Transcript Member of Health Care Team

INTRODUCTION
HEALTH 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
OBJECTIVES
 Discuss the nurse’s role as a healthcare advocate with members of the
interdisciplinary health care team in the monitoring and promoting patientcentered 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 patientcentered 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
 Collaboration
 Coordination
• Delegation
 Communication
 Advocate
• 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
COMMUNICATION
Communication
Verbal
Handoffs
Reports
Nurse to Nurse
Nurse to Doctors
Other Nurse to other Health
Care Team Members
Written Documentation of
communication.
GOAL 2
Improve 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.
Clear
BRIEF
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
COMMUNICATION 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=relmf
u
 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=Q
tFg417oF_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