Assignment 5 Change Management and Patient Advocacy

Experience Overview Assignment 5: Change Management and Patient Advocacy Digital Clinical Experience Score 92.0% The DCE score represents a weighted score based on all learning activities in this assignment. Some learning activities have been assigned greater value than others. This score may not be your final grade if your instructor chooses to include additional components, such as rationales or time spent. Activity Scores 92.0/100 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 Why is this the most appropriate statement? As opposed to an "unspoken rule", a procedure being in the Toolkit best ensures that staff understand its nonnegotiability and how to carry it out. 1.0 out of 1 The correct answer is: As opposed to an "unspoken rule", a procedure being in the Toolkit best ensures that staff understand its nonnegotiability and how to carry it out. Angela: My only concern is that, with my recent push to improve Handoffs, I've already given the staff enough to focus on for now. Why don't we discuss this again in a few days. What is the most appropriate response? While I share your concern for the staff's workload, not addressing this gap in policy leaves us open to fumble another patient discharge, and only would require a minor effort of staff. You scored 1.0 out of 1 The correct answer is: While I share your concern for the staff's workload, not addressing this gap in policy leaves us open to fumble another patient discharge, and only would require a minor effort of staff. Why is this an appropriate statement? A streamlined discharge policy is an important enough outcome to warrant the small cost of staff reading a line in the Toolkit and being mindful of it when arranging discharges. You scored 1.0 out of 1 The correct answer is: A streamlined discharge policy is an important enough outcome to warrant the small cost of staff reading a line in the Toolkit and being mindful of it when arranging discharges. Angela: Before we agree on anything, can you tell me more about the change you'd like to be codified? How should you respond to Charge Nurse Angela? The Toolkit should say that if a nurse provides discharge teaching at night, and subsequently has to hand over care You scored 1.0 out of 1 The correct answer is: The Toolkit should say that if a nurse provides discharge teaching at night, and subsequently has to hand over care of the patient due to their shift ending, then they should inform the new nurse of the need to arrange the physical discharge. 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. 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 something, you tell them. You tell them to look at their Toolkit and freshen up on the SBAR aspects. Sounds good? I know I'm nitpicking, but folks, it really matters. Alright, that's all for now. Angela: I just wanted to say, your work is of such a consistent quality that I really don't find myself worrying about you. So I want you to be extra on the lookout for ways to help the team with Bedside Shift Reports. Don't be afraid to give them constructive criticism, let some of the newer folks shadow you, review EHRs, whatever you think works. Sounds good? I'm counting on you. How will you respond to Charge Nurse Angela's request? As opposed to in-person discussions, the course of action that seems to me least liable for awkwardness is to review nurses EHRs after Handoffs. As opposed to in-person discussions, the course of action that seems to me least liable for awkwardness is to review nurses EHRs after Bedside Shift Reports. Angela: EHRs aren't the only thing that we need help improving. That works for me. I'll let you know how it goes. me. I'll let you know how it goes. Angela: Awesome. Looking forward to it. Why have you accepted an appropriate level of responsibility? All Shadow General staff are expected to be change agents, no matter the situation or the ranking of the parties involved. You scored 1.0 out of 1 The correct answer is: All Shadow General staff are expected to be change agents, no matter the situation or the ranking of the parties involved. Angela: Great. Now, I want you to sync up with Nurse Ben at some point and run through a practice SBAR. He's had problems in the past with missing whole aspects of the Bedside Shift Report. I tried doing one with him, but he seemed nervous around me, as usual. Anyway, you're not the charge nurse, so I don't think he'd be as intimidated with you. How should you respond? Sounds good. I'll talk with Ben soon about practicing the SBAR.