Dr. White ordered an unusual dose of a medication for a patient. May Patterson, RN, sees the order and believes it to be the wrong dose. She is afraid to call Dr. White because he can be abrasive at times. Nurse Patterson asks the charge nurse who is not as familiar with the patient to call the doctor. The charge nurse calls Dr. White. He insists that he knows what is best for the patient and insists that the medication will be given as written. The charge nurse calls you, the administrator on call for the weekend, to resolve the issue. 1. What principles of effective teamwork have broken down? 2. How will you work to resolve the issue?
3. List and describe five potential strategies for conflict resolution within this team. a. What types of information will you need to collect to have an intelligent conversation with this physician? b. Who should be involved in this situation, and the discussion with Dr. White, and why? 4. Which conflict resolution strategy is likely to be most successful? The principles of effective teamwork have been broken down when there was a fear of communication. Being that this case was due to someone’s health, Nurse Patterson should have put her fear of communicating with an abusive man aside and focused more on the patient’s health. It was however good that she at least brought someone else into the situation instead of just putting it all aside and submitting the prescription knowing the possible dangers. I as an on call administrator would resolve the issue by looking into the patient’s medical history and find out what the symptoms are and if that prescription is right in order to treat their diagnosis. I would then call Dr. White to confirm why this certain medication was needed. Bargaining is one of the five potential strategies for conflict resolution. If you can get a team to bargain together you are getting them to come together once then next time a situation arises, the favor can be...
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