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Julia sears

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  1. I have a relatively new nurse at my clinic who is struggling to pick things up. She has been here since mid-June. She is very detail oriented, which is good, and has a good memory for new information but she is SLOW. It takes her a while to incorporate new things into her workflow, she often focuses on the wrong thing, and also just moves slowly. There is absolutely no lighting a fire under her to speed things up and she is needing consistent reminders to do pretty simple things, like speaking up to repeat back orders or concur in a time out. What she does she does well, but she has been in orientation longer than normal and I don't see her ever picking up the speed. We are a clinic, but we also do procedures and she is drastically holding up the procedure day. She is only doing half of her job so far- haven't even started to add the other half into her training because she is so slow with what she is currently doing. I have the capacity to let her go, but there needs to be a clear-cut reason that she is failing at her new job, not meeting the standards, but speed of practice isn't a justifiable reason. I'd love any advice on how to deal with this or get this nurse up to speed.
  2. Good morning, all! I am a GS nurse manager in a military medical facility and am trying to find out if/how the nursing scope of practice is different in the facility (since it is on federal property) than the state we are located in. We are trying to troubleshoot some staffing issues (LPN and RN) and I am getting recommendations and advice from a lot of different stake holders that just doesn't feel right. I want to utilize my staff in the best way possible while making sure I am protecting my license as well as my staff. I appreciate any guidance or resources you all may have!

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