The nurse manager is counseling a staff nurse who demonstrated reckles

QUESTION

The nurse manager is counseling a staff nurse who demonstrated reckless behavior. What should the manager say when meeting with this nurse?

1. “I have a handout that can help you.”
2. “I realize that the design of the patient rooms contributed to the error.”
3. “What outcomes do you think can occur if this happens again in the future?”
4. “This is the second time this has occurred and I think a few days off might be needed.”

ANSWER:

Correct Answer: 4

The model recommends specific responses on the part of supervisors. Human error should be responded to with consoling and potential changes in processes, procedures, training, and design. When individuals demonstrate at-risk behavior, coaching and increasing situational awareness and de-incentivizing at-risk behaviors, while providing incentives for healthy behaviors, is recommended. Reckless behavior suggests the need for remedial or punitive actions. Providing a handout and discussing room design is appropriate for human error. Asking about future outcomes is appropriate for at-risk behaviors. Suggesting a few days off is appropriate punitive action for reckless behavior.