Review employee materials. Make sure that every newly hired staff member reads the employee handbook and signs a document spelling out the consequences of breaking the rules or not meeting spelled-out expectations. At the same time, beware of compromising staff members' at-will employment status by implying that adherence to the rules guarantees permanent employment. In the handbook, include a disclaimer stating clearly that employees can be discharged without cause. Establish effective employment policies.
Discharged employees are most likely to sue when the pink slip arrives unexpectedly.
Conduct regular job reviews plus a 90-day review after hire to keep employees apprised of your expectations and perceptions. Keep thorough records of all comments made during the job review and of employees' promises to improve lagging performance. Document everything, including conversations with the employee and comments made by patients and other staff members. Create a formal discharge procedure. Never summarily fire employees.