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 B
Explanation
A. Allowing someone else to use your login credentials compromises patient confidentiality and violates privacy policies.
B. This response correctly emphasizes the importance of maintaining security and confidentiality in electronic health records. Each user must access the system using their credentials to ensure accountability.
C. Signing a note under someone else's password is not acceptable and could lead to misattribution of documentation.
D. Entering information on behalf of another person also violates policies regarding documentation and accountability.
Correct Answer is B
Explanation
A. While absenteeism may influence other staff members, this is not the most serious effect.
B. The most critical impact of absenteeism is that it may lead to unacceptable patient care due to inadequate staffing levels and continuity of care, compromising patient safety and quality.
C. Although using replacement personnel can impact unit culture, it is secondary to the immediate concern of ensuring safe patient care.
D. Lower salary costs due to fewer personnel may seem advantageous but do not outweigh the potential negative consequences of inadequate patient care and the overall effectiveness of the nursing unit.