal notes of the incident.
The nurse manager ensures that documentation of a problem includes a date, time, and brief description of the incident.
The Correct Answer is A
A. Waiting until the end of the week to document incidents can lead to inaccuracies and missed details, making it ineffective for timely documentation.
B. Keeping a log or summary sheet of errors and incidents is an effective way to track personnel problems and provide accurate records.
C. Advising the recipient to keep personal notes can support documentation but should not replace the manager's responsibility to document the incident.
D. Including a date, time, and brief description in documentation is crucial for maintaining clarity and accuracy in records.
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Correct Answer is C
Explanation
A. While using a fire extinguisher is important, ensuring the safety of clients is the immediate priority.
B. Closing fire doors can help contain the fire, but moving clients away from danger is more critical at this moment.
C. Moving any clients in the immediate vicinity is essential to ensure their safety and prevent harm from the potential fire.
D. Activating the fire alarm is important to alert others, but it should be done after ensuring the safety of clients in the immediate area.
Correct Answer is A
Explanation
A. Placing all side rails up may actually increase the risk of injury if the patient tries to climb over them, as it can create a false sense of security. This practice is considered a restraint and should be avoided unless indicated for patient safety.
B. Ensuring the bed is in the lowest position helps prevent falls and is a safe practice.
C. Placing the patient's belongings within reach promotes independence and reduces the risk of the patient trying to get up to retrieve items.
D. Ensuring the wheels on the client's bed are locked is crucial for patient safety to prevent unintended movement of the bed.