VII. COLLABORATION/DELEGATION C. SITUATIONS TO PRACTICE USE OF COLLABORATION AND DELEGATION.

Slides:



Advertisements
Similar presentations
CLINICAL ROTATION Clinicals Area Hours Location E.R. 48 St. Clare Ambulance 48 S.T.A.R. IV Sticks5 Successful Sticks Worth 500 points.
Advertisements

Introduction to Patient Education Purpose: Promote patient’s ability to a.Understand the hospital environment b.Independently meet their own health needs.
HIPAA SCENARIOS Unit 7 Seminar ©
Plexus Nursing and Complexity Call Pat Ebright
Hourly Rounding for Improved Patient Care
JC Stroke Specific Visit Preparation 2008
The MHEC is located at 105 Mayo Place, Lufkin
OUR LADY OF LOURDES MEMORIAL HOSPITAL Binghamton, New York Medical Emergency Team MET A Strategy to Reduce Morbidity and Mortality.
Communication Strategies for Health Care Facilities: Use of SBAR Provided Courtesy of Nutrition411.com Contributed by Rachel Riddiford, MS, RD, LD Updated.
Walk 4 Your Heart CABG Ambulation Project Project Team: 3NEWS 3NE/SW Nursing Staff Cardiac Rehabilitation.
Alternatives to Restraints/Restraints Workshop. Definitions What is a restraint? –A restraint can either be physical or chemical and is used to limit.
Roles and Responsibilities
Legally speaking… When can you say no? By Penny S. Brooke, APRN, MS, JD Nursing2009, July ANCC contact hours Online: © 2009.
Implementation Chapter Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc. Purposes of Implementation  The implementation.
Scenario 1 A staff member has come to you requesting the next Saturday off. You have just enough staff that day and can’t really afford to let her go.
Competency Model for Professional Rehabilitation Nursing Behavioral Scenario for Competency 4.1: Develop Interprofessional Relationships Mary Ullrich,
Legal considerations for nursing practice
STAFFING AND NURSING CARE DELIVERY MODELS
Delegation: An Art of Professional Practice
Planning your hospital day including administration of Medications Using eMar Get report from nurse Check Dr. orders to see changes since you checked the.
Surge Capacity Plan EMERGENCY DEPARTMENT.  Surge capacity strategies will be implemented when volume exceeds staffing and/or treatment space POLICY:
MNA Working in Long Term Care Chapter 1. Long Term Care Centers  Board and Care Homes Can be in a home setting Can be part of a nursing facility SUPPORTIVE.
A Hospital Guide For Patients with Cystic Fibrosis By Nursing Staff of 5SE.
Nursing: What’s It All About? 1 What is Nursing? Nurses help sick people get better and help people stay well. Many of the people who work in hospitals.
Morning Briefings and Huddles
DUCS and RATS INTEGRIS Health.
Leadership Presentation: Volunteer Services and PACU Meg Tiongco December 2, 2008.
Sustaining the Patient- and Family- Centered Care Philosophy.
Team Based Admission Assessment Cheryl Boldt R.N. Cheryl Boldt R.N. Senior Consultant Maun-Lemke, Inc
How can TeamSTEPPS Improve Patient Outcomes in the ER? Coaching for Long-term Success Susan M. Hohenhaus, MA, RN, FAEN President, Hohenhaus & Associates,
Cleveland Clinic Science Internship Program How Fast Are We? Throughput Times for Admissions from the Emergency Department Brian Hom; Deborah Porter RN,
PACU/ICU Handoffs Enhancing Communication and Continuity of Care.
Nursing Process- Implementaton. Implementation Implementation is a category of nursing behavior in which the actions necessary for accomplishing the health.
CLINICAL APPLICATION TRAINING CARE PARTNER. Define the Purpose of StarPanel The Inpatient Whiteboard Frames and How to Resize The Actions Menu Identify.
Nicole Sutherlin Brianna Mays Eliza Guthorn John McDonough.
Legal or Ethical Do You Know the Difference?. Instructions How well do you know legal and ethical boundaries in health care? For each scenario, you are.
On the CUSP: STOP BSI Improving Situational Awareness by Conducting a Morning Briefing.
Inpatient Survey 2008 Joy Wilk AD Clinical Governance June 2009 Appendix 4.
Value Stream Mapping.
Slide 1 Copyright © Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Textbook For Nursing.
On the CUSP: STOP BSI Improving Situational Awareness by Conducting a Morning Briefing.
180 minutes of core rehabilitation therapy Providers Processes / procedures Patients Place / equipment Policies Why are we not achieving the 180 minutes.
 Admitted for a questionable cause…  Family utilizes admission as a way to transition to nursing facility.
1 SIP 3 Arrives at check in Patient Source (IP/PAV) Patient arrival in Pavilion PreOp PT Receptionist PreOp RN Check into HYPERSPACE Escorts Patient to.
Inpatient Palliative Care A hospital service at SOMC where patients can benefit from palliative care consultative services during their hospitalization.
ACT (Assessment Consultation Team) Outcome – To rescue patients by providing early and rapid intervention – Promote improved outcomes Reduced cardiac and/or.
R ESPONDER 5: I MPROVING COMMUNICATION AND WORKFLOW THROUGH INTERDEPARTMENTAL INTEGRATION Responder 5 Regional Users Group Hanover Hospital September 24,
Code Stroke Code Stroke: Medical Directive (PCS-MD-25) ETA: 13 minutes.
Admissions, Transfers, and Discharges
Admissions, Transfers, and Discharges
Background Information
If patient is sent to ER: If patient is sent to floor:
Rapid Response Team RRT
Surviving Sepsis: YOU Make the Difference.
Tell the World Pediatric Nursing
Example process for addressing paper forms with a team pool
Behavior Response Team
IVT Request Form and Dashboard
Chapter 14 Implementation.
Expectations      “High achievement always takes place in the framework of high expectation.” Charles F. Kettering.
Delegation RN Education Kelli Erb.
IVT Request Form Tip Sheet
Unit two: Strategies for Professional Practice
Cardio Transport Process Map 2 1
Example process for addressing paper forms with a team pool
Layer 1 Nurse Assist CNA Assist Nurse Rounding CNA Rounding Ready for
Critical Thinking In Nursing
Going from Good to GREAT
Bedside Report & Hourly Rounding
NICU and OR Handoff Starting 2/25/19.
Presentation transcript:

