Lack Of Communication In Nursing

The interview was conducted with a registered nurse with more than 10 years’ experience. Her current role is working in the Medical Assessment and Planning Unit, in particular, the palliative care area. On a regular basis, her role involves providing safe and quality care to her patients, and more specifically end of life care. In doing so, two predominant skills of communication

Additionally, the care environment developed a hazard when the patient population increased both in number and acuity with the admission of the acute respiratory distress patient and increasing patient load in the lobby without note of available back up staff being called in. Examples of errors from the flow chart comparison might include failure to assess and monitor when Nurse J initiates blood pressure and SpO2 measurements, fails to initiate ECG with respiration monitoring, fails to administer supplemental O2, and leaves the room without apparently noting the baseline of the patient2. Furthermore, there appears to be an error in the lack of communication collaboration between the RN and LPN regarding Mr. B’s post procedure status and monitoring needs, and there is a failure to rescue when the LPN notes the low SpO2 value, fails to respond, and instead re-initiates another blood pressure reading without noting the results. As Mr. B’s condition deteriorates and a code is called, an ACLS error is observed in the timeline when the patient is noted first to have absent pulse and respirations and that a monitor is next applied and the patient and displays ventricular fibrillation. Chest compressions appear to not have been the first action in this scenario, nor is end tidal CO2 monitoring noted as initiated to monitor the quality of compressions. These are examples of hazards and errors in the care of Mr. B and in an actual RCA the level of detail would likely turn up

Interdepartmental communication and medical errors have both been proven as causes of harm to patients in health care settings. When there are gaps in communications between nurses changing shifts or patient transitions from one department to another, medical errors can occur and cause harm to patients. Even though there has been improvement in recognition of these problems and actions taken to reduce communication gaps and medical errors, there still needs to be more work, especially in individual facilities.

The American Nurses Association (ANA) “Code of Ethics for Nurses” (ANA, 2001) states: “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”. This reflects that advocating for the patient directly correlates with the safety and well-being of the patient. The key part to patient advocacy is effective communication. In recent times, there has been a focus on the connection of effective communication between healthcare workers and patient safety. A number of Institute of Medicine reports has brought focus to the severe matter. The reports have emphasized the concern of the lack of communication in the healthcare setting and the resulting negative patient outcomes. (Hanks, 2012a). This goes back to the notion that while many healthcare professionals consider themselves as a working member of a team, we have the natural tendency to work autonomously. Therefore, it is the nurse’s duty to collaborate patient centered care by practicing good communication skills with the entire healthcare team, the patient, and the patient’s family if consent is given to assure patient safety.

Health care professionals have multiple responsibilities and one among them is ability to transfer patient information or handoff to another healthcare provider. Clear and accurate handoff communication between healthcare providers of operating room team is an integral part to patient safety. Exchange of patient information occurs many times a day and are vulnerable to communication errors that may negatively impact patient safety. In fact, poor communication is one of the reported cause of sentinel events within United States hospitals and is at high risk often among surgical patients than in any other clinical specialty. Surgical patients move from perioperative to intraoperative to post-operative areas and transition between these specific points requires effective communication. Rapid turnovers are most often vulnerable to communication errors that could lead to fatal implications.

It can be hard for nursing students to apply theoretical knowledge to clinical setting without some proper guidance and support. This paper will discuss a critical incident which occurred in Week 3 of my N308 clinical course. The incident was related to skilled communication and organized prioritization, which are topics covered in N307 seminar. From a nursing perspective, this incident made me realize the importance of effective communication, prioritisation, and management skills because disorganized care would pose a threat to patient’s safety and compliance with the fundamental principles listed in the CNA code of ethics (Canadian Nurses Association, 2017).

Communication within the surgical team was extremely efficient. Everyone was very informative with one another, which helped the procedures move smoothly and effectively. All surgical procedures began with verification of the patient, surgical procedure, and surgical site. Although, in the article, “Why a RN in the OR?” explained that every member of the surgical team performed the verification individually, in this case, the circulating nurse simply read aloud the patient’s information along with stating the surgical procedure and site. Moreover, throughout a majority of the procedure, most of the communication consisted of the surgeon and the surgical technicians. The surgeon was mainly the individual to give commands and was very explicit in explaining what he was doing and what he was about to do in order for the surgical technicians to be prepared to hand him what he needed. Furthermore, as in the article described, the circulating nurse monitored aseptic practices and informed the surgical technicians to place objects that were no longer sterile in a specific bin. There was also a Certified Registered Nurse Anesthetist (CRNA), that monitored the patients’ vitals throughout the entire procedure and periodically gave the rest of the surgical team updates regarding the patient’s condition. Specifically, during an inguinal hernia repair, the patient began to cough during the procedure; however, the CRNA wasn’t able to witness it since he was behind

