Sue Brown, RN, critical care staff nurse with 4 years of experience, just had a problem with one of the new resident physicians.

Sue Brown, RN, critical care staff nurse with 4 years of experience, just had a problem with one of the new resident physicians. The resident was inserting a pulmonary catheter and Sue notified him that the patient was in ventricular fibrillation. Sue also told him the hemodynamic waveform showed that the catheter had cleared the right ventricle and was now in the pulmonary artery. The physician retorted to Sue, “Don’t worry about a little ventricular fibrillation … it’s expected after right ventricular irritation. You know you should know this. Haven’t you ever assisted anyone with a pulmonary catheter insertion?” Sue repeated herself about the patient being in ventricular fibrillation and the physician laughed and said, “Don’t you think you are getting carried away?” Sue repeated herself again and defibrillated the patient, who responded. The physician said nothing, cleared the bed after two commands, and then just walked away. The patient was stable. Sue notified the patient’s attending physician, the medical director of the intensive care unit and her nurse manager. Identify the leadership issues, analyze the situation, and provide a solution

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