Assignment 5: Change Management and Patient Advocacy Completed Shadow Health Score 29.0 ou, Assignments of Health sciences

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Assignment 5: Change Management and Patient

Advocacy Digital Clinical Experience Score

Experience Overview

Activity Scores 92.0/

points

Team Delegation 15.0/15 points Interprofessional Communication 29.0/30 points Prioritizing Individual Patient Needs 13.0/20 points Prioritizing Delivery of Care 35.0/35 points Interprofessional Communication Score: 29.0 out of 30 Time: 1055 Angela: Hey, I heard Mr. Liu was left hanging this morning waiting to be discharged. Any idea what happened? Angela: Hm. That's an unfortunate mix-up. OK, well, thanks for the update. How should you respond? I believe this type of miscommunication is liable to happen again if a standard procedure isn't codified into the Toolkit. You scored 1.0 out of 1 The correct answer is: I believe this type of miscommunication is liable to happen again if a standard procedure isn't codified into the Toolkit. Angela: Interesting. You scored

of the patient due to their shift ending, then they should inform the new nurse of the need to arrange the physical discharge. Angela: I can see that working. Why is this the best policy to suggest? You minimize the chance of error by necessitating communication between nurses and clearly designating responsibilities. of the patient due to their shift ending, then they should inform the new nurse of the need to arrange the physical discharge. You scored 1.0 out of 1 The correct answer is: You minimize the chance of error by necessitating communication between nurses and clearly designating responsibilities. Angela: OK, I have to go -- one of my patients has a heart rate on a rapid decline. Talk later. How will you respond to Charge Nurse Angela? OK! You scored 1.0 out of 1 The correct answer is: OK! Why is this an appropriate response? A current patient's need for physiological care takes priority over a discussion of policy, which only influences the comfort of future patients. You scored 1.0 out of 1 The correct answer is: A current patient's need for physiological care takes priority over a discussion of policy, which only influences the comfort of future patients. Time: 0600 Angela: Alright everyone, let's huddle up for a second. Angela: So, here's the deal, folks: I've been noticing a lot of inconsistencies in our Bedside Shift Reports: people missing pieces of information, whether in the in-person handoffs or in the EHR. Now, this stuff can really affect a patient -- you know, you miss one medication in your Background, and boom, we've got a problem. Alright? And I want this to be a team effort. If you see someone missing You scored 0.5 out of 1 The correct answer is:

That works for

Angela: Great, thanks for your help! Which of the following rationale statements is false? It is in your jurisdiction to accept this task from Charge Nurse Angela, even though only she is normally responsible for staff teaching. Angela: Thanks for your help! Let's check in soon. Ben: Hi, what's up? What is the most appropriate response? Let's practice the SBAR. Ben: Wait, what? Why? My SBARs are fine. [AUDIO COMING SOON] Charge Nurse Angela said that you were having a difficult time with Bedside Shift Reports, specifically missing some aspects of the SBAR, so she's asked me to run you through a practice SBAR. You scored 1.0 out of 1 The correct answer is: It is in your jurisdiction to accept this task from Charge Nurse Angela, even though only she is normally responsible for staff teaching. You scored 0.5 out of 1 The correct answer is: Charge Nurse Angela said that you were having a difficult time with Bedside Shift Reports, specifically missing some aspects of the SBAR, so she's asked me to run you through a practice SBAR. Ben: OK, I guess that's fine. Which of the following rationale statements is false? You inform Ben that he will be receiving disciplinary action for his mistake. Ben: I just think that this whole thing is not as big a deal as she's saying. Like, we all went to school, I think we all know it's not a big deal to leave out like, oh, this patient who's in the hospital for a foot scrape has an allergy to cats. When You scored 1.0 out of 1 The correct answer is: You inform Ben that he will be receiving disciplinary action for his mistake. You scored 1.0 out of 1 The correct answer is:

