LEADERSHIP IN COMPLEX ADAPTIVE SYSTEMSNURSING 755Maria-Idalia O. Lens, RN, PHN, MSN, NP-C

GASTROENTEROLOGY DEPT

Mission is to capture patients who have not been screened for CRC screening.

FIT Sigmoidoscopy q 5 years Colonoscopy q 10 years

GI STAFF

4 Physicians

1 NP

12 RN’s

3 LVN’s

6 MA’s

ENVIRONMENT

3 sedation rooms

2 non sedation rooms

2 exam rooms

NP in the middle of dept (hears everything within dept)

TEAMS

Team (Team)

Team Me (No Team)

OUTLIERS

Do not belong to any team

Gets along with everyone

Able to adapt easily

Most funny

Reliable

ORGANIZATION

DREAM

LEADERS IN GASTROENTEROLOGY

Manager (transactional)

Chief (authentic)

Charge Nurse (avoidance)

GOALS OF GI DEPARTMENT

Increase Productivity

Increase CRC outreach

Decrease in staff

GI AMBIENCE

Morale is low

Not allowed to create change

COMPLEX SYSTEMS Tribalism

Panic

MY PLAN

Joined NPPPC (quality and safety) Challenge the process Model the way (Increase collaboration) Be inspired and inspire a shared vision Enable others to act Share my vision (Encourage the heart) Be honest

MED REC

KRWC only 10% being done Update all computers in medicine to include

toolbar for med rec One press button Get rid of paper form Increase more time with patients Decrease complaints from patients Increase medications no longer in use Meds in system still on patients chart from 2

years ago. Teach how to add OTC