Question

You are a unit manager in an acute care hospital. You are aware that staff occasionally leave at the end of the shift with forgotten hospital supplies in their pockets. You remember how often as a staff nurse you would unintentionally take home rolls of adhesive tape, syringes, penlights, and bottles of lotion. Usually, you remembered to return the items, but other times you did not. Recently, however, your budget has shown a dramatic and unprecedented increase in missing supplies, including gauze wraps, blood pressure cuffs, stethoscopes, surgical instruments, and personal hygiene kits. Although this increase represents only a fraction of your total operating budget, you believe that it is necessary to identify the source of their use. An audit of patient charts and charges reveals that these items were not used in patient care. When you ask your charge nurses for an explanation, they reveal that a few employees have openly expressed that taking a few small supplies is, in effect, an expected and minor fringe benefit of employment. Your charge nurses do not believe that the problem is widespread, and they cannot objectively document which employees are involved in pilfering supplies. The charge nurses suggest that you ask all employees to document in writing when they see other employees taking supplies and then turn in the information to you anonymously for follow-up.

Assignment:

Because supplies are such a major part of the operating budget, you believe that some action is indicated. You must determine what that action should be. Analyze your actions in terms of the desirable and undesirable effects on the employees involved in taking the supplies and those who are not. Is the amount of the fiscal debit in this situation a critical factor? Is it worth the time and energy that would be required to truly eliminate this problem?

Answer 1

1. Pilfering the supplies of the hospital is action or an unethical practice which is supposed to be stopped or eliminated through adopting appropriate actions. The actions which can be adapted by the management are to introduce a code of conduct which highlights the warnings against pilfering the hospital supplies and the losses which the hospital has to suffer due to lack of supplies. This would generate awareness in the employees and the pilfering practice can be reduced. Appointing a person or making in charge of a person for monitoring such activities can be also beneficial.

2. This action can cause many desirable and undesirable effects in the individuals who indulge in pilfering and those who are not. The people who are not involved in this practice can feel undesirable in such actions as they are also being suspected for the theft. The monitoring practice can generate an awkward situation. For the people who does this can change their mind and can stop performing such activities.

3. It is worth for the organization to spent time and energy for eliminating such pilfering activities. Since these are unethical activities and can be adapted by other employees also this has to be monitored and controlled.