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ok, here is a trick question that i was asked during an intervew for a federal job. what would be your answer? remember, the interviewer knows the answer, but is trying to find out what your answer is...i will tell you the answer after i find out what other responses might be. here is the question:
q: a floor worker aka certified nurse assistant comes to you and states that a resident is not "quite acting right". what would you as the charge nurse do?
using the nursing process, what would you do? i stated i would first assess the resident..vital signs, etc, then check the chart for any previous episodes, check the mar for new medications or reactions to meds, chart all this information, call the doctor if vitals are not wnl,
but there is one other important thing to do. the one thing they(the interviewers) were looking for, i did not say and why did i not think of this???. everyone knows that you do this, but if you are thinking of the residents needs now, you are not thinking of this answer that they, the interviewers, wanted which you wouldn't do until you are ready to leave...my g-d some people must think nurses are dumb.
anyone game? :banghead:
which you wouldn't do until you are ready to leave...
if you are not going to do this thing until you are 'ready to leave'...
then you have already documented, recorded, passed on information to the following shift, informed relatives, doctors, uncle tom cobbley and all.
the thing i wouldn't do until i am ready to leave?
...poke my head around the door (of the room/bay area) to see if there is any change in the patient.
and if appropriate update them to what is happening.
and praise the cna for their observation.
If a CNA came to me saying the resident wasn't acting right, the first thing I'd do is get him/her to be more specific/objectively descriptive... but that's not what they're asking, apparently. If they're looking for something you wouldn't do until you're ready to leave, then the answer is WASH YOUR HANDS.
I think we're wracking our brains because the answer is so simple/automatic.
Assuming I'm right.
:wink2:
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"but if you are thinking of the residents needs now, you are not thinking of this answer that they, the interviewers, wanted"
change/update something in the care plan? that's always a waste of time for me and keeps me from my patients. i don't know.....
everyone has provided great answers!