Mr. Cavanaugh arrived at the Metropolitan Hospital’s dialysis program with a clotted dialysis graft. He has not had dialysis in four days. Upon arrival, he had not consumed any food. Dr. Jones ordered surgery. In the preoperative area, the patient had routine blood work done. The test results showed evaluated potassium levels. Therefore, the nursed canceled the surgery without the Dr. Jones’ consent. Once Dr. Jones discovered the cancellation, he was outraged. He phoned the nurse. Dr. Jones and the nurse had a heated argument. Both disagreed with course of action for Mr. Cavanaugh. The nurse disagreed with surgery because the patient could suffer an arrest. Dr. Jones supported surgery because it would get the patient back into dialysis treatment, which would lower the potassium levels. Without the surgery, the potassium levels could reach potentially life-threaten levels. The doctor, the anesthesiologist, the patient, and the nurse finally consented to surgery. Mr. Cavanaugh’s dialysis access was repaired. The patient did not suffer any adverse outcomes. The major problem is the hospital lacks good perioperative pathways for their patients, which include teamwork…show more content… The patient could have suffered adverse events while waiting on the medical professions to decide the course of action. Also, not properly assessing the patient put him at risk of harm. Poor communication also compromises patient safety. Medical professions should never argue over delivery of care, especially in an emergency. There should be protocols to follow and policies that govern professional behavior. The lack of clear written behavioral standards has resulted in visible unacceptable behaviors exhibited among care team members. Disruptive behaviors adversely impact staff morale (Stewart, Wyatt & Conway, 2011). Also, it can be a contributing factor of high staff turnovers (Stewart et al,
