How to Build an Operating Manual Your Clinicians Actually Use
An operating manual is your practice's how-to: step-by-step processes for the work that happens every week. It isn't your employee handbook, which covers HR and compliance, and it isn't your policy set, which holds the rules. Keep the three separate. Have the manual link to policies instead of repeating them, and it stays usable at any size.
When It's Not Working: Letting a Clinician Go Without Betraying Your Values
Letting a clinician go can fit your values if three things are true: they knew the expectations and had a real chance to meet them, their clients are protected through the transition, and they leave with their dignity intact. Most of what makes a separation ethical happens months before the conversation. What usually goes wrong isn't the decision. It's the delay.