Question

Scenario: you have a patient that has a diverticular perforation and acute abdomen. At this point, her physician decides to send her to the OR. The unit clerk is aware of the plan, but the patient's nurse is not. The patient is transported to the OR. Moments later, the OR calls to report that the patient has no permits signed, nor have any other pre-op protocols been completed. Using Lewin's change model to explain the process of preparing the organization for changes, 2 changes required for improvement with rationales and describe 2 courses of action used to develop momentum for changes and how the organization will reinforce the changes