In my experience as a healthcare leader, it is very common for staff members to refuse protocols. Whenever I encounter this issue, I establish a performance improvement plan (PIP) to help the staff member improve. The PIP include: - a clear description of the issue - a list of training - the consequences for not following protocol - a clear action plan - a timeline with specific goals

When a team member doesn’t follow protocols, it puts patient safety and team trust at risk. Here’s a balanced approach I’ve found effective: One-on-One Conversation: Start by having a private discussion to understand their perspective. Often, non-compliance is due to miscommunication, and this talk helps clarify expectations. Targeted Training: Reinforce the ‘why’ behind protocols, linking them to patient outcomes and team efficiency. Using healthcare and business terms ensures the importance of each step is understood. Set Clear Consequences: Explain the impacts of continued non-compliance. Emphasizing risks to patient care and team dynamics reinforces the need for everyone to follow established guidelines.

To manage a staff member who refuses to follow established protocols, open communication, clarify expectations, provide training and support, offer feedback and coaching, involve human resources if necessary, document the situation, and implement these strategies to address the issue while maintaining a professional and respectful environment.

To manage a staff member refusing to follow protocols: 1. Private Conversation: Discuss concerns one-on-one to clarify expectations. 2. Additional Training: Ensure they understand the importance of the protocols. 3. Set Consequences: Outline repercussions for continued non-compliance. 4. Encourage Feedback: Invite their input on the protocols to identify misunderstandings. 5. Follow-Up: Schedule a check-in to assess progress and reinforce expectations. These steps help address the issue while promoting safety and compliance.