Show:
Time Management

Staffing & Scheduling
Workplace Violence
Performance Review
Problem Employees
100

The time of day the biggest, most challenging tasks should be scheduled.

What is: In the morning?

100

Staffing decisions are made by the central office or a staffing center. 

Such centers may not be staffed by registered nurses although someone in authority should be a nurse even when the staffing clerk carries out a day-to-day activity

What is centralized staffing?

Advantages? 

More Fair - 

  • provides organization wide view of staffing needs which encourages optimal utilization of staffing resources
  • Staffing policies tend to be employed more consistently and impartially
  • More cost-effective than decentralized
  • Freeze the middle-level manager to complete the other management functions
100
  • Repeated, health-harming mistreatment of one or more employees of an employer, abusive conduct that takes the form of verbal abuse ; or behaviors  perceived as threatening, intimidating, or humiliating; work to sabotage; or in some combination of the above.
  • Unwanted or, harmful actions intended to humiliate, offended, and cause distress in the recipient.

What is bullying?

100

- Lets employees know the level of their job performance as well as expectations that the organization has of them.
- generate information for salary adjustments, transfers, disciplinary actions, and terminations.

What are: The benefits of performance appraisals?

100

Involves training or molding the mind or character to bring about desired behaviors. A necessary part of fostering excellence in the organization.

-----------------------------------------------

An undesirable event that follows unacceptable behavior which may have negative consequences, but can be a powerful motivator for change. (part of the discipline process)

What is: Discipline & Punishment 

  • Discipline involves training or modeling the mind or character to bring out desired behaviors. Punishment is an undesirable event that follows an unacceptable behavior
200

Two common mistakes made in planning? 

  • Underestimating the importance of a daily plan 
  • Not allowing adequate time for planning
200

Also known as workload management or a patient acuity tool. Groups patients according to specific characteristics that measure the acuity of illness to determine both the number and mix of staff needed to adequately care for those patients.

What is a patient classification system?

200

Bullying, incivility, and mocking occur in the workplace. Can include physical violence and carious antisocial behavior.

What is: Workplace Violence

200

- Make sure conditions have been met (Private space)
- Select the appropriate time for the appraisal conference
- Give employee 2 - 3 day notice
- Schedule uninterrupted appraisal time

What are things that should occur before an Appraisal Interview?

200

- Ineffective communication 

- Unclear expectations of team members in their various roles

- poorly defined or actualized organizational structure

- Conflict of interest and variance in standards 

- Incompatibility of individuals 

- Management of staffing changes 

- Diversity related to age, gender, race, or ethnicity

What are the common causes of conflict?

300

What are the three categories of Prioritization?

Don't do, Do now, Do later

Do now

  • Staffing needs, dealing with equipment shortages, meeting schedules, conducting hiring interviews and giving performance appraisals.
  • Items that have been put off earlier

Do later

  • Reflect trivial problems or those that do not have immediate deadlines
  • May be procrastinated for means to put something off until a future time or postpone or delay.
300

True/ False

Patient classification/acuity systems reflect the accurate number of staff needed to meet patient care needs.

FALSE: 

Perception does not always reflect reality - unseen needs are not always recognized in patient acuity scores.

300
  • Workers in healthcare are four times more likely to be assaulted than workers in a private industry.
  • Patient-to-nurse violence is more likely when patients must stay in the emergency department for long hours or days.
  • 70% of nurses in emergency services

What is: the incidence of workplace violence for nurses?

300

Provides feedback that promotes growth.

Provides learning opportunities for the peer reviewers. __________________________________

Staff are often poorly oriented to this method.
Can be viewed as threatening.
Peers often feel uncomfortable sharing feedback.
More time-consuming.
Unfair appraisals due to friendships among coworkers.
Managers may feel insecure.

What are the benefits and Challenges of a Peer Review?

300

First Infarction: Informal Reprimand, Manager and employee meet, discuss the issue, suggestion for improvement/correction. 

Second Infarction: Written warning, the manager meets with the employee to distribute a written warning, review specific rules/policy violations, discussion of potential consequences if infarctions continue. 

Third Infraction: Suspension either with or without pay. Managers should remove employees from the job for a brief time

Fourth: Involuntary termination or dismissal and should be used as a last resort

What are: The steps in the Progressive discipline Process? 


400
  • Technology such as the Internet gaming e-mail and social media
  • Socializing
  • Paperwork overload
  • A poor filing system
  • Interruptions

What are examples of time wasters?

400

Generational Characteristics

Display traditional work values, however, tend to be more materialistic and thus willing to work long hours at their jobs to get ahead. Called workaholics.


May lack the interest in lifetime employment at one place that prior generations have valued, instead value greater work flexibility, and opportunities for time off.


Known to work together while in teams and exhibit a high degree of altruism and have a higher eco awareness and greater multicultural ease than old coworkers. 


Homeland generation or tech generation. The older members of this generation are just now entering the work force. Sociologists suggest that this generation will resemble the silent generation.



Boom Generation

Characteristics of GEN X

Characteristics Millennials

Characteristics of GEN Z


400

Nurses exposed to workplace violence are two to four times more likely to experience PTSD, anxiety depression, and burnout than nurses with no exposure.

What are the consequences of workplace violence on nurses?

400

- Greet the employee warmly
- Conduct the conference in a nondirective and participatory manner
- Ask the employee to comment on their progress
- Avoid surprises
- Use positive encouragement
- Avoid vague generalities

What are: things that should occur during an appraisal interview?

400

Type of Employee: Discipline involves training or modeling the mind or character to bring out desired behaviors. 

These employees often make tremendous efforts to make competencies yet usually manage to meet only minimal standards at best. Employees usually do not warrant dismissal but they contribute very little to the overall organizational efficiency

What is a Marginal Employee? 

Follow up: How do you deal with a marginal employee?

500
  • Create protected time. 
  • Reduce interruptions
  • Shut your door
  • Create clear boundaries
  • Step off the floor
  • Don’t post your calendar on the door

What are strategies for dealing with interruptions?

500
  • When nurses work more than 8 hours day, patients are at risk. 
  • More medication errors and Sentinel events occur when nurses are fatigued, and the numbers rise exponentially when nurses work past 12 hours. 
  • Suggestion that nursing shifts longer than 12 hours should be prohibited
  • Someone may not be a nurse making the healthcare decisions if the person making the
  • Health problems and mood disorders occur with poor staffing

What are: Concerns regarding different scheduling options?

Excessive nurse work hours such as more than 40 hours per week or 12 hours a day. Adverse patient outcomes: medication errors nosocomial infections, falls with injuries and errors.

500

Past history of aggression for impulse control and past violence next one poor coping skills limited support systems

Comorbidity that leads to acts of violence such as psychology, delusions, command hallucinations, and angry reactions with cognitive disorders. Living in a violent environment.

What are: Risk factors associated with violence?

500

- Manager and employee need to sign the application form
- End interview on a pleasant note
- Document the goals and further development that have been agreed on

What are: Things to occur after an appraisal interview?

500
  • Mandatory drug testing however does invoke questions about privacy rights in general it should not be implemented without advice from human resources
  • No drug use will be tolerated
  • The employee should be assigned to day-to-day shift for the first year
  • The employee should be paired with a successfully recovered nurse when possible next to line the employee should be willing to consent to random urine screening with toxicology or alcohol screens
  • The employee must give evidence of continuing involvement with support groups such as AA and NA. Employees should be encouraged to attend meetings several times each week
  • The employee should be encouraged to participate in a structured aftercare program.
  • The employee should be encouraged to seek individual counseling or therapy

What are: Generally accepted reentry guidelines for the recovering nurse?