Charge Nurse Reflection

My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies. They surgery she had undergone was a right hip cannulated screw. My patient contributed in care and believed that partaking as much as possible will get her healthy and home sooner. Also, she believed in independence and doing things on her own if capable. After working with MG, I attained a great amount of knowledge in knowing: the

Monday October 26th: Today at Moses Cone hospital, I was in the role of student nurse. I had two patients; one a returning patient, and the other a new patient. The nurse I was working with is someone I have never worked with before or even seen on the floor, but she seemed to be familiar with the unit.

The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care. The purpose of this paper is to report results of an organized review of the literature which studied bedside reporting in the hospital

This learning actively greatly assisted in building my confidence, which I required in order to be successful in the new graduate RN role. Good collaborative working relationships are based on clear communication and collaboration with the patient and all members of the healthcare team. (Kieft, et al. 2014) This semester I had no issues with regards to speaking with physicians and other members of the healthcare team, and I continued to actively participated and contributed to daily rounds on all 3 critical care units.

Collaboration among health care professionals is defined as assuming complementary roles and cooperatively working together, sharing responsibility for problem solving and making decisions to formulate and carry out plans for patient care. (Fagin, 2008). In any field of health care where physicians and nurses interact with one another for the purpose of quality patient care, it is vital for them to work together as one and understand the needs of their patients as well as each other’s roles and responsibilities. In short, teamwork should prevail for excellent patient service. Therefore, being in full partnership as a nurse with the physician and other healthcare professional is another recommendation that is applied by the RWJ-IOM report. I

The project studied in this article used evidence-based practice TeamSTEPPS®, which stands for Team strategies and tools to enhance performance and patient safety. TeamSTEPPS® was used to improve teamwork and communication within the hospital setting. TeamSTEPPS® provided the nursing staff with a structured, yet simple way, to identify fall risk factors for each patient and patient-specific interventions. This project was guided by using the FOCUS-PDCA; find, organize, clarify, understand, select, plan, do, check, and act model. The FOCUS-PDCA methodology consists of nine steps that include “find a process to improve, organize a team, clarify current process, understand variations in the current process, select process improvement, plan

At the beginning of this shift, we listened to the report from the night shift nurse and went over the patient chart to get some information about the patient who we were going to be interacting with. We also went over DSM-5 about depression and took notes about expected findings we might see on this patient. Then we were ready to interact with the patient. The patient was in his room, so I asked a nurse technician to direct the patient to stay in the day room for a while. We started to assess the patient when he was walking to the day room. We engaged in about ten minutes of conversation with the patient and got some information including suicidal ideation assessment. After the conversation, we also noticed how the patient interacted with staff and other patients.

Nurse Bedside Shift Report Implementation Handbook Submitted by Manju Bhattacharya Table of Contents Introduction --------------------------------------------------------------------------------------------------------------------1 Overview of the Nurses Bedside shift Report strategy ----------------------------------------------------------------1 - What is the Nurse bedside shift Report tool? ---------- -------------------------------------------------------------------2 --------------------------------------------------------------------------------------------3 Rational for the nurse bedside shift report strategy --------------------------------------------------4 What is the evidence for nurse bedside shift report? Set aims to implement Set aims to implement Nurse Bedside Shift Report -----------------------------------------7 Identify the logistic report for your hospital-------------------------------------------------------------------------------8 Decide how to use and adapt the tools in this strategy------------------------------------------------------------------9 Implement and evaluate the nurse bedside shift Report strategy Report strategy -------------------------------10 Train staff ---------------------------------------------------------------------------------------------------------------------10 Conduct bedside report Conduct shift report----------------------------------------------------------------------------10 Get feedback from patient nurses and family--------------------------------------------------------------------------11 Case Study on Nurse Bedside Shift Report Nanavati hospital -------------------------------------12 References

When moving from individual SA to team SA, it is first important to understand the basic concept of what is a team. According to Salas, Dickinson, Converse, and Tannenbaum (1992), a team is comprised of two or more people who work towards a common goal by assigning specific roles for each of the team members. From this perspective, team members must share information and knowledge and to make decisions together and perform adequately. these cognitive constructs, together with team SA crate the concept of Team Cognition and are crucial for the performance of the team (Cooke, Salas, Cannon-Bowers, & Stout, 2000).

Interprofessional teamwork is a trending topic that has become popular in the healthcare field over the last several years. Interprofessional teamwork refers to the cooperation, coordination, and collaboration expected among members of different professions in delivering patient-centered care collectively (Eggenberger, Sherman, & Keller, 2014, para. 1). Its popularity has rose due to the many benefits its yields to the healthcare profession. These benefits include improving communications among disciplines, improving patient outcomes, and decreasing medical errors. I will discuss what effect interprofessional teamwork has on healthcare, and why this topic is important to nursing.

The literature suggests team training as an intervention to improve safety climate and culture (Salas, et al., 2008). According to Weaver et al. (2013) team training improves interprofessional communication and organizational learning from errors. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence based program designed to enhance communication and team work in the health care team (AHRQ, 2013). The program strives to improve patient outcomes and enhance the safety

Nursing in the last 20 years has changed dramatically. Even as a young licensed Practical Nurse I knew that being able to communicate with my fellow interdisciplinary team was going to be highly important. Not only for the care of the patients and their families, but to also gather the needed information to stay up to date on all changes in the facet of the healthcare industry. From my experience, you get most of your updates and need to know information from other nursing employees and through word of mouth.

Currently I work in a clinic setting as a nursing supervisor. Our team consists of doctors, nurse practitioners, registered nurses (RN), licensed practical nurses, a community health worker, and many support staff. Our structure and processes in which we take care of our patients involves an interprofessional collaboration practice model. The American Nurses Association (2016) defines interprofessional collaboration as: “Integrated enactment of knowledge, skills, and values and attitudes that define working together across the professions, with other health care workers, and with patients, along with families and communities, as appropriate to improve health outcomes”. In the clinic setting we are consistently working together to promote patient

“It is only by working together, in a spirit of mutual respect and collaboration, that we can start to build an integrative model of care, which may be our best hope for changing the trajectory of our people and our planet”

Practicum has been a great opportunity for me to connect and integrate all the knowledge I have acquired through out this program into a more effectively clinical practice. The way I came to realize this was during one of my shifts where I was exposed to a difficult situation but thanks to my skills I was able to proceed in a safety manner. The purpose of this journal entry is to describe how my intervention made a difference in the client outcome and a brief explanation of the competencies and skills used.