Case scenario
Nurse manager perspective
ED nurse manager Ms. P is walking out the door at 6:50 p.m. when she remembers that she
hasn’t made the staffing assignments for the next day. She hurries back to her office and
realizes that the permanent charge nurse Ms. B had called out sick earlier. Before selecting
a replacement, she quickly scans the ED physician schedule to see which physician is on
for the early morning shift. It’s Dr. N, an excellent practitioner, but very difficult to work with
because he doesn’t consider the clinical opinion of the ED nurse when selecting a treatment
plan. Ms. B is the only charge nurse from whom Dr. N accepts direction. She’s able to reach
an acceptable solution to any problem that involves Dr. N.