Transcript Unit two: Strategies for Professional Practice

Unit two: Strategies
for Professional
Practice
I. INTRODUCTION: Challenges of Handling Multiple
Patient Assignments
SITUATION INDICATING CHALLENGES OF
BEING A NEW NURSE
• Inez is a new graduate registered nurse. She has
completed her orientation; this is her first shift
without her preceptor. She is frightened feeling
she is holding up the world on her new graduate
shoulders. She really is not alone. Inez and
Carole, an experienced RN, along with one
certified nursing assistant are responsible for 10
patients on the unit.
SITUATION CONTINUED
• They are expecting a new admission, and
another patient is returning from surgery, the
dinner trays are arriving, medications for 1800
are due. Just as the dinner trays arrive, a
patient’s family member runs out to Inez
stating that her mom has become confused,
incontinent and has pulled out her IV.
• What would do if you were Inez?
• What would you do first?
CARING FOR ONE PATIENT
VS MULTIPLE PATIENTS
• Identify how this is different
• Identify characteristics in the caregiver necessary to
provide care to multiple patient assignments
• Identify stressors that the caregiver feels when providing
care to multiple patients
• Identify approaches that will make this successful for the
caregiver
ORGANIZATION
• How to organize multiple patient assignments?
• What obstacles are in the way for the caregiver?
• What are the advantages of organizing?
EVALUATE OUTCOME
ACHIEVEMENT
• If at the end of a shift the nurse did not accomplish the
desired intended outcomes, the nurse should review the
shift activities to see what time wasters interfered with
outcome achievement.
SITUATION INVOLVING
FLEXIBILITY
HOW DO YOU HANDLE?
• Being floated from maternity to med surg?
• Working short staffed
• Responding to a disaster
• Responding to 4 admissions within 2 hours
• Computer system goes down
• Patient goes bad
• Someone calls in sick
INCREASING
INDEPENDENCE
• Breaking the umbilical cord
• Speed at which you develop independence