Dameeka, RN, asks her head nurse if she can go on the permanent evening shift. The head nurse, Jose, agrees, as long as Dameeka agrees to be involved in assisting to mentor evening staff in the use of the new clinical information system.
The technology committee has recommended a clinical system for implementation on the nursing unit. Staff are anxious about the change. Tim, the head nurse, asks staff for ideas on how to meet the technology goals and to meet staff needs.
Rita, the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit.
During management meetings, Franklin, the head nurse on nephrology, dominates meetings and decisions. Alicia, the head nurse on the cardiac step-down unit, begins to miss the management meetings.