The final course project was creating an interprofessional team (IPT), function as a leader and take part in the stages of group development, setting of the team roles and goals, identifying communication patterns, and team analysis to discuss an issue at the microsystem level at our facility. The issue that is being addressed is post-transplant steroid associated hyperglycemia. For patients that have new onset diabetes after transplant (NODAT) whether immediately post-operative period or during a rejection episode is an issue that needs attention. The patient has a poor understanding of the blood sugar monitoring, insulin administering, and dieting. A date, time, and location was secured that was conducive to the team members schedule. …show more content…
Fresh kidney transplant patients will be tapered from steroids over four months, however they will always take a small dose of steroids. Both types of patients will receive one gram of steroids on two separate days. Now, those patients that are admitted for steroid recycle due to rejection will receive one gram of steroids for one day. Then, the steroids will be tapered for a week via intravenously until the oral form of prednisone can be started. And then, the taper starts as listed above for each organ. Even though this regimen starts in the hospital, it will extend over to the outpatient clinic.
Participants
The participants of the IPT were chosen for their expertise, years of experience, certification, and passion for the patient-centered challenge. All the participants work in transplant administration. None of these individuals divide their time between the hospital and transplant administration. Too, they only see transplant patients in the in-patient and out-patient setting. The IPT members are as follows with their credentials, education, experience, expertise: PA-C, MPAS, Transplant Physician Extender, 10 ½ years as a physician assistant, 8 years as a transplant physician assistant; one transplant coordinator, RN, CCTN, 7 ½ years as a nurse, 2 years as a transplant coordinator, 3 years as a certified transplant nurse; MS, RDN, LD, CNSC, Transplant Nutrition Specialist, Nutritionist, 24 years as a dietician, 13 years as certified nutrition support clinician,
Did you know another name is added to the national transplant waiting list every 10 minutes (Facts).Many things have cautions, a few have more than others. Although bodies react differently toward procedures, Anyone at all could overcome these obstacles.
Today we are in great need of a solution to solve the problem of the shortage of human organs available for transplant. The website for Donate Life America estimates that in the United States over 100 people per day are added to the current list of over 100,000 men, women, and children that are waiting for life-saving transplants. Sadly enough, approximately 18 people a day on that list die just because they cannot outlive the wait for the organ that they so desperately need to survive. James Burdick, director of the Division of Transplantation for the U.S. Department of Health & Human Services confirms, “The need for organ transplants continues to grow and this demand continues to outpace the supply of transplantable organs”. The
This paper is going to focus on the importance of getting a better way for Medicare to handle the needs of transplant patients. The current situation isn’t a good one. The patients are the ones that suffer while the medical insurance companies and centers keep making more and more money. This is showing to me how much of the healthcare has turned to be about that. The transplant centers are needed but there is so much red tape that they have to go through to be approved by Medicare it makes it hard for them to open. What seems like should be an easy fix sure isn’t when you look into it.
The issue of interprofessional working is currently one of key importance in the field of health and social care (Moyneux, 2001). Using the 6 stages of Gibb’s Reflective cycle (1988) I am going to demonstrate my understanding and explore the importance of interprofessional working as well as discuss barriers and facilitators for team working. A healthcare system that supports effective teamwork can improve the quality of patient care, enhance patient safety and reduce workloads that cause burnout among healthcare professionals (Oandasan, 2006). The 6 stages of Gibb’s cycle include description, feelings, evaluation, analysis, conclusion and action planning for future practice. I am going to reflect on the preparation work which was carried out each week for the group summative presentation and the importance of communication within the group.
The Patient and Family Care Organizational Self-Assessment Tool (PFCC) for current practice setting will be completed as well as the organization in its entirety. The results will be analyzed based on a one to five scoring system with one being the lowest. The areas where the organization could improve its PFCC care will be discussed. The analysis of how business practices and regulatory requirements impact patient family centered care. A strategy will be created that includes goals and an operational plan to increase PFCC of the organization by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on
Interprofessional Education, IPE event took place on July 22nd, 2016. The purpose of IPE is for us to learn how to work together as a health care team effectively collaborating with other health care members. In order to do so, each individual needed to understand not only his or her role and responsibility of a given role but also other team members’ roles and responsibilities. In our event, it was Interprofessional Health care Team Simulation with roles of a registered practical nurse and a Food Service supervisor, and a registered social worker and a personal support worker and a patient and her family member. We were given the scenario with the patient, Mrs. Johnston, 93 years old resident of a nursing home. My role was a RPN. The situation given was that we were asked by the patient’s family member to have a meeting with the health care team since her family member was concerned about her declining health status accompanied by her body weight loss.
