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All Nurses Are Leaders

All Nurses Are Leaders

Laura Wisniewski, RN. BS, CIC

It was 5:15 AM and despite the hectic pace, the shift had gone surprisingly well. She thought to herself, “I only have to make it another hour and a half until John takes over charge”. However, something told her to check on Mr. Gonzales one more time before beginning her charting.

Mr. Gonzales was sitting on the side of his bed and appeared restless. Although he had anti-anxiety medication ordered, she decided to investigate further and reassess him. He denied having any chest pain or pressure. There were no changes on his cardiac monitor. His vital signs were normal with the exception of a slightly elevated respiratory rate. His lungs sounds were clear, but diminished. His oxygen saturation was down from 98% to 94%, still within normal limits. Yet, her gut told her that something was wrong.

Katie raised the head of the bed and assisted Mr. Gonzales into a more comfortable position. While she closely monitored and simultaneously reassured her patient, she asked Dale to page Dr. Thompson and Lorrie from respiratory therapy STAT. She also asked Simone to cover her other patients and Mark to call Mrs. Gonzales and update the nursing supervisor.

Katie used the SBAR (Situation, Background, Assessment and Recommendation) method to communicate with Dr. Thompson over the telephone. Dr. Thompson seemed quite unimpressed. He told her, “Mr. Gonzales tends to be very nervous”. “I will be in to see him when I make rounds at 7:30.” She calmly and assertively recommended STAT ABGs (arterial blood gases) and that he come in now to see Mr. Gonzales. He agreed.

As Dr. Thompson walked into Mr. Gonzales’ room, Lorrie handed him the abnormal blood gas results. Despite receiving additional oxygen via a face mask, Mr. Gonzales was now exhibiting obvious signs of respiratory distress. Dr. Thompson ordered a STAT portable chest x-ray and transfer to the ICU. Christine quickly gathered Mr. Gonzales’ belongings and assisted Katie with the transfer. Mark held Mrs. Gonzales’ hand while explaining the changes in her husband’s condition as he escorted her to the ICU waiting room.

It was 6:45 AM when Katie sat down to chart as her mentor John arrived on the unit.

“It looks like you’ve had a quiet night.”

Katie smiled.

What do you think? How have you seen nurses become great leaders? Tell us in the comments below!

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    dentalimplants

    almost 2 years ago

    2 comments

    Thank you, I have forwarded this onto our dental implant nurses.

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    Alysia09

    over 2 years ago

    2 comments

    Thanks, very insipiring.

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    rajkumarjonnala

    almost 3 years ago

    100 comments

  • Photo_user_blank_big

    jimb4522

    about 3 years ago

    18 comments

    I agree with you all the way on this. Nurses are definitely leaders in their field. I really respect them so much. They are hard workers and do so much good. Eyeglasses

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    trinimom

    over 4 years ago

    2 comments

    Thank you, very inspirational. I am a new RN. and I will strive to be this type of Leader.

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    ypeabbles

    over 5 years ago

    32 comments

    Excellent article. It defines nursing in every aspect of characteristics and qualities. I believe it is a growing and learning process that defines the leadership qualities we achieve.

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    Account Removed

    over 5 years ago

    I believe I am a leader. I always have been since I was little. I never followed. My parents always said, "be a leader not a follower". I just love nursing!

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    Account Removed

    over 5 years ago

    As nurses with a career that has non-delineated as our we need to be constantly aware of our right, responsibilites as a profession. Our leaders need to do more to drive home this fact that we are a licensed profession and that we need to be more visible and taken more seriously as the economy continue to spiral downwards and nurses are forced to do more with less.

  • Photo_user_blank_big

    Account Removed

    over 5 years ago

    Awesome article. I would recommend it as a part of any nurses' " I love me file"

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    lisaj1979

    over 5 years ago

    2 comments

    This is an awesome article and makes me feel reassured that I will someday reach that point of authority. I am only a student nurse right now but I feel confident that the nursing program is preping me to become such a leader

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    raxz_20

    over 5 years ago

    2 comments

    well defined huh! i love it! thats the reason y i love 2 become a nurse!!!b hehehe...

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    buddylove

    over 5 years ago

    2 comments

    WELL WRITTEN

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    Laserian

    over 5 years ago

    20 comments

    Nice one ! Reminding, Re-orientating, Refreshing and Encouraging! Laserian, RN, RPN.

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    imaima

    over 5 years ago

    4 comments

    Good article! Made me remember why I became a nurse 38 years ago, and why I continue to work in the field, ever chasing a new challenge!
    Mary Cisko, RN

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