Reference no: EM133649345

Assignment:

Explain how complacency and lack of coordination and follow up with co-workers contributes to the lack of clarity in the case study below for 1 45 bed medical telemetry floor?

1. 45-bed medical telemetry floor-Despite having designated day and night assistant directors and charge nurses that had been with the organization for many years, no one was really in charge. The assistant director/charge nurse could be found at the main desk or in the employees lounge on the phone. They made shift and new admission assignments, rarely taking patients of their own. They did not make rounds to evaluate patients' progress. Occasionally, they were asked to see a patient related to a complaint, but there was never evidence of a resolution. The hospital had a policy and documentation system for administrative unit rounds on each patient and each unit for every shift. No documentation could be found that this was being completed.

New registered nurse staff (new graduates and new hires) did not appear to use the designated nurse leaders as resources. This explained some physician complaints about "a bunch of novice nurses running the show." Additionally, the nursing administration had received multiple family complaints about the lack of response to call lights, pain medicine requests, and unanswered calls at the nursing station.