Implementing Change in a Women’s Operating Room: A Comparison of Approaches

Instructions:
Please respond to at least 2 of your peer’s posts. 
Compare your peers’ responses about implementing change to yours; how are they different, how are they the same?
Respond to their ideas for addressing the problem situation to expand the conversation and give additional perspective on chaos or change theory for their situation.
Ask for clarification if needed.
Present new references that support your opinions.
Please be sure to validate your opinions and ideas with citations and references in APA format. 
Discussion to respond to: 
Describe a problem situation at your institution where a very small change later made a negative impact and how understanding Chaos Theory could have benefited your organization?
I could use tonight for an example. I work in a women’s operating room for a local hospital. To save some money our department decided that we only need one Rn and one scrub tech from 7pm – 11pm. As we all know babies will come when babies want to come. We had two add on cesarean sections called at the same time and one additional scheduled for 2230. There is no way one nurse and one tech can run two rooms at the same time. Fortunately, we had two CRNA’s and an anesthesiologist as well or else there is no way this would have even been possible. Had we had the correct staff, there would have been a lot less stress on the staff and the doctors. Had my institution known about chaos theory they would realize that we need at last two Rn’s and two techs at all times.
Choose Lewin’s Planned Change Theory or Kotter’s 8-Stage Planned Change Model and briefly describe how you would implement each step for planned change to better address the problem situation you described above.
For this I would choose Kotter’s 8-step plan for implementing change. Kotter’s approach is based on his observation that individuals and organizations typically resist change and miss some of the processes required for successful and sustainable transformation. I would use all 8 steps to convince my perioperative manager that we need the staff, especially at night. It will be a hard case, as all nights are not like this, but I think it will be worth the fight as it delays patients care and could be potentially fatal for mom and baby if there is a true emergency and the one Rn and one tech is already in a surgery.