INTRODUCTIONHEALTH CARE TEAM

http://www.youtube.com/watch?v=sNSy4DX60vk

Quote for the Day:

To know what is right and not to do it is the worst cowardice."

MEMBER OF HEALTH CARE TEAM

D. Ann Currie RN,MSN

MEMBER OF HEALTH CARE TEAM

Member of the Health Care Team:A licensed nurse who provides patient-centered care by

collaborating, coordinating, and/or facilitating comprehensive care

with an interdisciplinary/multidisciplinary health care team to

determine and implement best practices for the patients and their

families.

HEALTH CARE TEAM

http://www.youtube.com/watch?v=3ad8LJZcnsE

http://www.youtube.com/watch?v=i_Psl0nFEzw&feature=relate

RNSG 2308 COURSE OBJECTIVES

Unit II: Member of the Health Care Team

Examine the role and responsibilities of the nurse when collaborating and communicating with the interdisciplinary health care team to provide patient-centered care to the childbearing families and women with selected health issues in various health care settings. (SLO #6)

Explore the role of the nurse as an advocate for the rights and quality patient-centered health care of the maternal, newborn, or women’s health care patients and their families. (SLO#3)

Describe the nurse’s role in delegating nursing care based upon analysis of the needs of childbearing families and women with selected health issues. (SLO #4, & 6)

RNSG 2308 COURSE OBJECTIVESDiscuss the nurse’s role as a healthcare advocate with members of the interdisciplinary health care team in the monitoring and promoting patient-centered health care quality and access to health care for the maternal, newborn, or women’s health care patients and their families. (SLO #3 & 6)

Explore resources that facilitate continuity of care; health promotion, maintenance and restoration and disease prevention ensure confidentiality of the maternal, newborn, women’s health care patients and their families. (SLO #3 & 6)

Explore the use of technology and informatics specific to the patient-centered care of maternal, newborn, and women’s health patients and their families. (SLO #5)

TEXAS-DIFFERENTIATED ESSENTIAL COMPETENCIES

Member of the Health Care Team:

A. Coordinate, collaborate, and communicate with patients, their families,

and the interdisciplinary health care team to plan, deliver, and evaluate

patient-centered care.

B. Serve as a health care advocate in monitoring and promoting quality and

access to health care for patients and their families.

C. Refer patients and their families to resources that facilitate continuity of

care; health promotion, maintenance, and restoration; and ensure

confidentiality.

TEXAS-DIFFERENTIATED ESSENTIAL COMPETENCIES

D. Communicate and collaborate in a timely manner with members of the

interdisciplinary health care team to promote and maintain optimal health

status of patients and their families.

E. Communicate and manage information using technology to support decision

making to improve patient care.

F. Assign and/ or delegate nursing care to other members of the health care

team based upon an

KEY POINTS

CollaborationCoordination

• Delegation

CommunicationAdvocate

• Patient’ Rights• Quality Patient-Centered Care• Access to health Care

Resources and Referrals

COLLABORATION

Working with an interdisciplinary health care team to provide

patient centered health care.

Patient care conferences with health care team, patient, and their

family.

Interdisciplinary health care team rounds at patient’s bedside.

NCLEX

Collaboration with Interdisciplinary Team..Identify need for interdisciplinary conferences

..Identify significant information to report to other disciplines (e.g., health care

provider, pharmacist, social worker, respiratory therapist)

..Review plan of care to ensure continuity across disciplines

..Collaborate with healthcare members in other disciplines when

providing client care*

..Serve as resource person to other staff

COORDINATION

Coordinates with the health care team patient centered care.

Delegation of nursing care activities and tasks to nursing team

members.

Arranges for Referrals to other Health Care Team Members and

or Services.

Coordinates health care resources for the patients and their families.

DELEGATION

The Five Rights of Delegation:• Right Person• Right Task• Right Circumstances• Right Directions/communication• Right Supervision/feedback

http://www.bne.state.tx.us/practice/pdfs/delegation-fiverights.pdf

****This website is from Texas BON even though it say BNE

DELEGATION

http://www.bne.state.tx.us/practice/delegationresources.html

http://www.bne.state.tx.us/practice/pdfs/Delegation-Rule224.pdf

http://www.bne.state.tx.us/practice/pdfs/Delegation-Rule225.pdf

http://www.bne.state.tx.us/practice/pdfs/delegation-donts.pdf

Delegation Links

http://www.bne.state.tx.us/practice/delegationlinks.html

***** These websites are from the Texas BON even though they say BNE

NCLEX

Delegation..Identify tasks for delegation based on client needs

..Ensure appropriate education, skills and experience of personnel performing delegated task

..Communicate task to be completed and client concerns that need to be reported immediately

..Utilize five rights of delegation (e.g., right task, right circumstances, right person, right direction or communication, right supervision or feedback)

..Evaluate delegated tasks to ensure correct completion of activity

COMMUNICATIONCommunication

VerbalHandoffsReportsNurse to NurseNurse to DoctorsOther Nurse to other Health Care Team Members

Written Documentation of communication.

