Think back to an instance in which the communication between nursing and another member of the healthcare team did not go well. You may have been involved in the situation or you may have been a bystander.
1. Describe the details of the situation including factors that may have contributed to less than ideal communication.
2. What strategies could have been used to handle this situation differently? Provide rationales for your response.
3. Respond to another studentâs post (Refer to Forum Discussion Grading Criteria Rubric).
*Reference both your required readings and at least one additional scholarly source. Cite your sources in your responses and list your references at the end of the response. Both the citation and reference must be in full APA style to receive credit.
Use the scenario below from my reflective journal to follow instructions above
A few months ago, I was the primary nurse for an elderly patient who had fallen out of a vehicle with a diagnosis of a subdural hematoma. What happened was, she was getting out of an uber, the uber driver wasnât aware that she wasnât fully out of the car and pulled off. This caused the elderly woman to hit her head on the curb. She was brought into the emergency department by ambulance and was alert and oriented to person, place, time, and situation upon admittance to the unit.
As I came on to my shift, I was told she had started to become confused. The day shift nurse had alerted the on-call doctor who did not put in any orders for the patient, nor did he come and assess the patient. After my initial assessment of the patient and speaking to her son and daughter in law, she was only able to remember her name and seemed a little drowsy. This made me very uncomfortable see as though this was not the patientâs baseline. I notified the doctor who brushed the situation off and recommended he order a CT of the patientâs head. I also notified the charge nurse, and she called the house supervisor to see if patient transport could be escalated for this patient. While waiting for patient transport to bring her to CT, she became progressively more confused, in which I suggested to the charge nurse we call a stroke activation or rapid response. The house supervisor gave the okay to call a rapid and proceeded to do a stroke assessment, which was normal. The rapid response team transported the patient to CT as soon the assessment was completed.
I applaud my charge nurse, the house supervisor, and the rapid response team because they acted swiftly and did not delay care for the patient. This was very effective because if the patient did have a stroke and there had been a delay in the assessment and CT, it could have taken a fatal turn. I would not change anything about the steps taken in this situation because as I stated previously the whole team worked together and acted quickly.
Since the doctor was not willing to do anything for the patient in this situation, I did what some new nurses might be afraid to do and sternly recommended treatment for the patient. I learned that I am not afraid to advocate for patient and escalate certain situations to higher authority. Advocating for someone who cannot advocate for themselves and knowing that it is okay to question doctors and make suggestions in certain situations has influenced my future nursing practice. This whole situation has influenced me to be more direct with what I feel my patients may need.
Think back to an instance in which the communication between nursing and another
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