You are working with a new doctor who recently began seeing patients on your unit. She has a very strong accent and has been abrasive to the nursing staff. You are taking orders for Humalin R sliding scale. As she is giving the orders, you cannot understand the full sliding scale ranges due to her accent. You feel hesitant to clarify some of the sliding scale ranges because she has yelled at other nurses for asking her to write out her orders rather than give them verbally.

1. What are some cultural considerations that apply to health care workers such as doctors?

2. What is your duty as the nurse to your patient’s care?

3. What principles of communication are mandated by The Joint Commission?

4. How would you approach this situation?