April 12, 2010 Class Discussion
Terminating an employee is never a pleasant thing to do. In order to make the best of a bad situation the employer should be prepared.
1. Arrange for a private meeting with the employee who is being terminated.
2. Calmly state the reason for dismissal without giving the employee hope for negotiation and be prepared to give examples of the behavior the employee is being terminated for.
3. Explain the termination process and the exact date the termination will take place.
4. Allow the employee time for his/her input without being wavered.
5. End on a positive note. If possible allow the employee to leave the company immediately to avoid embarrassment and demoralization of the other employee's.
Wednesday, April 14, 2010
Wednesday, April 7, 2010
April 5 class discussion
When I receive health care the thing I consider to be quality care are being seen in a timly manner or at least being informed about the extra long wait. A physician who listens and address all of my concerns even the dumb ones. I consider a physician a good physician when he/she knows when to refere me to someone else more qualified to address a particular problem that he/she may not be as well trained in, know it all's do not usually know it all and make mistakes. I also appreciated when one of my childrens physicians said I do not know let me go look it up and returned to the room with the book and information in hand. I have not been in the hospital for anything but having my children years ago, but the care I would expect there should be the same care I provide to my patients.
As a profesional I believe quality care should include respect, promptness, knowledge, knowledge of limitations, how to find out what is not known, attention to details; even the small ones like trash on the floor, patients, kindness, good listening and assessment skills, and the ability to work as a team memeber.
The two are similar we should not expect more than we are willing to give nor should we give less than we want to receive.
When I receive health care the thing I consider to be quality care are being seen in a timly manner or at least being informed about the extra long wait. A physician who listens and address all of my concerns even the dumb ones. I consider a physician a good physician when he/she knows when to refere me to someone else more qualified to address a particular problem that he/she may not be as well trained in, know it all's do not usually know it all and make mistakes. I also appreciated when one of my childrens physicians said I do not know let me go look it up and returned to the room with the book and information in hand. I have not been in the hospital for anything but having my children years ago, but the care I would expect there should be the same care I provide to my patients.
As a profesional I believe quality care should include respect, promptness, knowledge, knowledge of limitations, how to find out what is not known, attention to details; even the small ones like trash on the floor, patients, kindness, good listening and assessment skills, and the ability to work as a team memeber.
The two are similar we should not expect more than we are willing to give nor should we give less than we want to receive.
March 29 class discussion
I had to think hard to come up with a conflict I was involved in at work because I have not really been part of a big conflict. After pondering for a long time I did remember a conflict I was part of by default.
At the time we did not have specific charge nurses at night the house supervisor would decided who would be put on call and anybody willing would make the patient assignments. I happen to be one of the most experienced nurses working one night so by default I was elected to make the assignments. I evaluated which nurses were coming on and compared them to the patient load and acuity. An LPN was scheduled so I made sure to assign her patients that did not have IV medications. When the day nurses arrived and received their assignments one of the nurses switched her assigned patients with the LPN's patients because she did not want the patients she was assigned. When I explained to her why I had assigned the LPN her patients her response was that is okay I would rather give all of her IV meds for her than have the patients you assigned me. Not really being in charge or having any authority I let it go.
Later I learned that this particular nurse among others often change their assignments around.
If I was the nurse manager I would take time in a staff meeting to explain how assignments are decided upon and that they are not just random. I would make it clear that the nurses are expected to take the assignment they are given unless their is a clear conflict involved. Not wanting to change briefs is not a reason for decling assignments. If the problem continued amoung the few repeat offenders I would make an appointment with them to discusse the problem in private.
I had to think hard to come up with a conflict I was involved in at work because I have not really been part of a big conflict. After pondering for a long time I did remember a conflict I was part of by default.
At the time we did not have specific charge nurses at night the house supervisor would decided who would be put on call and anybody willing would make the patient assignments. I happen to be one of the most experienced nurses working one night so by default I was elected to make the assignments. I evaluated which nurses were coming on and compared them to the patient load and acuity. An LPN was scheduled so I made sure to assign her patients that did not have IV medications. When the day nurses arrived and received their assignments one of the nurses switched her assigned patients with the LPN's patients because she did not want the patients she was assigned. When I explained to her why I had assigned the LPN her patients her response was that is okay I would rather give all of her IV meds for her than have the patients you assigned me. Not really being in charge or having any authority I let it go.
Later I learned that this particular nurse among others often change their assignments around.
