Directions:
Jane is a newly graduated practical nurse working in an acute
rehabilitation center on night shift (6:45pm-7:15am). Jane has
three small children who she gets ready for school in the am and
takes to the bus stop. She explained to her employer when she
accepted her position that she must leave on time as she is the
sole person responsible for her children. The Director of Nursing
stated at that time that “overtime is prohibited. You should always
leave on time unless there is a major emergency at change of shift.
We are open 24 hours a day, and nursing is a fluid profession that
moves from shift to shift.”
Jane has found that when she is being relieved by Joanna, she is
always late. This has put a strain on Jane’s responsibilities at
home, and her overnight babysitter has stated that if it happens
again, she will need to look for another sitter. This has caused
Jane great stress, and today Joana is scheduled to be Jane’s
relief. Anxiety has been pulling at Jane all night.
At 6:45am. Jane has her report sheet prepared and has all her
clients taken care of. She is prepared to give report and leave her
duties for the day. It is now 7:00am, and unfortunately, Joanna has
not arrived. Jane is becoming more anxious and concerned. Jane is
concerned she will not make it home in time to relieve her
babysitter as promised.
Joanna arrives at 7:01am. Jane asks Joanna to count narcotics
first, and then get report. Joanna agrees. The following
conversation then occurs:
Jane states: “Thanks, Joanna, for counting first. I really
appreciate it. I am going to give you a brief overview of the
clients who have had no changes, and then go in depth with those
who are ill or have changes in condition. I have everything written
on the report sheet, and I will answer any questions as we go, but
I need to leave in 8 minutes.”
Joanna replies with a stern loud voice “Who do you think you
are? I am not about to take over the unit without a fine tune
report. I need to know about everyone, not just those who are sick
or getting better. I do not have time to read report. Tell me or I
am not taking over.”
Jane became very defensive and upset stating “My shift is over.
It is 7:18am. If you wanted full report on all clients, you should
have been on time. I wrote everything down. I am now leaving. We
counted, you have the keys to the medication cart. I am leaving.
Have a good day.”
Initial Post
Response Post
For your peer response, you will assume the role of the Director
of Nursing. Jane and Joanna have both come to you for help
resolving this conflict. How would you respond?
Directions: Jane is a newly graduated practical nurse working in an acute rehabilitation center on night shift (6:45pm-7
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