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56 Unit I The Critical Triad: Decision Making. Management: d idem Leadership as a New Nurse (Marquis & Huston. 2012) Sally Jones is a 36-year-old
56 Unit I The Critical Triad: Decision Making. Management: \"d \"idem\" Leadership as a New Nurse (Marquis & Huston. 2012) Sally Jones is a 36-year-old new regis- tered nurse (RN) who graduated 6 months ago from a community college with an associate degree in nursing. Sally worked her way through school as a licensed practical nurse in a pediatric unit of a local hospital. After passing her RN exams. she moved to a larger city and was hired to work the evening shift on the pediatric unit as a primary care nurse. Her patient load is usually six pediatric patients, and she has a nursing assistant working under her supervision. Sally has been bothered recently by discrepancies regarding the credits of intravenous (IV) solutions given In handoff report. For example, she was told at report yesterday that 150 mL remained in one patient's bag of IV solution. but upon making initial patient rounds, she found the N machine beeping and had to hurriedly replace the bag. At the previous hospital where she had worked. it was a unit policy that all pediatric patients have their IV solutions observed by both oncoming and outgoing primary nurse at shift change so such discrepan- cies could be discovered and c'orrected prior to departure of the outgoing shift. She feels this was a good policy and would like to see a similar policy implemented at her new place of employment. A S S i G N M E N T: C I a c- n _ if you were Saily, what would you do in this situation? Answer the following questions to help decide what to do. 1. is it appropriate for a new nurse to take a leadership role in addressing this problem? 2. What are some possible steps you could take in correcting this situation? 3. Would a followership role he better suited to solve this issue? 4. Should you act alone or involve others
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