If I was the nurse manager I would take time in a staff meeting to explain how assignments are decided upon and that they are not just random. I would make it clear that the nurses are expected to take the assignment they are given unless their is a clear conflict involved. Not wanting to change briefs is not a reason for decling assignments. If the problem continued amoung the few repeat offenders I would make an appointment with them to discusse the problem in private.
Wednesday, March 24, 2010
March 22, 2010
Class discussion on motivation
Monday's class discussion was enlightening. I discovered something about myself that I had not really considered before. I am usually motivated by positive reinforecment. for example, when someone one tells me I have done something well I try to do better in other areas to ensure continued approval. Another example is if someone puts trust in me to accompish something I will work hard to do a good job.
But guess what. When I want my kids to do something I use negative motivation. For example, I will tell them if you do not get your homework done you will be grounded from video games for a week.
I have set a goal to try using positive motivation with my children, if I prefer positive motivation maybe they do to.
Class discussion on motivation
Monday's class discussion was enlightening. I discovered something about myself that I had not really considered before. I am usually motivated by positive reinforecment. for example, when someone one tells me I have done something well I try to do better in other areas to ensure continued approval. Another example is if someone puts trust in me to accompish something I will work hard to do a good job.
But guess what. When I want my kids to do something I use negative motivation. For example, I will tell them if you do not get your homework done you will be grounded from video games for a week.
I have set a goal to try using positive motivation with my children, if I prefer positive motivation maybe they do to.
Sunday, March 21, 2010
March 15 class discussion
Personal Career Development Plan
Personal Career Development Plan
- Finish BSN program
- Cross train to the pediatric unit
- Obtain PALS certification
- Apply for clinical supervisor position
- Take advantage of non-formal educational opportunities
- Be open to opportunities that may arise
- Participate on various committee's
- Revise plan as needed.
Tuesday, March 2, 2010
March 1 clinicals 0900-1600
WHAT: I taught the skills labs again. Employees where told that the labs would take 6 hours. The labs would go from 0900 to 1800 so in order to complete all of the labs they would need to start no later than 1200. Most of the employees waited until 1100 to show up so I had some down time.
SO WHAT: I did some homework. The same thing is happening today and that is why I have some time do be bloging right now.
NOW WHAT: I think I will suggest that employees be assisged a specific time slot so that we do not have the down time that nobody is here and then get a rush. If 5-10 people are assigned at a time every 30min, which is the average time each lab took, the time would be used better.
WHAT: I taught the skills labs again. Employees where told that the labs would take 6 hours. The labs would go from 0900 to 1800 so in order to complete all of the labs they would need to start no later than 1200. Most of the employees waited until 1100 to show up so I had some down time.
SO WHAT: I did some homework. The same thing is happening today and that is why I have some time do be bloging right now.
NOW WHAT: I think I will suggest that employees be assisged a specific time slot so that we do not have the down time that nobody is here and then get a rush. If 5-10 people are assigned at a time every 30min, which is the average time each lab took, the time would be used better.
March 1, Chapter 8 Planned Change
What is my attitude toward change?
I am a creature of habit. I like to have a routine it helps me feel like I know what I am doing and have some control.
Although I am open to changes, especially if the change will make an improvement to the given situation, I do have a hard time adjusting to the change and working it into my routine.
An example of a change at work that many of us are forgeting to do is our shift change hand off. We have been asked to go into each room, say goodbye, and introduce the new person who is replacing you. This change has been in place for several months and we still forget. For me it is just remembering to make it part of my routine.
In the reading I read that most changes will take six months to be fully accepted and everyone compliant. I see this in our shift hand off. Little by little more and more of use are remembering more often to do the hand off, but is taking a while for everyone to adjust.
I do agree with the reading that changes are easier when everyone has some input and the reason for the change is clearly understood with the benifits clearly outlined.
What is my attitude toward change?
I am a creature of habit. I like to have a routine it helps me feel like I know what I am doing and have some control.
Although I am open to changes, especially if the change will make an improvement to the given situation, I do have a hard time adjusting to the change and working it into my routine.
An example of a change at work that many of us are forgeting to do is our shift change hand off. We have been asked to go into each room, say goodbye, and introduce the new person who is replacing you. This change has been in place for several months and we still forget. For me it is just remembering to make it part of my routine.
In the reading I read that most changes will take six months to be fully accepted and everyone compliant. I see this in our shift hand off. Little by little more and more of use are remembering more often to do the hand off, but is taking a while for everyone to adjust.
I do agree with the reading that changes are easier when everyone has some input and the reason for the change is clearly understood with the benifits clearly outlined.
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