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 managing medication costs is important, it is typically not as significant in terms of overall budget impact compared to staffing.
B. Managing supplies can contribute to cost reductions, but staffing is usually a more substantial portion of a nursing budget.
C. Staffing costs represent the largest expense in most nursing budgets, and nurse managers can have a significant influence on these costs through effective scheduling, staffing ratios, and retention strategies.
D. Fixed costs, such as rent or utilities, do not fluctuate based on operational decisions made by nurse managers and thus offer less opportunity for cost reduction at the managerial level.
Correct Answer is ["A","C","D"]
Explanation
A. Blocking access to pools is essential to prevent drowning, which is a significant risk for infants. This action promotes safety in the home environment.
B. Keeping houseplants near the baby's crib is not advisable, as some plants can be toxic if ingested, posing a safety hazard.
C. Keeping plastic bags away from infants is crucial, as they can pose a suffocation risk if a child plays with or gets trapped in one.
D. Serving food in small, bite-sized pieces is recommended to prevent choking, as infants can easily gag on larger pieces of food.
E. Placing an infant in a supine position while feeding is not safe, as it can increase the risk of aspiration. Infants should be in an upright position while eating to reduce this risk.