Question

Give praise for the correct dose and time and discuss the deficits in charting

In supervising the new RN, good performance should be reinforced first and then areas of improvement can be addressed. Asking the nurse about knowledge of pain management is also an option; however, it would be a more indirect and time-consuming approach. Making a note and watching do not help the nurse to correct the immediate problem. In-service might be considered if the problem persists.
as the charge nurse, you are reviewing the charts of clients who were assigned to a newly graduated RN. The Rn correctly charted dose and time of medication, but there is no documentation regarding non-pharmaceutical measures. what action should you take first?
A. make a note in the nurse's file and continue to observe clinical performance
B. refer the new nurse to the in-service education department
C. quiz the nurse about knowledge of pain management
D. give praise for the correct dose and time and discuss the deficits in charting

Answer 1

Acknowledge the accuracy in charting dose and time, then address the documentation of non-pharmaceutical measures with the new RN to improve their pain management charting practices.

Step-by-step explanation:

As the charge nurse supervising a new RN, the first action to take when discovering documentation deficits is to address the situation directly with the nurse. The RN has accurately charted the dose and time of medication administration, which should be acknowledged and commended. After giving this praise, it is crucial to discuss the importance of documenting non-pharmaceutical measures for comprehensive patient care. By providing guidance on the need for holistic documentation, the charge nurse helps the new RN to understand the complete scope of pain management and ensure that all aspects of care are recorded and communicated effectively.