Interprofessional team collaboration for professional nurses is viewed as a method to improve the care and safety for patients. However, interprofessional team collaboration presents both advantages and challenges for nurses and other team members. One of the advantages is the coordination of care for the patient and the sharing of knowledge to improve the outcomes for the patient. Challenges for interprofessional team collaboration is: poor role-definition, miscommunication, conflict, lack of accountability for assignment of responsibilities and tasks (Reeves, 2012). This paper will discussion the role of a nurse on an interprofessional team and the challenges, why interprofessional teams promote patient safety, and strategies to promote success interprofessional teams.
There are three main tenets that are essential for my success as a future Osteopathic medical student and physician; comprehensive patient-focused education, application of evidence-based medicine, and interprofessional collaboration.
This essay will explore how healthcare policy influences interproferssional working in the healthcare sector. I will reflect upon a practice based situation related to a service user and discuss how this is linked to the policy 'Our health, our care, our say ' (Department of Health, 2006).
I spoke to nurses, and other transplant patients alike. Both lung patients and kidney patients who were waiting, and those who’d had their transplant and were fighting fit. The difference was compelling to see and I wanted to portray this in the script, and to try and promote the positives of organ donation.
“Interprofessional working involves complex interactions between two or more members of different professional disciplines. It is a collaborative venture in which those involved share the common purpose of developing mutually negotiated goals achieved through agreed plans which are monitored and evaluated according to agreed procedures. This requires the pooling of knowledge and expertise to facilitate joint decision making based upon shared professional viewpoints” (Barrett, Sellman & Thomas, 2005, p18). How individuals collaborate and work towards a common goal for the benefit of the patient is essential for a swift recovery.
There are many healthcare organizations for clinical care professionals today. Some healthcare organizations have utilized a process-driven sequence of patient care treatments and services in order to deliver quality patient care. Uniquely a service organization that provides an outstanding example of these perspectives is the Life Alliance Organ Recovery Agency (LAORA) in Miami, Florida. I would like to work for this health care arena because it has provided a clinical process for life-saving transplants in addition to quality improvement initiatives. This organization is a Division of the Daughtry Family department of Surgery at University of Miami Miller School of Medicine and one of the nation’s 58 federally designated organ recovery agencies
Kidney disease has become more prevalent over the years, one in nine Americans has chronic kidney disease, resulting in the need for a kidney transplant. Kidney failure is caused by variety of factors resulting in damage of the nephrons, which are the most important functioning unit of the kidneys. Kidney failure can be broken down into three groups: acute, chronic, end-stage. Once kidney failure is irreversible, dialysis or transplantation is the only method of survival. To avoid a kidney transplant, one needs to be aware of the pre-disposing factors, signs and symptoms, available treatments, and proper diet.
C. Audience Adaptation – Organ transplantation represents a unique partnership of thousands of people throughout the country working together to save lives.
Every year, thousands of patients who are on the United Network for Organ Sharing (UNOS) transplant waiting lists die, as the number of allografts that become available do not meet the demand. An allograft is tissue that is surgically transplanted from one person to another. As organ transplant patients wait for donor organs, they risk further clinical deterioration, which can render them no longer suitable for transplantation. Some patients wait months or years for an organ, depending on what blood type, body size, geographic location, and organ needed. “As of December 1, 2005, there were more than 90,000 people waiting for an organ transplant in the United States, and some of these patients need more than 1 type of organ” (Bramstedt, 2012). There are about 6,300 deceased donors who provide an average of 3 organs for transplantation a year. According to UNOS, roughly 50% of eligible deaths result in organ donation. Donation rates have increased by only 3% each year from 1994 to 2003. This is despite the efforts to educate society about the need for the donation of organs, as well as the use of donor registry campaigns, and United States motor vehicle registration offices.