Below is a diagram I made showing the chain of command for clinical issues.
My team consists of eleven (11) Allied Health Professionals. Our Assistant Director is a Registered Nurse and our Medical Directors are Medical Doctors. The team members are Registered Nurses (RNs), Physical Therapists (PTs), Licensed Practical Nurses (LPNs), and Utilization Management Analysts (UMAs).
Below is an image I found on Microsoft word clipart showing 11 people standing hand-in-hand as a team. I would like to think this image is a fitting depiction of my team.
Overall, my team has a good team relationship; however, I must admit we are not a perfect team. Not all of us share the same characteristics – traits, attitudes, and habits.
I have known my colleagues for quite some time now and based on my daily
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Each member’s tasks are dependent on their role. The assistant director’s role is the team leader, therefore, her task is to manage the day-to-day operations of the team and perform directorial administrative functions. The medical directors are clinical leaders, making them responsible for making the medical determinations. The Physical Therapists are the Rehab Coordinators who screen the patients that needed skilled nursing and rehabilitation care and provide these patients authorization to be transferred to skilled nursing facilities (SNFs). Registered Nurses are the Nurse Case Managers, who are responsible for coordinating care of the patients while in the nursing facility and transitioning them to home, hospice, or long-term care. The Licensed Practical Nurses are homecare and hospice coordinators who arrange authorizations for patients to receive home care or hospice services at their own houses, senior facilities, or assisted living facilities. The Utilization Management Analysts are the non-clinical staff members who support the clinical staff by performing clerical
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’
Responsibilities include: scheduling, monitoring and acting as team leader for a small group of in-house RNs as well as conducting
Preadmission for example, in a nursing home is done by the manager, the patient’s GP or multidisciplinary hospital staff. It is the nurses or receptionist’s job to take the patient’s information and pass it on to the multidisciplinary team. Managers have the job of overviewing the situation. Discharges are granted by the doctor, social worker, occupational therapist or multidisciplinary team. The domestic assistant cleans the room before and after a patient, they also
Unit 510 Lead and Manage a Team Within a Health and Social Care or Children and Young People’s Setting
Janice is responsible for the staffing of her unit (Palliative/Hospice) which has been named “The Light House” with 70 staff members working various shifts. As a manager of any unit within the Veterans Affairs Medical center, managers are expected to attend or review meetings minutes; meetings like the Nursing Council and Nurse Manager’s meetings as well as others committees. Managers are to hold staff meetings and communicate the minutes to all staff via email, or written form. Managers make sure all changes in policies, documentation, and other situations are reported to staff members. Managers are accountable for compliance of all regulatory standards, such as OSHA, CARF, and JC standards. Managers are to have an approved staffing plan, review expenditures affecting its cost, such as overtime, leave, and compensation time. Complete quarterly report/data, staffing effectiveness analysis reports, staffing updates, and FMLA information. As a manager, communication, performance improvement, staffing/recruitment, time and leave, safety/environment of care, controlled substances, adverse events/patient complaints, employee accidents/injuries, employee performance, performance appraisals and proficiencies, and staff development are all part of her duties.
Interdisciplinary work teams includes staff from different level of clinical professionals such as nurses, nursing assistant, surgical technicians, anesthesiologists, physical therapist, occupational therapist, attending physicians who goal is to work and communicate together to improve patient quality care and safety. Working together as a team, will improve patient care and also help to delivered unique patient care quality and reduce medical errors. The use of interdisciplinary teamwork improved communication between different levels of healthcare workers, and limited adverse events, improved outcomes, decreased the length of stay and yield greater patient satisfaction ( Epstein, 2014). In healthcare setting or environment, patient safety
The role of providers is to deliver patient care using the latest technology, tests, treatments, and provide preventive care. Their role of direct care places them front and center for identifying and implementing changes to patient care practices. The patient’s role is to expect the best evidence based care delivered in a safe and compassionate manner. Patients and their families are encouraged to report on the quality of the care received. Positive change is in their input is extremely important for driving and implementing necessary changes. The payer’s role such as CMC, require providers to perform their work using evidence based practice and diagnostic planning to reach an accurate treatment plan. Payers want to lower costs by minimizing visits and tests. They also incent providers to maximize safety initiatives such as fall prevention by not paying for injuries resulting from incidence of in-hospital falls. Their role is to ensure requirements and standards are communicated and enforced with the nursing home setting. The Nursing home administrator role is to take the financial reins maintaining or lowering costs. The Administrator is also responsible for presenting improvements to the board to obtain funding for the project. In addition, the administrator is responsible for staff training for implementation
Delegated tasks, and monitoring all direct-patient staff, including LPNs and Dialysis Assistants, assessed care needs and developed
Teamwork is central to supporting plans of implementing any modifications in practice. The purpose of this paper is to determine organizational readiness and define transformation opportunities on 2 east post-surgical nursing unit to assume a TeamSTEPPS initiative based on the results of the TeamSTEPPS AHRQ’s Organizational Readiness Assessment Checklist and Hospital Survey on Patient Safety. Additionally, a brief description of the organization and post-surgical unit along with staff’s perceptions and attitudes of the unit, barriers in implementing change, implications for the nurse executive to consider utilizing the TeamSTEPPS tools.
The nurse care managers assess the client through an initial health assessment which includes going over the client’s diagnoses, health history, medications, and determining a level of care. In addition, the nurse also reviews ADL/IADLs, health/medical information, and safety. The administrative staff perform clerical responsibilities and communicate with potential recipients of MSSP. The supervising care manager ensures that the client’s reports/assessments are completed on time in order to case conference.
It is one of the models of nursing care delivery that originated between 1950 and 1960. It involves a team leader and various team members in rendering several health care products or service to the consumers in groups. A curse gives medications while bath and care are given by a nursing assistant under the supervision of a team leader who is a nurse. This has really helped in reducing the presence among health care workers especially the nurse.
The leadership includes the nursing director, nurse manager, nurse supervisors and charge nurse. The nurse director and nurse manage provide guidance to the nursing staff and coordinates the health services provided to the patients. The nurse supervisors manages and supervises the registered nurses enforces the unit’s policies and codes. The charge nurse acts as the unit’s resource nurse and liaison between the nurses and other interdisciplinary staff. The nursing leader overall set goals for the nursing staff and assist in meeting unit goals. The nursing leaders meet with the nursing staff monthly to address issues and update the staff on the unit’s progress.
All with differing skills and levels of experience, to allow a service to be provided efficiently and effectively. Each member of the team has a purpose and a function within that team, so the overall success depends on a functional interdependency. There is usually not as much room for conflict when working as a team. The team also does not rely on groupthink to arrive at its conclusions.
For example, RN might be assigned for patients’ assessments, LPN assigned for certain medication administration and nursing assistant helps with care/bathing and feeding patients. All this done under supervision of a team leader another RN (Currentnursing.com, 2015).
The primary nurse also communicates with other members of the health care team regarding the patient’s health care. This model encourages a compatibility with the patient and help with building a trusting relationship. This care model is commonly used in hospice, home health care and long term care settings. In doing so the nurse takes 24 hour responsibility for the outcomes of that care from admission to discharge. However, in the absence of the primary nurse, an associate nurse (RN) can implement the care based on the primary nurse’s specification but he or she cannot change the plan of care.