Primary Barrier-Imped Effective Interaction

A.Nightingale Community Hospital is attempting to be in complete compliance with Joint Commission’s “communications” standards. Prior to the Joint Commission survey, Nightingale Community Hospital wanted to focus on items UP.01.01.01 through UP.01.03.01 of the Joint Commission handbook. According to the handbook, these items focus on the universal protocols for preventing wrong site, wrong procedure, wrong person surgery (2015). In response to these universal protocols, the hospital implemented a pre-procedure hand-off tool, which is completed and signed off by both the nurse handing off the patient as well as the nurse accepting the patient. The hospital also began

* Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the

In preparation of a review from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nightingale Community Hospital will focus on improving its communication process in the operating room. The purpose of communication in the healthcare setting is to disseminate information in such a way as to create shared understanding about the patient and about what needs to be done for a positive outcome. (synergia.com) A patient is at his most vulnerable state during procedures that require sedation or anesthesia. The patient is releasing his decision making ability and safety into the control and care of the healthcare team. Therefore, effective communication on behalf of the patient is

VASNHS Surgical Specialty Outpatient department has a designated pre-operative management unit that oversees the patients undergoing surgery. The predicaments stem from various guidelines or protocol originating from numerous surgeons and clinics. At present, the pre-operative nurses abide simple pre-op instructions (NPO protocol, medications, what to bring, during the surgery, transportation, cancellation instructions) for the entire Surgical Specialty Outpatient department. Surgical procedures are being canceled due to lack of communications and cancelations of patients prior to surgery date.

Hello everyone. My name is John Smith. I am a RN here at the Hospital and I am the Director of Nursing Informatics. As I’m sure all of you know to be successful in the care of our Patients you have to work as an interdisciplinary team and timely COMMUNICATION is key! As you can see I have capitalized communication to emphasize how important it is. As a Nurse on the unit a big part of communication is reporting a patient’s condition after you have

The Hospital environment can offer some practical challenges that could be barriers in communications. Many patients have individual needs and this can impede on a nurses time and emotions. Nurses put in long hours and have a high patient/nurse ratio or shortage of healthcare workers. Nurses/personnel have to deal with emergencies in an already challenging and busy hospital setting. Dealing with patients takes mental acuity and emotional support and sensitivity. Hospital guidelines might not have sufficient communication practices among personnel in place.

In addition, throughout any procedure, the nurse should continue to educate and maintain strong communication with the patient to avoid any surprises that may upset them. This includes thoroughly explaining why, how, and what the nurse will be doing.

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

Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.

The first proposed way to improve interaction between the personnel is to establish protocols prior to surgical procedures to ensure that the patient’s documentation is received from the care provider’s office. This information should include the pertinent notes as well as any information critical to the safety of the patient. Secondly, registration forms should be redesigned to include parental guardianship and contact information for minors. Parents or legal guardians should be identified with an armband which matches the minor patient’s identifiers.

In this assignment I will throw light on my first clinical week that I had to observe the effective communication skills on the med surgical floor. As I started my day, the charge nurse was assigning patients to the dayshift. As the patients were assigned, the nurses started their shift report from the night shift in the break room. In this report, they discussed the patients diagnosis, previous medical history, labs and all pertinent information about each assigned patient. On the med surg floor, we get the opportunity to experience all areas of patient care with patients coming from surgery, emergency department, direct admit, and transferred from

A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional

Nurses are the ones who provide for their patients by giving them the emotional and physical support they need while helping their patient reach their goals of becoming healthier. Perioperative Nursing, a nursing specialty that is associated with patients who are in surgeries, works primarily with the surgical team, which includes the surgeons, nurse anesthetists, anesthesiologists, and surgical assistants and technologists. Perioperative nurses, also called surgical nurses or operating room nurses, are there for patients and their families before, during and after surgery. The high intensity environment can create stress and can also cause communication conflicts between the surgical team. Perioperative nursing deals with various amounts of stress based on the work environment and affects burnout, turnover rates, and difficulties in communication with their surgical team.

Today surgeons are facing a challenge that the art of communication skills are playing a more and more important roles in success of the hospitalized patient care. When talking about communication skills in surgeon culture, it could be either the communication between doctors and doctors, doctors and patients or even doctors to patient 's relatives. As a 21st century surgeon, one should be able to dealing with all the above situations well in order to become a successful surgeon. This paper briefly discuss the working atmosphere of the surgeons and focus specially in details on the communication issue that a surgeon may encounter during its daily working hour and provide several ways through which contemporary surgeons solve

When conflict interferes with the nurse-physician relationship it can and will impact communication and eventually impact patient care. In the context of this paper, according to Tabak and Orit (2007), a conflict is defined as a situation arising where one party in a workplace relationship perceives that the behavior and objectives of the second party are not compatible with, and therefore threaten, their own. The background example suggests a conflict that has arisen in a nurse-physician relationship that has caused a nurse to feel uncomfortable and apprehensive toward a physician. Therefore, if Leslie and Dr. Eastman have to collaborate for a patient’s care their working relationship may be damaged and thus affect patient care. Tabak and Orit (2007) continued on by stating that the working relations between doctors and nurses, as any set of relations between two collectives in the workplace, are affected to some degree by interprofessional conflicts. There are many factors that can affect the relationship of nurses-physician relationship: gender differences, socioeconomic status, and gaps in education. In some instances, it is related the a physician’s having the “Good Old Boy” mentality, and believe that the nurse is nothing more than a servant to the physician. The conflictual factors (Tabak & Orit 2007) include the fact that nursing is still by and large a female profession while doctoring is still largely male, and the physicians higher prestige.