would that even matter? How should you respond to Ben? I understand it can feel tedious and sometimes pointless, but conducting Bedside Shift Reports thoroughly helps build that skill, and is mandated by hospital policy. It also ensures without a doubt that staff has access to all information that may be needed, however unlikely. I understand it can feel tedious and sometimes pointless, but conducting Bedside Shift Reports thoroughly helps build that skill, and is mandated by hospital policy. It also ensures without a doubt that staff has access to all information that may be needed, however unlikely. Ben: Yeah, no, I get it. Which of the following rationale statements is false? Allowing colleagues to practice independently and per their own styles is the top priority, due to its positive effect on morale and interprofessional relationships. Ben: OK. So, Arun Patel... Arun Patel is a 38-year-old male who is on his third day at Shadow General. He's had nausea, vomiting, and diarrhea, related to hyperglycemia. How's that? How will you respond to Ben's Situation statement? That was great; the only thing you missed was telling me Mr. Patel's provider, as is standard in the Situation stage. If you need to reference the Toolkit, don't be shy. You scored 1.0 out of 1 The correct answer is: Allowing colleagues to practice independently and per their own styles is the top priority, due to its positive effect on morale and interprofessional relationships. You scored 1.0 out of 1 The correct answer is: That was great; the only thing you missed was telling me Mr. Patel's provider, as is standard in the Situation stage. If you need to reference the Toolkit, don't be shy.

Dr. Tremblay: Hi there, how can I help? You scored

What is the most appropriate statement? It's about Debbie O'Connor, the 55-year-old woman who is at Shadow General Hospital, Room 202, bed 1. She has had a change in her respiratory status with increasing difficulty breathing and decrease in her oxygen saturation. Dr. Tremblay: OK. Let's talk Background. Why is this an effective Urgent Situation? The patient's name, gender, age, hospital, chief complaint, and the reason for your call are all part of the Situation stage, whether in a standard or Urgent SBAR. Dr. Tremblay: OK. Bring me up to date on her background. How should you respond to Dr. Tremblay? Mrs. O'Connor has a history of COPD and was admitted yesterday with an exacerbation. Yesterday, she was on O 2L and had a drop in O2 saturation, so you increased her to the venturi mask at 28% O2 concentration, but regardless, her O2 saturation stands at 78%. She is having difficulty breathing, and her cough and production of green sputum continues. Dr. Tremblay: OK, let's move on. Why is this an effective Urgent Background? 1.0 out of 1 The correct answer is: It's about Debbie O'Connor, the 55-year-old woman who is at Shadow General Hospital, Room 202, bed 1. She has had a change in her respiratory status with increasing difficulty breathing and decrease in her oxygen saturation. You scored 1.0 out of 1 The correct answer is: The patient's name, gender, age, hospital, chief complaint, and the reason for your call are all part of the Situation stage, whether in a standard or Urgent SBAR. You scored 1.0 out of 1 The correct answer is: Mrs. O'Connor has a history of COPD and was admitted yesterday with an exacerbation. Yesterday, she was on O 2L and had a drop in O2 saturation, so you increased her to the venturi mask at 28% O2 concentration, but regardless, her O2 saturation stands at 78%. She is having difficulty breathing, and her cough and production of green sputum continues. You scored 1.0 out of 1

With your permission, I think we should transfer the patient to the ICU immediately for non-invasive ventilation via BiPap. Which of the following is the best rationale statement? A Recommendation is an appropriate place to ask a provider to order a care plan that is not in your scope of practice. Dr. Tremblay:... If I can be frank with you, I recently got -- maybe scolded isn't the right word... informed by an ICU The correct answer is: With your permission, I think we should transfer the patient to the ICU immediately for non-invasive ventilation via BiPap. You scored 1.0 out of 1 The correct answer is: During a Recommendation, you inform the provider of your decisions for the patient's care plan, in case they have recommendations for its execution. supervisor that we've been too liberal with our transfers, that their staff is overloaded, et cetera. Essentially, if a patient doesn't absolutely need the ICU, they shouldn't get it. So while I acknowledge the gravity of Mrs. O'Connor's condition, my official orders are to keep her on her current care plan in this unit and wait for the exacerbation to subside. [AUDIO COMING SOON] You will now use CUS Words to respond to Dr. Tremblay's statement. Mrs. O'Connor's resistance to our current interventions is a concern to me. The severity of her vitals and her continued deterioration make me uncomfortable not escalating her care. I believe she would only be safe at a higher acuity of care. You scored 1.0 out of 1 The correct answer is: Mrs. O'Connor's resistance to our current interventions is a concern to me. The severity of her vitals and her continued deterioration make me uncomfortable not escalating her care. I believe she would only be safe at a higher acuity of care. Dr. Tremblay: I see where you're coming from. On second thought, I agree with you. You scored

• 1.0 out of

Assessed patient status

• Finding: Assessed pain
• Finding: Followed up on pain
• Finding: Assessed medication side effects
• Finding: Assessed patient outputs
• Finding: Assessed patient needs Prioritizing Delivery of Care Score: 35.0 out of 35 Time: 0900

Description of Activity

Prioritize care between multiple patients.

Student Responses

Omar Haddad