GOAL 2Improve the effectiveness of communication among caregivers.

• For verbal or telephone orders or for telephonic reporting of critical test results, verify the complete order or test result by having the person receiving the information record and "read-back" the complete order or test result.

• Standardize a list of abbreviations, acronyms, symbols, and dose designations that are not to be used throughout the organization.

• Measure and assess, and if appropriate, take action to improve the timeliness of reporting, and the timeliness of receipt by the responsible licensed caregiver, of critical test results and values

• Implement a standardized approach to “hand off” communications, including an opportunity to ask and respond to questions.

BRIEF

Clear

Timely

IS THE LISTENER LISTENING

COMMUNICATION

http://www.youtube.com/watch?v=LNnr5tFkN6g&feature=related

Handoff

http://www.youtube.com/watch?v=K6Ah8ojVPiQ&feature=related

SBAR COMMUNICATION

What is SBAR and What is SBAR Communication? A Communication Technique for Today's Healthcare Professional

Situation Background Assessment Recommendation (SBAR) is a standardized way of communicating. It promotes patient safety because it helps individuals communicate with each other with a shared set of expectations. Staff and physicians can use SBAR to share patient information in a concise and structured format. It improves efficiency and accuracy. SBAR stands for:

Situation

Background

Assessment

Recommendation

COMM UN ICATIO N WITH THE PHYSICIAN

Communication with physician. “Dr. ________________, This is [state your name], one of the nurses in [state your department].

We have a new patient, [patient’s name], a [age] year-old, [race], [gender]. He came in with complaints of________________________

_____________________________, which started at [time of onset].

His vital signs are [HR], [RR], [BP], [T], and [pulse ox, amount of O2 and type of delivery].

He has a history of ___________________________________________.

On assessment, we found______________________________________.

So far, we have [tell what interventions you have done so far].

I think he may have ________________________________________.

I think he needs some________________________________________.

What else you would like for us to do?”

Restate what needs to be done, including reading back the orders.

Confirm when the health care provider will arrive to assess the patient.

SBAR

Effective

http://www.youtube.com/watch?v=1r31pL1aZDQ

Ineffective

http://www.youtube.com/watch?v=NBNrYOBFwDs&feature=relmfu

Nurse to nurse handoff

http://www.youtube.com/watch?v=NOKDrWyYM6I

NCLEX

Continuity of Care..Provide and receive report on assigned clients*

..Use documents to record and communicate client information (e.g., medical record, referral/transfer form)

..Use approved abbreviations and standard terminology when documenting care*

..Perform procedures necessary to safely admit, transfer, or discharge a client*

..Maintain continuity of care between/among healthcare agencies*

..Follow up on unresolved issues regarding client care (e.g., laboratory results, client requests)

ADVOCATE

The nurse is the patient’s advocate.• What does this mean for the maternal, newborn and women’s health care patient?

• Give 3 example• http://www.youtube.com/watch?v=QtFg417oF_A&feature=related

NCLEX

Advocacy..Discuss identified treatment options with client and respect their decisions

..Provide information on advocacy to staff members

..Act as a client advocate*

..Utilize advocacy resources appropriately (e.g., social worker, chain of command, interpreter)

THE PREGNANT PATIENT’S BILL OF RIGHTS

Is it Different ?

PREGNANT PATIENT’S BILL OF RIGHTS

Same as Patient’s Bill of Rights except for:• Informed consent-Right to know how a procedure, medication, or treatment will effect herself,

pregnancy, embryo, fetus, and/or neonate.• Or if she refuses the procedure, medication, and/or treatment how it could effect herself,

pregnancy, embryo, fetus, and/or neonate• Can have significant other during labor.

Pregnant Patient’s Bill of Rights-website http://www.aimsusa.org/ppbr.htm

NCLEX

Client Rights..Recognize client right to refuse treatment/procedures

..Discuss treatment options/decisions with client

..Educate client and staff about client rights and responsibilities (e.g., ethical/legal issues)*

..Evaluate client/staff understanding of client rights

QUALITY IMPROVEMENT

Solve Patient Care Problem

Prevent injuries

Improve patient’s outcomes

NCLEX

Performance Improvement (Quality Improvement)..Define performance improvement/quality assurance activities

..Participate in performance improvement/quality assurance process (e.g., collect data or participate on a team)*

..Report identified client care issues/problems to appropriate personnel (e.g., nurse manager, risk manager)

..Utilize research and other references for performance improvement actions

..Evaluate the impact of performance improvement measures on client care and resource utilization

QUESTIONS

THANK YOU

http://www.youtube.com/watch?v=ur_ZOXWNag0