VII. COLLABORATION/DELEGATION C. SITUATIONS TO PRACTICE USE OF COLLABORATION AND DELEGATION

Patient asks for a bedpan as nurse is hanging an IV med; nurse tells the patient she will get the nursing assistant. Nurse is putting information into the computer; nursing assistant comes to nurse and asks for help turning a patient; nurse refuses. Nursing assistant has 12 patients, several of whom are total care, several are incontinent. RN on computer, but does not appear “busy”. Patient calls for bedpan. Nurse calls nursing assistant to put patient on bedpan

 Nurse from days leaves work incomplete, but does not inform nurse on evenings of work needing to be done  Orders left undone for next shift  Patient rooms unstocked  Environment a mess  Care plans no complete  Discharge plan not done  Patient Teaching not documented

TPN bag not ready for next hanging Respiratory therapy does not come when called Admissions defensive when nurse questions applicability of admission of critically ill patient to the floor or ICU patient in CCU or visa versa Getting patient out of ER when there is no bed ER busy, floor busy; floor asks ER to hold patient in ER and ER won’t do it Patient arrives in PACU without OR report to PACU nurse Patient returns from xray with vomit all over gown or on wet sheets, cold PT calls for patient; CAT scan calls for patient; breakfast tray arrives ALL AT THE SAME TIME Respiratory therapist is called to help assist a ventilator dependent patient needing transport to CAT scan. Respiratory therapist has received two stat ABG (arterial blood gas) requests at another location. The nurse and nursing assistant have arrived and are ready for the transport and have several pressing assignments waiting. The nursing assistant states that he will not be free for another hour if this transport does not take place now. The nurse is expecting another admission momentarily. CAT scan is waiting for the patient

MD won’t involve nurse in the planning of patient care MD leaves nurse uninformed about changes in patient Nurse makes suggestion to physician, MD walks away, interrupts or ignores nurse MD rude and insensitive to patient family Doctor’s order unacceptable, not written in a way that the nurse can read it or with enough information to implement.

 Bob Jones is the 3-11 PM charge nurse on the oncology unit. Two nurses are out sick, as is the unit receptionist, no additional nurses will be replacing the sick nurses. He has 25 patients, 3 nurses and 2 techs. He meets with the staff at the beginning of the shift to come up with a plan for providing appropriate care for the 25 patients utilizing the staff available. Bob discusses alternatives with the staff.

 How would you begin to solve this problem

 What information would you need before coming up with a solution to this problem?

 How can patient’s be provided with the appropriate care utilizing all staff members keeping in mind the scope of practice of each staff member?

 What communication skills would you use when solving this problem as the charge nurse?