1. Absenteeism CH24

A reflection or role stress and strain.
_Need Replacement Staff ($$-agency, more supervision needed)
__Some absences are VOLUNTARY and PREVENTABLE (need to look are resources)
__Managers job=help employee
__may ind. dissatified with wk
__personal problems

2. Uncooperative/Unproductive Employees (2 dimmensions) CH24

1.Motivation (ID prob, promote motivating envir., may need transfer)
2. Ability (may need more training; work with educ. serv.)

3. S/S of Immature Employees CH24

lack impulse control, too immature...
defiance, testing of workplace guidelines,passivity or hostility, or little appreciation for any management decisions (Ex:Know it all/not team player)
Stress can cause immaturity

3. Manager Dealing with Immaturity CH24

to not react but to relate
confronts the employee with the specific behavior define realistic behaviors with consequences for non adherence.

4. Emotional Intellegience Undevelopment CH24

not being self-aware (you can't see how a situation affects others)
not manage emotions
not able to motivate self
not empathetic
don't handle relationships well
SELF CENTERED RATHER THAN PPL CENTERED

5. ways to avoid CLINICAL INCOMPETENCE (5) Ch24

Initial Orientation
Skills Check lists w/annual recertification
Quality Management Program-shows us we are giving Quality Care (ex. surgical floor-look at infection)
Annual Performance Appraisal (for raise maybe)
Incident Reporting

6. S/S of Emotional Problems (5) CH24

- poor judgment
- increased errors
- increased absenteeism
- decreased productivity
- negative attitude

S/S some is angry with you (4) CH24

1. Sarcasm
2. Negativity
3. Bringing up past issues
4. Withdraw from person

Employee Assistance Program (EAP) CH24

Help you get through the things that are killing you (personal etc.) Purpose-get the manager out of COUNSELOR position
Referal to Counseling
Human Resources included: to assure compliance w/ADA
OBN-Peer Assistance Program (rehabilitation)

Chemical Dependency CH24

EARLY RECOGNITION by staff/manager importance
Uphold the NURSE PRAC. ACT (manager)
Rely on HR DEPTMENT
POLICIES regarding substance abuse
(Help don't punish) MUST HAVE TX
Denial makes ID hard

TQ most important thing a manager can do for a pt is???

GET THEM HELP!!!

S/S CHEM DEPENDENCE Ch 24

Behavior Changes - mood swings, change from tidy to untidy, unusual interest in patients pain control, frequent changes in jobs and shifts, increase in absenteeism and tardiness.