NAME: CASE STUDIES The night charge nurse and the day charge nurse are discussin
ID: 305740 • Letter: N
Question
NAME: CASE STUDIES The night charge nurse and the day charge nurse are discussing patient priorities for the next shift. The night charge nurse indicates that most of the night staff prefer a detailed checklist of tasks to be completed during the 12-hour shift. The day charge nurse replies that there are too many unexpected events that can happen during any shift to rely only on a checklist. However both charge nurses agree that patient outcomes are the first priority for the nursing unit. 1. Explain the perspectives of each charge nurse based on the concepts of leading, managing, and following 2. How might each charge nurse further explain their position to the chief nursing officer? Thomas, a new nurse graduate, is assigned to practice on a unit where practices are physician centered. He is working on the night shift and knows that eventually he will have to call a physician for advice about a patient. He dreads this experience because he has heard so many tales about how much physicians dislike being awakened in the middle of their sleep. He asks a more experienced nurse how to present information, how to convey the importance of needing an answer, how to remain calm if the physician is disturbed with him, how to document his oral interchange with the physician, and what the nurse's first experience was like. 3. Is it true that physicians dislike being awakened at night? 4. Is asking a more experienced nurse about how to present information a good strategy? Stan has been a staff nurse on a medical-surgical unit in a large urban hospital since graduating with his BSN 2 years ago. He has thrived on this unit under the leadership and mentorship of his nurse manager, Linda Green. She hired him and assigned a preceptor for his first 6 months on the unit, a nurse who had 3 years of experience in nursing and on the unit. Stan and his preceptor worked on the same shift, and the preceptor was invaluable in helping him to become acclimated to the unit, to the policies and procedures, and to caring for four to six patients on the 7 PM to 7 AM shift. Since the preceptorship ended, he has maintained a very positive relationship with his preceptor and goes to this person when he needs assistance with practice questions Stan meets with Linda Green regularly, and she has helped him to develop and to plan for meeting his career goals. Stan is interested in moving into a critical care unit as a staff nurse and later considering anesthesia school or a management role. He wanted to stay on the medical-surgical unit for a couple of years, which he has now accomplished, and he feels ready to move to a critical care unit. Ms. Green has even arranged for Stan to shadow a charge nurse on the unit to gain exposure to a management type of role. He has received very positive performance evaluations from Ms. Green, who has regularly solicited his feedback on his perceptions of hisExplanation / Answer
1, Charge nurse will lead thier team and managing the work systems and process on thier units to make sure the needs of patient to be met..they must be a skillful person for leading,managing and following..For 12hours shifts she need extra membership of the team..she must have some experience to lead their team..charge nurse responsible for organization accountablity for safe and efficient care and ensures an economic return..charge nurse will directly interact with physician and patients problems..They will face the several departments and facilities management to make sure patients getting adequate supplies..They also have contact with patient family during complex care mamangment challenge..She also responsible for additional duties loke oversight of core measures performance and hourly rounding..charge nurse serves as a mediator between management and staffs..
2, cheif nurse is head of the nursing staff for each department..charge nurse can approach cheif nurse for any needs of changes in across-departmental,decision-making,any improvement in activites,any issues in nursing services and to manage nursing budgets..if there is any technology issues and positive changes in the hospital health care environment charge nurse and approach the cheif nurse..
3, no,Fatigue and other resources can present during night shift for the physician..but physician can take steps to solve the risk to themselves and their patients..communication between nurse and physician is important during night shift..It it fails there will be lack of investigation,failure to followup on initial findings and delay in treatment..if physician feels fatigue during night shift,they must do some altenative care..
4,Yes,new nurse may have frastration and feeling difficulty with a different kind of patient and procedure,getting knowledge and experience from experience nurse is a good strategies..experience nurse must involve the new nurse in all kind of patient care,must teach them new procedure..by doing this they will get good working experience and relationship..
5, Leadership has been an important part of the function of any organization..development of the quality by learning and by implementing processes with other people is the important aspect..stan's moving to this position if he receives an offer will provide more positive outcomes..
6, He can show personal prejudice in decision making,being quiet in meeting and will not share his ideas with other leaders,he will not consider other's acheivement..he will be under stress due to deadline for completing his goal..
7, If he asked for our candid assessment of what we would do means we will explain to avoid his negative aspects,to take everything positive and work..We must be open-minded and optimistic behaviour leaders must have passion about their own work they must be ready to face any situation..changes are necessary for better care management..
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