4. After speaking with her unit nurse manager and the nursing director of her service, Selena realizes that they do not intend to take any action to resolve this problem. What are her next steps in advocating for patient safety? To whom can she turn? What are the potential consequences for Selena if she talks about this concern to authorities outside the hospital?

Selena Suriaga noticed that one of the surgeons whose patients were brought to her unit after their time in the recovery area had more diffi culty regaining full consciousness than did the other postsurgical patients. When she mentioned it at lunch one day, a recovery area nurse said, “Sure, he insists on deep anesthesia and wants us to keep his patients sedated. He believes that this will improve his satisfaction ratings.”
“Th at ’ s no reason to overmedicate,” said Selena.
“Of course not,” said the recovery nurse, “but he gets very angry if we don ’ t give his patients the full amount ordered.”
“I think we should tell someone,” suggested Selena.