A nurse manager is developing a plan to discipline an employee who has been neglecting to perform assigned duties. Identify the sequence of steps the manager should follow when using the progressive discipline process if the employee's behavior continues. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A. Apply lotion to the newborn's skin every 4 hr: Lotions or ointments should be avoided during phototherapy because they can interact with the light and increase the risk of skin irritation or burns. The newborn’s skin should be kept clean and dry.

B. Keep the newborn's head covered with a cap: Covering the head is unnecessary and may interfere with heat dissipation. Phototherapy aims to expose as much skin as possible while protecting the eyes with an eye shield.

C. Supplement the newborn with glucose water between feedings: Glucose water is not recommended. Frequent breastfeeding or formula feeding supports hydration and promotes bilirubin excretion more effectively than glucose water.

D. Reposition the newborn every 2 hr: Frequent repositioning helps expose different areas of skin to the phototherapy light, promoting even breakdown of bilirubin and preventing pressure injuries. It is an essential part of nursing care during phototherapy.

A. Zolpidem 10 mg PO HS:This is the correct and acceptable documentation format. It includes the full drug name, dosage, route, and timing abbreviation ("HS" for bedtime), all of which are permitted and clear in medical documentation.

B. Heparin 10,000 u subcutaneously TID:The abbreviation "u" for units is considered unsafe and prone to misreading (e.g., as a zero). Instead, "units" should be written out to prevent medication errors.

C. Docusate 100 mg PO QD:"QD" is a dangerous abbreviation that can be misread as "QID" (four times daily). The Joint Commission recommends writing "daily" instead to ensure clarity and patient safety.

D. Lorazepam 2 mg PO BID:While mostly acceptable, using "BID" can be risky because it may be misinterpreted. Current best practices encourage writing "twice daily" to reduce ambiguity in documentation.