"Typically, we have a protocol in place for various situations. If a patient has a history of harming themselves or other behavioral episodes, their doctor may have orders to sedate or medicate the patient as needed or provide other alternative care to ensure the patient and staff are safe. If a staff member came to me with concerns, I would listen carefully and document the situation. There have been instances where some staff work better with certain patients, so we allow them to trade assignments, or we can provide care with multiple clinical care team members in the room at once to ensure safety. It's important to take their concerns seriously and encourage them to speak up when they do not feel safe and work together to find an appropriate solution."

As the charge nurse responsible for the shift, you will be the "point person" for staff to come to with concerns and questions. You must be able to assess the situation and provide a solution that promotes the safety of your staff and patients while also ensuring necessary care is provided. Give an example of a time you have encountered this type of situation or describe how you would handle the situation in the future. Be sure to highlight your listening and communication skills and ability to remain calm and think critically.

Safety concerns need to be addressed immediately. Depending on the situation it could lead to injury or death of a patient. We also have to keep the staff safe. I take all concerns regarding safety seriously. I will assess the situation and determine what immediate intervention needs to be put into place to keep the staff and patient safe. Once I have established the immediate threat or concern has been handled, I can look into how to prevent the safety issue in the future on a more permanent basis.