If a coworker states, "I'm in charge," what is the best action to take?

Following instructions and guidance appropriately in a healthcare setting is critical for maintaining safety and effectiveness in patient care. The best action in this scenario is to only follow instructions if the person asserting they are "in charge" is indeed the charge nurse.

In a structured environment like a healthcare facility, specific roles come with designated authority. The charge nurse holds a position that includes oversight and decision-making responsibilities. If a coworker claims to be in charge without having that formal authority, it is important to recognize that not all individuals may have the experience or scope to issue directives. Trusting high-stakes directions from an unverified authority could lead to confusion and could potentially jeopardize patient safety.

By insisting on following instructions only from the designated charge nurse, you ensure adherence to the established chain of command and enhance accountability within the team. This approach fosters a culture of professionalism and ensures that actions are taken based on knowledge and responsibility, which is essential for maintaining quality care.