The chain of command in nursing exists for reason. We as nurses know what the chain of command is because we learned about it in nursing school and it was reinforced at nursing orientation as provided in the facility specific nursing policies & procedures.
A nurse contacted me this week after he was fired for not following the chain of command in a nursing home. He had a complaint about a EMS worker and instead of discussing the issue and complaint with his immediate nursing supervisor in the nursing home, the nurse contacted the supervisor of the EMS worker directly.
What do you think based on the facts given? Is this appropriate?
For a refresher on the basics of the nursing chain of command, click here.