Delegating Coaching and Evaluating Performance

Answer ALL Reflective Thinking questions

Chapter 20

Delegating, Coaching, and Evaluating Performance

Reflective Thinking 1:

You are working the evening shift as a float LPN on a high-observation unit (HOBS) that is a stepdown unit for the intensive care unit (ICU). This HOBS also gets emergency department admissions who do not meet the criteria for ICU admission. It is a busy unit with a team of registered nurses (RNs), LPNs, and UAPs who work well together. Because of the teamwork that has developed among the nursing staff, more is delegated to the UAPs than you noticed last time you were floated to HOBS. You also noticed that there seemed to be less checking on the work of the UAPs. The situation is causing you some concern. Remember: You are accountable, in total, for any task you delegate to another person. You become uncomfortable when you see a UAP getting a patient, who is on strict bedrest, out of bed to ambulate to the bathroom. Fortunately, you were there and were able to prevent what could have been a serious incident. The UAP seemed upset with you for stopping the patient from being ambulated but went on with her work. You have five very sick patients with many parameters of care for you to manage. The behavior and attitude of the UAP do not bode well for the evening. Back to the original question: What are you going to do?

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Reflective Thinking 2:

Review the six errors that are common when implementing the disciplinary process. Pick one that is of particular interest to you; perhaps it is the one you would find the most difficult to do. Document any experiences you have had with the error you selected. Discuss how you would resolve the error in your LPN practice. Add your personal thoughts and feelings as a future manager.

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Reflective Thinking 3:

Consider the four aspects of coaching: (1) energizing, (2) providing positive reinforcement, (3) teaching and counseling, and (4) disciplining. As a nurse manager, how will you address these four areas when managing staff? Provide examples for each aspect.

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Reflective Thinking 4:

Spend time thinking about your workplace surroundings in a current or prior job. Does your organization have policies and procedures that promote diversity? Do you work within a diverse group? What are some of your coworkers’ similarities and differences? Does your workplace practice inclusion? Give an example.