Factors to determine the involvement of healthcare professionals
1. Identify factors that determine which healthcare professionals are required to be involved in a health care team?
2. Who should lead the health care team?
3. Who is the most important member of the health care team?
4. What further questions will you need to ask the nurse?
5. List specifically what further assessments you would complete when the patient arrives onto the ward?
6. Clinical Reasoning: Learning to think like a nurse, Frenchs Forests, NSW: Pearson?
7. Using your knowledge and experience of various patient allocation models?
The health care professionals are involved to determine the care and needs of the service users. The needs vary from patient to patient like diagnosis, emotional, psychological and functional level of the patient (Okuyama, Wagner & Bijnen, 2014). This also includes the social, functional status of the patient, treatment type and the preference of them. In addition, needs of care and multidisciplinary team involvement should be changed as per the progression of disease and the symptoms that are present. According to Légaré et al., (2014), the important part is the involvement of multidisciplinary team and information exchange through the communication. The multidisciplinary team members should have the ability of the proper communication so that the patients get proper treatment. All the expertise people should have the utilizing power of the clinical judgement.
The multidisciplinary team should be led by the case manager. In some cases the care coordinator manages the team (Grol et al., 2013). Each member has individual responsibilities to achieve their job goal. They have some common goals that they need to perform in collaboration (Al-Balushi et al., 2014). According to the fact sheet, the team leader needs to motivate other staffs so that there will fewer difficulties to achieve the goal (MND Australia 2013). He needs to maintain the healthy environment of the caring home.
Every member of the multidisciplinary team is important to give their best performance and achieve the best outcome. The treatment procedure should be effective and the focus should be given to the patient only. The patient should get efficient and effective treatment. The team members should provide the central focus and care to the patient. They should communicate properly and collaboratively. Salminen et al., (2014) mention that all he member of multidisciplinary team should respect each other and participate in the decision making for the wellbeing of the patient. They need to communicate with the patient on regular basis and make rapport of the patient assessment. The responsibilities of different doctors and staffs are different. For example, the role of Psychologist is different from the physiotherapist.
Leader of the healthcare team
Key issues:
- Leg injuries and mild head injury due to motor vehicle accident.
- Admitted for six months
- Suffering from depression
- Need long term rehabilitation
- Health care team involved in treatment
- Physiotherapist helps to assess and manage the mobility
- Psychologist helps to stable the mental condition and bring back to normal life
- Social worker supports patient and his family members to adapt the situation and return to the normal lifestyle
- The occupational therapist helps Grant Thompson to improve the skills and day to day activities.
- As the team leader, the treating doctor should take the concern of the patient and the family members of the patient to know their opinion.
- Rehabilitation unit will help to motivate the treatment procedure of Grant Thompson. They will help to speed up the recovery of Grant Thompson so that he can return to his normal lifestyle as soon as possible.
- The medication time and the procedure of medication
- If the patient has any allergic problem or any kind of irritation from a particular food
- The type of injury and time period of admission
- The function of drugs and injection, which the nurse does not know
- The nurse should go through the patient history very carefully and examine the patient.
- The nurse needs to identify that if the patient is able to bear with the treatment procedure. Therefore she must modify the procedure according to the patient needs.
- The nurse needs to spend more time with the patient to know more details about him and make rapport.
- The nurse should know about the presence of the systemic diseases, previous hospitalization, allergies, past anaesthetic events, drug or alcohol use, medication and family history.
- The nurse should discuss the test reports with the patient as the patient has the right to know about the reports (Alomar, 2014).
- The patient also should not hide anything from the nurse and provide all information to the nurse.
- Moreover, the nurse needs to know about the psychological, spiritual, physiological and sociological status of the patient.
|
Consider the patient situation What current information do you have on this pt.? What new information have you gathered? |
37years old male patient faced MVA before six months Pt. is recovering day by day Pt. is depressed |
|
Collect Cues/Information What further cues and information would be useful? Why? |
Pt is a truck driver and faced accident before six months. Recovery time is slow and relies on the wheelchair. However, he can walk for short distance with the help of walker. |
|
Process Information What changes do you notice in the cues and information provided? Which changes are significant for this patient and why? What do you think these changes could indicate and why? What could be the outcome of these changes? |
The health condition of the patient is improving since the last six months. The significant changes are that the patient can walk to cover short distance. The patient is gradually depressed as he is the only earning member in the family and he is hospitalised. The patient needs rehabilitation. The patient got depressed. |
|
Establish Goals Describe what you want to happen. Who do you want to be involved and what do you want them to do? In what timeframe? |
The nurse needs to involve herself in the treatment of the patient so that he can recover soon by following the guidelines and can collaborate with multidisciplinary team. |
|
Take Action What nursing actions will you take? What will be your nursing priorities? |
The nurse needs to consult with the doctor and help the patient in medication and walking. |
|
Evaluate Outcomes What do you expect to achieve from the actions have taken? |
The nurse then needs to take proper action to reduce the problem and needs to observe the patient, if any noticeable changes like improvement or decline happen (Matziou et al., 2014). |
|
Reflect on Process and new learning What have you learnt from this exercise? |
The nurse can learn various things from these evaluated outcomes, which she needs to understand and learn. This clinical reasoning cycle will help the nurse to develop her skills. |
7. There are one RN, one EN and three AIN in the ward with me and we work in the afternoon shift. There are total twenty two patients, in which 14 need post operative treatment and 8 need pre operative treatment. To ensure the skills, techniques, experience and knowledge the total patient care model is chosen to discuss the module.
