Counseling versus termination is never easy; many performance issues start as missed messages and unclear expectations.
Performance issues often start with communication
Before termination, document whether the employee:
- Repeatedly ignored established paging procedures
- Created PHI risk on personal devices
- Refused training on your office communication tool
Counseling works when expectations are specific and measurable: "Use Venga for all doctor requests during clinic hours."
When termination is more likely
- Willful HIPAA violations after written warning
- Hostile behavior tied to ignored protocols
- No improvement after 30 days with clear tools and coaching
HR and compliance advisors should review serious cases—this article is operational guidance only.
Preventive step
Standardize onboarding on one paging system so discipline is not arbitrary.
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