Part 2_ add Keith at end

The discussion highlights the importance of advocating for patient safety within a healthcare team. It emphasizes the need to speak up if a patient is not safe to go home, even in challenging situations where insurance coverage or team dynamics may create obstacles. The conversation stresses the responsibility to the patient above all else and the significance of being a proactive and assertive practitioner. Additionally, it touches on the complexities of navigating difficult scenarios in the healthcare setting and the importance of psychological safety within the workplace. I think that your responsibility to your patient is to speak up to your team members and tell them why you don't think the patient is safe to go home. And I think to be able to do this, you need to trust that your team members are going to listen to you and understand that you have a valid point and that you know what you're talking about and that your experience with the patient has value and is valid. I agree. I also think a lot of it, too, is a what-if situation. What if they go home and they do fall or they are unsafe? What if you're the only one advocating for them? Or what if somebody else in the room has the same thoughts but they're also too afraid to speak up? So I think that that's something to definitely take into account, too. So this is something that I actually have really similar situations actually happen. And number one, my advice would be you're in the interdisciplinary meeting for a reason. You're there to discuss that patient. You know, not only is it just for insurance, but I had a situation where a patient, her transfers, very, very unsafe. She was not comfortable with it, but she was running out of days. She was about to be discharged. Her insurance wasn't covering her anymore, and it also wasn't going to cover home health OT or outpatient. So that's a good place to start a conversation with the other disciplines and say, hey, okay, this is what we've been working on. What can you all do from your scope that also hits on this? So it really brings in all the other disciplines, too. Yeah, Gracie, I love that you just kind of hit on that. I also think this sets you up for what type of practitioner you are going to be. So however you handle this is what is going to set the tone for your career. And so at the end of the day, your responsibility is to your client. And are you going to do and risk, you know, coming off as negative or not a team player for the safety of your patient? And at the end of the day, you've got to speak up. Yeah, I would echo all those things. And, you know, we look at the scenario, and it seems pretty cut and dry. Like, obviously, we need to advocate for our patients first and foremost. And if they're not going to be safe, we need to say something about that. But I want to pose the question of, well, what if, you know, you're in a really unsafe environment? You don't feel comfortable speaking. Maybe there's some hostility. Maybe there's team, you know, power dynamics and things like that that we're not seeing. You know, obviously, yes, again, our obligation is to speak up for that client. But, like, how do you do that in that tough situation? Which kind of leads us into our next topic of psychological safety and its importance in the workplace. Yeah. And I also know Keith has a lot of extensive experience. So, Keith, I definitely think that you should speak to your experiences in the work field.