When Carol Schneider, MSN, RN, CCRN, CPAN, became manager of a postanesthesia care unit (PACU) at Boston Medical Center in Massachusetts, she found a plethora of problems, including poor communication skills, low employee engagement scores, and bullying from surgeons and staff. “It was a very bad climate that was putting patients at risk,” Schneider says. A 6-month educational initiative helped turn the unit around, with nearly all participants stating they were changing their practice based on what they learned in the sessions.
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