Leadership and management Exam Questions Is a

Leadership and management Exam Questions Is a new nurse able to change policy? You are 36 years old new registered nurse (who graduated 6 months ago from a community college with an AA degree. You worked your way up through the school as practical nurse in a pediatric unit of a local hospital. After passing your RN exams, you have moved to a larger city and were hired to work the evening shift on the pediatric unit as a primary care nurse. Your patient load is usually six pediatric patients, and you have a nursing assistant working under your supervision. You have been bothered recently by discrepancies regarding the credits of IV solutions given in the hands-off report. For example. you were told at report yesterday that 150cc remained in one patient’s bottle of IV solution, but upon making initial patient rounds, you found the IV machine beeping and had to hurriedly replace the bottle. At the previous hospital where you had worked, it was unit policy that all pediatric patients have their IV solutions observed by both the oncoming and outgoing primary nurse at the end of report so such discrepancies could be discovered and corrected prior to departure of the outgoing shift. You feel this was good policy and would like to see a similar policy implemented at your new place of employment. 1. Is it appropriate for a new nurse to take Leadership role to address this problem? 2. What are some possible steps you could take in correcting this situation? 3. Would a followership role be better suited to solve this issue? 4. Should you act alone or involve others?

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