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2 Minute EBP Challenge

Monday, January 30, 2012
Scrub the Hub
The Centers for Disease Control (CDC) recommends that central venous catheter (CVC) hubs be scrubbed for how long?

Monday, January 23, 2012
Severe Sepsis and AF Risk
Up to 20% of patients with severe sepsis develop a new onset atrial fibrillation.  Which factor was not associated with increased risk?

Monday, January 16, 2012
Unreported Hospital Errors
In a recent study the Department of Health and Human Service reports that what percentage of hospital errors go unreported?

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  • Get tips, timesavers, and more from
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN

    Lead, Follow, Or...

    Sunday, April 06, 2008

    Lead, follow, or get out of the way.  Okay, so maybe that is a little harsh.  But when you think of the three options it makes you wonder which one you are actively involved in.  As a nurse are you leading?  Are you a follower? Or are you just going to throw in the towel and get out of the way. 

    I think the phrase was originally written for those people who resist leadership and instead of participating in leading, or instead of supporting their leaders, they try resisting leadership attempts.  So, the message in this phrase is either take on constructive leadership of your own, support the leader, or get out of the way.  In the past, most nurses either got out of the way or resisted the leadership.  They felt disempowered to be able to provide any leadership of their own and they didn’t like the current direction that the leadership was taking them. 

    It is important to understand that every nurse is a leader.  You are currently leading your patients, their families, and your peers whenever you work.  So let me suggest another paradigm instead of lead, follow, or get out of the way.  That would be to actively lead by acting on strategies in order to improve healthcare.  Actively and enthusiastically follow by providing your time, energy, and support of leadership efforts.  Or, if you don’t agree with the leadership efforts, rather than resisting the leadership, lead from where you are. 

    You don’t have to have a management position in order to be able to lead.  You can lead by setting an example.  You can lead by becoming the nurse that you want to be.  If you actively pursue clinical excellence and critically analyze your knowledge, skills, and professional practice and take steps to improve in every area; you will be leading your peers and yourself toward better patient care and in this way will be leading from where you are. 

    Think about your leadership.  How are you demonstrating your leadership to yourself, to your peers, to your patients and their families and begin to critically analyze how you can develop better leadership skills in your own life and as an example for those people that you work with.  By doing so, you will become a positive example and a powerful influence on healthcare and on everyone around you.

    Best wishes,

    David W. Woodruff, MSN, RN, CNS, CEN
    President, Ed4Nurses, Inc.

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