Legal Issues and Risk Management: Best Practices in Perinatal Nursing: “Speaking Up”—A Positive Approach to Improving Outcomes When Obstetrical Emergencies Arise
Laura R. Mahlmeister PhD, RN

$3.95 		Journal of Perinatal and Neonatal Nursing
September 2007 
Volume 21  Number 3
Pages 186 - 188
 
  PDF Version Available!

ABSTRACT
Mahlmeister, Laura R. PhD, RN

Consultant and President, Mahlmeister & Associates, San Francisco, Calif, Staff Nurse, Maternal-Newborn Division, San Francisco General Hospital, San Francisco, Calif

The labor and delivery setting is a high-pressure environment in which an obstetrical emergency can develop rapidly. Prompt evaluation and skillful decision-making processes are required to avoid preventable adverse outcomes. One of the most challenging situations that perinatal nurses encounter is confronting questionable provider practice, particularly when timely intervention is crucial to prevent injury or death. The ability of the nurse to intervene in a positive manner when concerns arise requires strong communication skills, assertiveness, and knowledge about conflict resolution and chain of command process. However, successful dispute resolution ...

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