nice subject... from long time ago i wish to start a subject like that...
well lets' see.. the cahin of command came from miltatry... "chain of command
is the line of authority and responsibility along which orders are passed within a nursing unit
and between different nursing units. orders are transmitted down the chain of command, from a higher-ranked nurse
, such as a nurse
manager, to lower-ranked personnel who either carry out the order personally or transmit it down the chain as appropriate, until it is received by those expected to carry it out". so in our case top level management to down side.
in general, in military, personnel give orders only to those directly below them in the chain of command and receive orders only from those directly above them. a service member who has difficulty carrying out a duty or order and appeals for relief directly to an officer above his immediate commander in the chain of command is likely to be disciplined for not observing the chain of command.
the concept of chain of command
also implies that higher rank alone does not entitle a higher-ranking service member to give commands to anyone of lower rank. for example, a nurse from unit "icu" (for exemple) does not directly command lower-ranking members of unit "med surg", and is generally expected to approach an charge nurse of unit "med surg" if she requires action by members of that unit.
the chain of command means that individual members take orders from only one superior and only give orders to a defined group of people immediately below them.
unfortunatelly this rule will be never find it in us nursing area. in civilian management this term is described by hierachic structure of authority.
structure of authority and chain of comand, after my nursing experience here in us, could have a lot of perverted, deviant and abnormal, traits, soo starting from here...is not any doubt that sometime thinks in health care are not working on a good path.
as soon as you don't know how the chain of comand works in a ideal way and how it works in real way, probably will be a little confuse for you. my advice.. ask your good sense what is true and fair to be and act and go by it!