Charge Nurse Reflection

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For my leadership, delegation, and management rotation, I follow charge nurse April from the Trauma ICU (TICU). This proved to be a very busy day with lots of opportunity to see how a charge nurse balances the flow of work for the unit. I was a great experience overall.
Chain of Command The chain of command at Chandler Regional Medical Center (CRMC) begins with the Director of Nursing, followed by the clinical supervisors, charge nurse, staff nurse, and unlicensed personal. The Director of Nursing handles the overall operation of the unit and coordinates with medical staff to ensure good communication and a good working relationship. The clinical supervisor handles the day to day operations, ordering, and address issues related to staff. …show more content…
During her absence she instructed the SWAT nurse to run the unit in her absence. This ensured proper supervision and was within the policy of CRMC. The charge nurse use the delegation right of right person and task for this situation because she flowed policy for supervision in her absence and assigned this task to the right person.
Leadership Style April exhibited both transformational leadership and bureaucratic leadership. April showed her transformational leadership style by encouraging communication among her staff. An example of this was solicitation input from the nurses in TICU 2 on how she can better ensure that they are receiving items and help they need due to the small size and separation of TICU 2. April Showed her bureaucratic leadership style during code gray involving a petitioned patient and his family. During this volatile situation April was firm in enforcing the 2 visitor rule for TICU 2. This ensured safety by eliminating excess visitors and allowing staff to properly and safely communicate with the patient. In addition, April used bureaucratic leadership to communicate the patient’s situation to his father by maintain strict adherence to hospital policy that the patient was unable to leave due to the

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