Total patient care
The registered nurse is allocated for the total patient are as she has the registered licence of total patient care. Delany and Golding (2014) mentioned registered nurse as the primary nurse. Two AINs are also appointed with the RN for the help. The RN has various responsibilities to perform like medication, administration and dressing changes. The patient who went for the surgery in morning, are very sensitive. Therefore, they needs to be handled with sensitivity and deserves more caring. The necessary needs of the surgical patients are dressing of the wounded place, provide proper medication and injection. According to Urden, Stacy and Lough (2015), as the type of surgery is different for various patients, therefore the nurses need to provide different care to different patients. The room should be cleaned and well ventilated for the post operative patients.
A team of three people of RN, EN and AIN is formed for the acute caring of the pre operative patients, who needs to know about the all circumstances of the operation. They will explain the patients about the risks and curing chances of the patients. They need to give proper medication to the patient. The RN should lead the team but as she is busy with the post operative patients therefore, the EN should lead the team and guide the AIN. The team is responsible to handle all the eight patients who are going for the surgery. The team needs to work in collaboration and no one should be ignored (Delany & Golding 2014). All the members of the team should input their skills and also can learn new knowledge from the patients.
There are one RN, one EN and three AIN in the ward with me and we work in the afternoon shift. There are total twenty two patients, in which 14 need post operative treatment and 8 need pre operative treatment. Due to the huge patient load of the pre and post operative patient two teams are made, which include one registered nurse, one enrolled nurse and one AIN. In the other team, there are one RN and two AIN that will handle the pre operative patient. As the AINs do not have the licence of giving antibiotics and performing intravenous access, therefore I and the other RN will handle this. Both the AIN will do the other formalities in case of pre operative patients like filling up the formalities and dress up. In case of post operative patients, the EN will help the other RN that is responsible for the medication and injection and the AIN will take care of dress up and controlling infection.
References
Al-Balushi, S., Sohal, A. S., Singh, P. J., Al Hajri, A., Al Farsi, Y. M., & Al Abri, R. (2014). Readiness factors for lean implementation in healthcare settings–a literature review. Journal of health organization and management, 28(2), 135-153.
Grol, R., Wensing, M., Eccles, M., & Davis, D. (Eds.). (2013). Improving patient care: the implementation of change in health care. John Wiley & Sons.
Légaré, F., Stacey, D., Turcotte, S., Cossi, M. J., Kryworuchko, J., Graham, I. D., … & Donner?Banzhoff, N. (2014). Interventions for improving the adoption of shared decision making by healthcare professionals. The Cochrane Library.
MND Australia (2013). Australia Fact Sheet on Multidisciplinary Teams
Retrieved from: https://www.mndaust.asn.au/Get-informed/Information-resources/Living_better_for_longer/WEB-MND-Australia-Fact-Sheet-EB3-Multidisciplinary.aspx
Okuyama, A., Wagner, C., & Bijnen, B. (2014). Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC health services research, 14(1), 61.
Salminen, H., Zary, N., Björklund, K., Toth-Pal, E., & Leanderson, C. (2014). Virtual patients in primary care: developing a reusable model that fosters reflective practice and clinical reasoning. Journal of medical Internet research, 16(1), e3.
Alomar, M. J. (2014). Factors affecting the development of adverse drug reactions (Review article). Saudi Pharmaceutical Journal, 22(2), 83-94.
Matziou, V., Vlahioti, E., Perdikaris, P., Matziou, T., Megapanou, E., & Petsios, K. (2014). Physician and nursing perceptions concerning interprofessional communication and collaboration. Journal of interprofessional care, 28(6), 526-533.
Motola, I., Devine, L. A., Chung, H. S., Sullivan, J. E., & Issenberg, S. B. (2013). Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Medical Teacher, 35(10), e1511-e1530.
Bae, S. H., Kelly, M., Brewer, C. S., & Spencer, A. (2014). Analysis of nurse staffing and patient outcomes using comprehensive nurse staffing characteristics in acute care nursing units. Journal of nursing care quality, 29(4), 318-326.
Delany, C., & Golding, C. (2014). Teaching clinical reasoning by making thinking visible: an action research project with allied health clinical educators. BMC medical education, 14(1), 20.
Lavin, M., Harper, E., & Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings. OJIN: The Online Journal of Issues in Nursing, 20(2).
Urden, L. D., Stacy, K. M., & Lough, M. E. (2015). Priorities in critical care nursing. Elsevier Health Sciences.
Order an Essay Now & Get These Features For Free:
Turnitin Report
Formatting
Title Page
Citation
Outline
