1. Behavior in the Operating Room
JoAnne Dodson & KrisAnna Ham

2. Getting to know us

3. Objectives
See the OR experience through the eyes of both a new grad and seasoned nurse
See how behavior in the OR can both negatively and positively affect culture, nursing and patients
Understand the consequences as well as rewards for the behavior
Understand how to prevent and manage negative behaviors
Understand how behavior in the OR ties into our ICARE values

4. Personal Experiences New graduate RN Loud music
Mood swings
Disrespectful communication
Gossip
New graduate RN
Talking behind others backs
He said; She said
Communication in tense situations
Breakroom Behavior

5. Impact on Culture Decreases communication Staff hesitant to speak up
Bad Behavior
Decreases communication
Staff hesitant to speak up
Increases tension
Makes staff uncomfortable
Decreases trust and respect among staff
Creates a hostile and negative environment
Good Behavior
Increases communication
Decreases tension
Keeps the mood lighter
Increases trust among staff
Creates a happy and positive environment

6. Impact on Nursing Reluctant to go to work On auto-pilot
Bad Behavior
Reluctant to go to work
On auto-pilot
Focus on tension rather than patient
Staff turnover
Good Behavior
Increased productivity
Increased employee engagement
Team based patient care

7. Impact on Patient Safety
Bad Behavior
Shifts attention from the patient to the person conducting the disruptive behavior
Increases error rates
Increases recovery time
Increases patient morbidity and mortality
Increases cost for the patient
Increases the amount of time that the patient is under anesthesia
Good Behavior
Keeps the focus on the patient
Improve efficiency
Increase patient satisfaction

8. ICARE Values Integrity Compassion Accountability Respect Excellence
*I was thinking this would be a good place to talk about care of patient in a hospital room versus in the operating room. We can link our conversation to the iCARE values (so we could just have pictures and remove the words.) Let me know what you think. I’m not married to these pictures either.

9. Negative Behavior Corrective Action
Written
Verbal
Coaching
Suspension
Termination
Citizenship Committee for physicians
Counseling
Chain of Command
Consider System Redesign
Speak up

10. Positive Behavior Points Employee of the Month Peer Recognition
Incentive Program
Rewards
Employee of the Month
Peer Recognition
Huddles
Recognition Board
Bee Award
Daisy Award
Recognition - During 1:1 conversations with management, during morning huddles, recognition board.

11. What Can We Do? Suggested Actions
Stand up to inappropriate behavior
Talk to management
Report the behavior
Express zero tolerance for such behavior
Do not encourage it - actively or passively
Stay true to your duty of patient safety
Use communication strategies

12. What Can We Do? Coping Strategies
Talking to colleagues and management
Coworkers can provide humor, stress relief and support
Recognizing the cause of the behavior is often attributed to the surgeon or case
Focusing on your own supporting role
Reinforcing thoughts of self-worth
Self Care
Find an outlet outside of work

13. Questions?
Attitudes are contagious. Is yours worth catching?