Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
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Outline
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team)
Guidelines:
- Demeaning
- Throwing
- Pushing
- Yelling
- Avoiding protocols
- Neutral zone
- Removes likelihood of“speaking up”
- Minimum input from staff
- Reporting
- Leadership
- State board
- Legal
Considerations:
- Huddle before cases
- Anticipate needs
- Directly confront behavior
- Factual statements
- Appropriate time in case
Nurse’s role:
- Advocate for staff
- Documentation
- Advocate for patient
- Avoid inflammatory statements
- “You always..”
Pitfalls:
- Emotional response
- Fire with fire
- Allowing mistreatment to continue
- Poor leadership
- Poor environment
Examples:
- Surgeon reputation for anger scheduled for today (huddle before cases, directly address standards and expectations, encourage open dialogue vs confrontational)
Linchpins (Key Points):
- Maintaining an environment of safety is critical to avoiding errors in the OR
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Transcript
References
- Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.)
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