NUR 2868 Module 7 Discussion Teamwork

NUR 2868 Module 7 Discussion Teamwork

 

Think back to your most recent time in the clinical setting
when another discipline (respiratory, physical therapy, nutrition, occupational
therapy) was utilized.

Describe a form of interdisciplinary collaborative care
you’ve seen on your current assigned clinical or work site. Then have a
discussion about the following questions:

Who coordinated that care? What was the nurse’s role in
ascertaining that the care was provided?

Was the patient’s outcome met? How or why not? What would
you, a novice nurse-leader, have done differently to achieve the patient’s
goals?

urses assess and reassess clients throughout the continuum of their care and they also communicate and report significant information to other disciplines when the occasion arises.

For example, the nurse will report changes in the client‘s arterial blood gases or oxygen saturation levels to the respiratory therapist when a client is being weaned off mechanical ventilation; a nurse will report significant change in the client’s psychological or emotion status after the administration of a new psychotropic medication and they will also report significant changes in terms of the client’s vital signs after a diagnostic test or treatment, to the client’s attending physician; the nurse will report adverse reactions to medications to the pharmacist; and they will report a client’s change in their social support systems to the social worker, a discharge planner and/or a case manager.

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This reporting is done in order to insure unfragmented, timely and appropriate care to the client or groups of clients that meet their current, and often changing, needs as the result of significant changes in terms of their biological, emotional, and social status.

Reviewing the Plan of Care to Ensure Continuity Across Disciplines

Nurses, as the collaborator, the manager and the coordinator of client care, consistently and continuously review the plan of care to insure that all of the appropriate disciplines within the multidisciplinary team are contributing their services according to the plan of care and that this care seamlessly moves the client toward their expected outcomes and goals.

Collaborating with Healthcare Members in Other Disciplines When Providing Client Care

Broadly described, collaboration is working with others in a collegial and mutually respectful manner.

Nurses collaborate with patients, significant others, families, other nurses and other healthcare providers to solve patient care problems and to provide the optimal quality level of care to the patient or group of patients.

Some of the skills that the nurse must possess in order to be an effective and credible collaborator include superior interpersonal and communication skills, respect for others, the ability to establish and maintain trust, critical thinking skills, problem solving skills, decision making skills, and the ability to understand and be able to identify the contributions of others that can improve the quality of the patient’s care.

The titles and numbers of the many different healthcare team members that nurses collaborate with are vast and diverse.

Now, you will learn about some of these team member roles and responsibilities so you can identify and utilize their distinct and unique perspectives and contributions to the plan of care and patient problem solving.nursing Assistants, Patient Care Technician and Other Titles

These members of the nursing team are unlicensed assistive personnel who assist nurses in the provision of direct and indirect care under the direct supervision of the nurse. They perform nonsterile functions like the provision of and assistance with the patient’s activities of daily living, measuring and recording urinary output and oral intake, helping the patient with exercises such as range of motion exercises, taking and documenting vital signs, measuring patients’ height and weight, collecting some specimens, the provision of comfort measures like a back rub, patient transport, and clerical duties including running errands.

They work under the direct supervision and guidance of the nurse.

Licensed Practical / Vocation Nurses

Licensed practical / vocational nurses are licensed healthcare providers who provide a wide range of nursing services to patients in all kinds of healthcare settings.

They work under the supervision of a registered nurse and they perform nonsterile and sterile procedures. They work in structured settings with patients who have predictable and relatively noncomplex healthcare problems including chronic disorders such as heart disease and chronic obstructive pulmonary disease.

PLEASE NOTE: Vocational nurses are only called such in California and Texas.

Registered Nurses

Registered nurses are licensed healthcare providers who, unlike licensed practical nurses, are independent practitioners who render nursing care services in a wide variety of healthcare settings.

They can work in unstructured environments and with patients who have unpredictable and complex healthcare problems and concerns.

 

Nursing Supervisors

Nursing supervisors supervise patient care and the quality of care that is delivered to groups of patients. Depending on the size and complexity of the healthcare setting, supervisors can have many titles and they may or may not also provide direct nursing care in addition to their supervision of care.

Nurses report to their nursing supervisors according to the facility’s chain of communication and command. For example, they report to their “supervising registered nurse/charge nurse/head nurse”, then their “nursing supervisor” and then to the “assistant director of nursing” and then “the director of nursing or vice president of nursing.”

Vice President for Nursing Services/The Director of Nursing

The Vice President for Nursing Services, also referred to as the Director of Nursing or the Director for Nursing Services in some facilities, is the chief nursing officer of the healthcare setting. They are ultimately accountable for all aspects of patient care, the adherence to regulations and a wide variety of other responsibilities.

At times, this Vice President for Nursing Services may have one or more Assistant or Associate Directors of Nursing.