Kathie is very by-the -book and pays strict adherence to established policies and procedures. To Kathie, this is a very black-and-white situation, the rules say that it is bad practice so it should not be practiced. Kathie also has the added responsibility to maintain authority over many surgeons who would jump at the chance to use the excuse of her allowing one surgeon to go against policy so why are the rest not allowed? This is probably a breach that Kathie must be cautious