member, has been working from 7 a.m. to 3 p.m. on an infectious disease f Shawna
ID: 124566 • Letter: M
Question
member, has been working from 7 a.m. to 3 p.m. on an infectious disease f Shawna, a new staff since obtaining her RN license 4 months ago. Most of the staff members with whom she works with have been there since the unit opened 5 years ago. On a typical day, the staffing consists of a nurse manager, two RNs, an LPN, and one technician for approximately 40 patients. Most patients are HIV positive with multisystem failure. Many are severely debilitated and need help with their activities of daily living. Although the staff members encourage family members and loved ones to help, most of them are unavailable because they work during the day. Several days a week, the nursing students from Shawna's community college program are assigned to the floor. Tina, the nurse manager, does not participate in any direct patient care, saying that she is "too busy at the desk." Laverne, the other RN, says the unit depresses her and that she has requested a transfer to pediatrics. Lynn, the LPN, wants to "give meds" because she is "sick of the patients' constant whining," and Sheila, the technician, is "just plain exhausted." Lately, Shawna has noticed that the other staff members seem to avoid the nursing students and reply to their questions with annoyed, short answers. Shawna is feeling alone and overwhelmed and goes home at night worrying about the patients, who need more care and attention. She is afraid to ask Tina for more help because she does not want to be considered incompetent or a complainer. When she confided in Lynn about her concerns, Lynn replied, "Get real-no one here cares about the patients or us. All they care about is the bottom line! Why did a smart girl like you choose nursing in the first pface? 2 7. How is the nurse manager reacting to the changes in her staff members? 8. What is the responsibility of administration? 9. How are the patients affected by the behaviors exhibited by all staff members?Explanation / Answer
7. Nursing manager should have taken the charge of appointing nurses for the patient by herself. She shouldn't have just given an excuse of she is bbusy with other official work . after assigning the shift to particular nurses she should have invigilated the quality of service and care nurses are giving to patientpatient's or not. At the upper situation as she is not taking incharge of aactivities due to this patient are on the sufferer side.
8. Responsibility of an administrators is to look at the matter by themselves and call up an meeting and demand an explanation for such a casualness behaviour shown by nurses in patient care. A immediate corrective acyion should be taken and everyone responsibility should be assigned depending on the shift of their work.
9. Patients will be more suffering here due to casualness behaviour of nursing staff. It's not good ethically to avoid your clients. This case comes under compliance activity and serious action can be taken if such casualness will be proved in investigation. Hiv patients required personal care from to time due to having low immunity. Such act can lead to some unappreciative critical condition for some patients.
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