Communication is the foundation of exchanging information from one person to another, whether it is in the form of written, spoken or by body language, communicating is vital to everyone. Therefore, effective communication is imperative within the healthcare, for it is through communication relationships, information and understanding are obtained. The purpose of this paper is to read the critical thinking exercise with Nurse Oliver Witte and describe the problems that are presented, whose problems it is? What should Olivia do about it? In addition, I will discuss what mode of communication Olivia is using and in what order should she communicate with first, along with who else needs to be involved with this her communication. Lastly, what type of leadership and management strategies should Olivia use?

1. Why do you think that research has found that physicians with good communication skills had fewer patient complaints and lawsuits? Identify at least two specific ways that a doctor’s communication skills can improve the patient’s experience.

Open communication is essential part to a successful healthcare team that directly impacts patient’s lives. In the video “Just a Routine Operation, ” by Laedal Medical Human Factors in Patient Safety, physicians and nurses demonstrates how different human factors contribute to the overall outcome of the patient. Elaine, the patient in the video came into the hospital for a reconstruction surgery. However, during the surgery Elaine had a complication and because the lack of communication, assertiveness, self-awareness, decision-making, teamwork, and prioritization, Elaine did not survive the surgery. This situation shows how important these characteristics are when dealing with emergency care. Even the health care professional with the years

Change is the stage where all the ward team begin to decide their uncertainty that things will be different (Cummings and McLennan 2005). This is when effective communication flow will be established with the ward team to be on board with the change especially the hierarchical stakeholders leaders or managers (Palfrey 2006). It will develop a good rapport between the change agent to managers in order to brain storm these managers to belief in embracing this challenge and chance to execute the cover for the catheter stand and short with suspensor pocket for the suprapubic catheter leg bag would benefit the patients and the team. This will allow the managers to engaged and support the junior staffs to adapt the new skill as they are seen as role models (Porter-O' Grady 2003). This transitioned of these hierarchical leader controlled structure of empowerment will require a champion who will advocate, lead and implement the change within the unit and others (Kerfoot 2006). For example, the manager will mentor and

Effective nurse-physician collaboration is essential to superior patient care. The lack of effective collaboration has been cited as the root cause of over 70% of major medical errors (The Joint Commission, 2014). Effective communication between healthcare workers increases the patient’s quality of care. When nurses aren’t communicating effectively, medication errors, patient injury and possible death may occur. Ineffective communication between health care workers occurs when healthcare workers aren’t working together as a team. It’s important for healthcare providers to trust, and respect each other to work together, so effective patient care can be achieved. If healthcare workers aren’t on the same page, medical errors may occur. In some cases, nurses feel intimidated by doctors, or don’t want to let a physician know they don’t agree with an order.as a nurse you must always remember your job is to advocate for the patient, keep them safe care. If you must challenge a doctor’s order do so in a professional manner.

Safety of the patients’ care is the identified issue, in reference to lack of communication. All disengaged patients should be accounted at all times. The staff responsible for the patient should be on alert about possible issues that may occur relating to that particular patient. For example if a nurse is taking care of a dementia patient that is a risk for elopement there should be procedures in place to prevent issues. The hospital needs to have procedures in place for checks and balances for each possible safety problems that may arise. The risk management will have to create written procedures for check off between staff. Tina’s mother instructed pre-op nurse to call her in the event that surgery was out sooner than expected. The pre-op nurse should have passed information to intraoperative nurse to call Tina’s mother. The follow up information should be documented in the patient’s chart.

How often does a registered nurse effectively communicates the medication and the rationale and or importance for taking the medication to their patients? I chose goal nine from the fifteen Patient Safety Goals created by the The Joint Commission on Accreditation and HealthCare Organizations. Goal nine, or NPSG.03.06.01, focuses on maintaining and communicating accurate patient medication information. Whether it is from the physician to the nurse or the nurse to the patient. Lack of proper communication often leads to medications errors. In fact, in 1999, the Institute of Medicine estimated approximately 7,000 deaths are caused by medication errors annually. This can be a mixture of not being competent with medications, not effectively communicating

Prior to this discussion with Ms. Forks two nurses had been discussing how busy the ward is and how they needed extra beds.