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. A computerized provider order system is primarily used for entering and managing medication and treatment orders rather than generating alerts based on assessment data.
B. While the electronic health record (EHR) contains the patient’s information, it does not specifically generate alerts; instead, it serves as a comprehensive patient information system.
C. Clinical decision support systems (CDSS) provide alerts and reminders based on clinical guidelines and data entered into the system, making this the correct answer.
D. WL technology typically refers to wireless technologies and does not directly relate to generating alerts in clinical contexts.
Correct Answer is D
Explanation
A. Suspension with pay is a serious disciplinary action typically taken after other measures have failed.
B. A written reprimand is a formal disciplinary action that may follow initial informal discussions.
C. A day off without pay is a significant punitive action and is not typically the first step.
D. A reminder of employment standards serves as an initial approach to address concerns and clarify expectations before escalating to formal disciplinary actions.