Nursing Discussion Reply essay
Dear Writer I need a discussion reply to a fellow classmate. Please make it seem like it is me replying to their post.
“Teams are created in order to provide patient safety as more can be achieved working with a team than working alone. Ideally, every member of the team has a specialized skill which when
combined with the team members results in a group of professionals that has the potential to improve clinical care. A multidisciplinary team can result in a group of collectively intelligent professionals that can result in overall patient satisfaction and care. However, good communication and collaboration between team members is necessary to reduce the risk of harm to patients” (Mayo, A.T. & Woolley, A. W. 2016).
In order to have an effective team, it is essential for the team members to know each other’s job role and responsibility. Davis, C. ( 2017) emphasizes the need for team members to meet frequently to discuss the patient’s clinical conditions. By taking the time to do this often, the interdisciplinary team members can “identify the areas of care they can impact” (Davis, C. 2017).
According to Robson, W. (2016), communication, situational awareness, leadership and mutual support are all key elements of teamwork. Individual intelligence alone will not ensure patient safety. Errors are usually due to poor communication, not technical knowledge. Assumptions that other team members already know the issue is a problem. Being afraid to speak because the other team members have more letters behind their name is also not uncommon. The team member may feel inferior and assume that the physician, for example, has more knowledge and as a result, they may fail to communicate the issue at hand or a possible solution. Team members should feel comfortable enough to ask questions without worrying that it’s a dumb question or may appear trivial.
Team members must be aware of what is going on around them at all times. We must “scan our environment for clues about what is happening” around us (Robson, W. 2016). All team members need to remain aware of the situation and share their perceptions daily. Another team member may have a different perception of the same situation and can share their solution or provide assistance.
Team leaders set the tone of the group. The leader can create a positive, cohesive team spirit or intimidate some of the members. Team members need to feel comfortable enough to speak up. They should be able to verbalize their concerns, voice their perceptions and ask questions without fear of embarrassment. Robson, W. (2016), suggests asking team members to introduce themselves and their duties/ job title. If they are concerned about a particular skill, now is the time to speak up. New nurses may not be comfortable inserting IVs and should be able to ask for assistance from a team member without fear of being humiliated. The team leader should encourage input from all members and offer assistance when and where needed.
Team members should be able to ask, and accept help as needed. It is not always easy to accept the help offered for fear of being perceived as incompetent. New nurses or a nurse who has been floated to an unfamiliar unit may feel that they are inadequate because the are unable to keep up with the workload or pace of the other unit nurses. As a new medical ICU nurse, I recall being floated to surgical ICU and being assigned a patient just out of surgery. The outgoing nurse gave me a quick report and left. Immediately, I noticed that his blood pressure (bp) was increasing despite being administered medications as ordered. I did not know any of the other nurses and everyone was busy, so I did not ask for help. I was able to locate the surgeon and reported the increasing blood pressure. The patient was scanned which revealed a cerebral hemorrhage and immediately rushed to the operating room. While he was gone, they brought in my second patient who had undergone surgery and had drainage tubes and several IV lines. He was awake and I began setting him up in the room and just about had him resting comfortably when a code was called in the adjacent room. Everyone ran in to assist and when I stepped into the room to help where needed, I was confronted by an open chest! He had apparently just returned from surgery, a coronary artery bypass graft (CABG) and the staples on his chest had been cut open. The doctor was inside the patient’s chest electrically stimulating his heart with the paddles. I had never seen this before and became pale, fortunately I did not pass out. It was then that the other staff members spoke to me! They all expressed concern and the rest of my shift was better.
The surgeon of my first patient had been very rude to me when I called him about his patient’s increasing bp. He had accused me of failing to administer medications according to his orders. He said he knew how nurses were because he was one! The surgeon had been a nurse before going on to become a neurosurgeon. I was astounded but was able to reply that this was not the case for I had followed orders as written. After completing his patient’s surgery, he came over to explain that the patient was his in-law. I guess his explaining the relationship to me was a semi-apology. I later discovered that the nurses on that unit avoided him whenever possible. I was asked to stay for a second shift, but I wanted no part of surgical ICU.
My failure to ask for help resulted in my feeling stressed, incompetent and could have resulted in patient error if it wasn’t for my instinct that something was wrong. The following day, on my usual unit I relayed my day’s events to my co-workers and they all started laughing because they too knew who the surgeon was and also avoided him. It was nice to be back on my floor where I knew and could count on everyone to help. Our team was highly effective. There were only ten rooms on the floor with the nurses’ station centrally located. The staff made themselves available, at times holding impromptu meetings to discuss the new patients or an ongoing patient issue. Questions flowed freely and they were answered by the person with the information which was not always the physician.
Everyone in the team needs to look after everyone else and watch out for signs of stress and overload in their colleagues” (Robson, W. 2016). Team leaders and members should express appreciation for others input, skills and assistance. Everyone deserves recognition for their expressed perception, expertise and their willingness to help. Being a smart team member is of no use if the knowledge is not shared.
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