Notify the rapid response team immediately before a cardiac or respiratory arrest occurs. A sudden deterioration in a patient’s condition should stimulate activation of emergency efforts. The goal of a rapid response team (RRT) is to avert a cardiac arrest and to take action before the patient stops breathing. Here are some generally…
When patient’s present to an emergency department in multisystem failure many factors contribute to the way the nurse will perform. In an emergency situation when a patient presents it involves quick assessment, complex observation, and decision making to assess the patient homeostasis level, pain management, and oxygenation. It is the nurse’s duty to prioritize what needs to be done for the patient in a limited amount of time.…
Nurses need to be effective with their critical thinking skills and utilize the resources at hand. Using base knowledge to prevent catastrophic events from occurring, such as the potentiation effect of medication. Knowing ,when we as nurses, have met our ability to perform effectively and need assistance is not only important for our well being but the well being of the patient and the organization as a whole. Integrating teamwork in the patient care effort not only builds a solid foundation for the organization but also for the positive outcome of the patient being treated. If for some unfortunate reason an adverse event does occur nurses must remember they “provide valuable insights into care processes when working with patient safety leaders as part of a root cause analysis team. Nurses ' unique knowledge of the care provided is essential for designing the best improvements in care processes” (Hall, Moore, & Barnsteiner, 2008). Probably among the most import ways a nurse can improve quality of care is his/her own self care. This can be done in many ways. Meditation for stress reduction, continuing education for confidence in patient care, are just a few examples. Having a rested, positive, confident attitude when preparing and performing patient care can make difference and help her do no harm and give the utmost quality of care to each patient she/he comes in contact…
Communication between interdisciplinary teams is important for successful implementation of critical pathways. Nurse Olivia Witte is responsible for the interdisciplinary team and needs to develop a critical pathway for ventilator-dependent patients who are being discharged to home with home healthcare. The critical thinking exercise regarding Nurse Witte provided insight to the importance of teamwork between departments and nursing. The purpose of this paper is to discus the problems with the development of critical pathways that Nurse Witte ran into, who is responsible and what she should do to accomplish her tasks, what modes of communication and message structuring will help Nurse Witte to effectively develop and implement the critical…
Before applying this section, the nurse’s role is to undertake a thorough assessment including a risk evaluation. However, in urgent cases the Code of Practice of the Act backs up the sectioning without carrying out appropriate assessment (DH, 1999). The nurse should consider the expected time of the doctor against how eager the patients wants to leave. Nevertheless, the majorities in those situation nurses bring into play their good communication and persuasion skills and succeed in convincing the patient to wait until the doctor arrives for their treatment (Dickinson, 2007). However, when not feasible the nurse should predict the effect it could have on the patient. For example, if the patient is demonstrating signs of anxiety or distress nurses should consider the consequences (see appendix 1b) to them and others if leaving the hospital (Dickinson, 2007).…
Using the strategy of collaborative decision-making, decisions are made in the patient’s best interest based on successive comparisons that place the patient at the centre of the care system (Boykins, 2014). Nurses develop professional relationships as they interact with the patient when gathering relevant information and focus on the patient goals (Politi& Street 2011). Through effective communication during the health interview and physical assessment nurses use an active behaviour for patient and families (Boykin, D. (2014)).The nature of the therapeutic relationship provides comfort and reduces anxiety. Patient participate in many activities when a shared decision–making approach is followed (Donahau et al., 2008).…
Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008).…
Critical thinking is an important skill a good nurse must possess. This separates the task oriented nurse from the nurse who practice nursing using professional autonomy based on knowledge. In a study lead by Dr. Linda Aiken, findings confirmed that there is a strong link between RN education level and patient outcomes and that for every 10% increase in the proportion of BSN nurses on the hospital staff there was an association with a 4% decrease in the risk of death (American Association of College of Nursing, 2012, pg.2). Strong nurses must use critical thinking skills to foresee and anticipate a patient trending down and the actions needed to be done to save a patient’s life to have a positive outcome for that patient. “Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels” (American Association of College of Nursing, 2012, pg.1).…
Sometimes it is something that we can predict. Other times the crisis happens upon us suddenly and without warning. In departments such as the Emergency Department (ED), crisis can generally be expected and the ED staff can safely believe that there will be a crisis during their shift. The outcome of the crisis can depend on how it is approached and dealt with. A patient’s rapid deterioration of their state of health or arrest in front of the family is a common crisis situation that occurs where I work. This puts the staff as well as the patient and patient’s family in crisis mode. I feel that my job as the patient’s nurse is to make sure that the situation flows as efficiently as possible. Crisis communication needs to be initiated immediately. My verbal and nonverbal communication can affect the situation. I also need to pick up on the verbal and nonverbal cues of the family. It is also important to collaborate with the team, listen to both staff and families and communicate in a professional manor. Active listening is a prominent quality of a leader, along with how they lead the team. A positive approach is always best while maintaining clear and concise communication. There are times when it is necessary to use assertive communication. This is true when dealing with a difficult person, staff or family member. The nurse needs to be a leader, professional and assertive in order to…
decisions" (p. 2), decisions which are made by the health care team, most especially nurses and…
To organize a team that would be the first responders for all emergent situations, the team would include a leader, facilitator, recorder, time keeper, and team members. The leaders would be the primary RN and primary physician on the given case. The facilitator of this team would be the ICU nurse. The recorder and time keeper would be the same person being one of the unit staff members, not necessarily a RN but could be the charge nurse or resource nurse. The team member included could be the respiratory therapist who could help assists with necessary task if not preoccupied with a respiratory distress patient. In addition to these team members, I would include a security officer to be present and on standby for these patients that are combative and a possible threat to themselves or others. In this specific case the security team could have helped assist with the patient leaving the scene.…
Kortteisto, Komulainen, Mäkelä, Kunnamo, and Kaila (2012) stated that since the dawn of information technology in healthcare, the ultimate goals have been to help clinicians in their decision making process to prevent errors, to maximize efficiency, to enable evidence-based care, and ultimately to improve health and healthcare. Gradually, tools that support the clinical decision making process have been generally designed as clinical decision support systems (CDSS). According to O'Connor et al. (2011), the informatics nurse specialist (INS) understand the concepts and technology of nursing information management and can provide operational and strategic benefits to nursing organizations, such as seen through the implementation of the electronic…
These incidents can drastically reduce if healthcare professionals would take the time to fully understand and thoroughly communication between one another. Health care professional must realize they are dealing with people’s lives within a hospital setting. In particular, a significant amount of decisions…
The Process of Clinical Decision-Making in Jordanian Critical-Care Settings. Critical-Care Nursing. 15th International Nursing Research Congress, Ireland, 2004. Print.…
Nursing is a profession where we have to work collaboratively with both our colleagues and the interdisciplinary team. In emergency like cardiac arrest, if nurses work as a team without any role confusion, time is saved resulting in saving many precious lives.…