Interdisciplinary Teams Flashcards
Collaboration and Teamwork
The development of partnerships to achieve the best possible outcomes that reflect the particular needs of the patient, family, or community, requires an understanding of what others have to offer.
Negative Collaboration
Bullying
Nurses leaving Profession
Poor retention
Negative effects on quality of patient care
Safety issues
Unresolved Conflict
Poor Collaboration
Good retention
Job satisfaction
Quality of patient care and safety
Nurses Roles
Patient advocate
Care coordinator
Sharing decision making with other members of the team
Understanding roles of other team members
Who is not a part of the healthcare team?
Housekeeping
Secretary
not directly involved with pt care
can sign as witnesses for DNR
Interdisciplinary Teams
Case Manager
Certified nurse aide
Dietician
Occupational Therapist
Pastoral care
Pharmacist
Physical Therapist
Physician
Respiratory Therapist
Social Worker
Speech Therapist
Rapid Response Teams
Leader assigns roles
Positioning around the pt
remove all equipment
Rapid Response Team
RN
ICU NURSE
RT
Pharmacy
SWAT nurse
Unit Secrtary to clear unneeded people
Delegation
An essential component of the management of nursing units
When nurses delegate nursing tasks to non-nurses, the RNs are always
legally responsible for supervising that person to ensure that the care given meets the standards of care
The power to delegate is restricted to
licensed or governed by statutory practice act
Keys for delegation
clear communication
Assess stabile clients
staff availability
legalities in the nurse practice act
job description and competency
educate staff members
5 Right of delegating
person
task
circumstance
direction
supervision
NCLEX Keys for Delegation
skill level
job description
patient status
LVNs Can’t do
admission/initial assessment
IV Push meds
write nursing dx
most teaching only reteach basics
complex skills
clients with acute conditions
unstable clients
UAP/CNA NCLEX Delegations
Know UAP Competency
Look for the lowest level of skill required for the task
Look for the most uncomplicated task
Look for the most stable client
Look for a client with a chronic illness
RN CAN’T DELEGATE THESE TASKS
admission assessment
IV meds
blood products
care plan
teaching
unstable clients
acute diseases
LPNs can do what
VS
Uncomplicated skills
stable clients
chronic
oral and IM meds
UAP can do
feeding
basic hygiene
basic skills
stable clients
chronic
ambulation
Prioritization
Airway
Breathing
Circulation
Maslow’s Hierarchy
Basic needs before higher needs
Highest Priorities
ABC
Safety
Change in LOC
Infection
LABS (heart and lung)
How does the team approach affect patient outcomes?
safety
What can prevent collaboration within the healthcare team? How can these be deterred?
poor teamwork
incivility