Conflict Reduction Strategies
According to EMTALA (Emergency Medical Treatment and Active Labor Act), hospitals are responsible to ensure on-call physicians respond in a reasonable time frame and medical staff bylaws, or policies and procedures, must define the responsibilities of on-call physicians to respond, examine, and treat patients with emergency medical conditions (On-Call Responsibilities for Hospitals and Physicians, 2013). And, "when feasible, requests for consultative services should be made in accordance with patient's preferences and/or health plan" (EMTALA and On-Call Responsibility for Emergency Department Patients, 2013). The conflict in Betty's case involved the orthopedic resident's response time of two hours, indication of surgery by Thursday when the physician was not in office before Wednesday, the physician did not treat hands, therefore another referral was made a week later, and after returning to ER, the physician's assistant did not respond to questions concerning the availability of the physician.
The first thing that is suggested for Linda, the nurse manager, is to...
Conflict can be a symptom of a bigger problem. The root to the problem could be a lack of communication between the physician and the orthopedic resident and/or a lack of training with the orthopedic resident. The physician assistant may not be aware of the reporting policies to confront issues.
Forcing is using formal authority or other power to satisfy concerns without regard to the other party's concerns (William, no date). After gathering the facts of the situation, Linda, the nurse manager, should first consult with the hospital's risk manager for advice on how to handle the situation. By doing so, she would be better prepared to confront the situation with the physician. It would also help in understanding the legality and liability issues that can stem from the situation and gain help if the physician does not comply with the policies.
Accommodating is allowing the other party to satisfy their concerns while neglecting your own (William, no…
While this cannot be expected to work in the larger emergency department, in small institutions this method might prove productive. The pay is further calculated by units according to duties perfumed while the physician is on-call. (Physician Compensation Duties, 2001) V. EVALUATION of STRATEGIES The strategies reviewed in this work include on-call pay for emergency room physicians as well as punitive reduction of pay for refusal to take calls. The primary