Managing Change at the Speed of Light: Staff and Leader Perceptions


Julie L. Wilcke, MSN, RN, CNOR, Kettering Medical Center

Carol D. Applegeet, MSN, RN, CNOR, CNAA-BC, FAAN, Kettering Medical Center

Curtisha M. Persons, AAS, RN, Kettering Medical Center


Changes in health care, especially those in the perioperative environment, seem to be constant. One organization experienced several major changes in a single year, including changes in leadership, big bang implementation of a new EMR, opening a surgery center within the hospital, consultations focused on surgery governance and Lean initiatives, and a change in accreditation bodies with a resultant survey. The speakers will describe the changes that impacted the perioperative staff and the plans that were developed as a result to help staff stay involved and aware of planned changes.


  • Describe the phases of the change process. 
  • Identify the impact of rapid change on a perioperative department. 
  • Create an action plan to address staff needs during times of rapid change. 

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