Assignment 5: Change Management and Patient Advocacy Completed Shadow Health - Spring 2020; Score: 29.0 out of 30.

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Assignment 5: Change Management and Patient Advocacy Results | Turned In Leadership Modules - Spring 2020 Return to Assignment (/assignments/337352/) Your Results Lab Pass (/assignment_a... ttempts/6851714/lab_pass.p Overview Debrief Team Delegation Interprofessional Communication Score: 29.0 out of 30 Time: 1055 Interprofessional Communication Prioritizing Individual Patient Needs Prioritizing Delivery of Care Angela: Hey, I heard Mr. Liu was left hanging this morning waiting to be discharged. Any idea what happened? Angela: Hm. That's an unfortunate mix-up. OK, well, thanks for the update. How should you respond? I believe this type of miscommunication is liable to happen again if a standard procedure isn't codified into the Toolkit. You scored 1.0 out of 1 The correct answer is: I believe this type of miscommunication is liable to happen again if a standard procedure isn't codified into t Toolkit. Angela: Interesting. Why is this the most appropriate statement? As opposed to an "unspoken rule", a procedure being in the Toolkit best ensures that staff understand its non-negotiability and how to carry it out. You scored 1.0 out of 1 The correct answer is: As opposed to an "unspoken rule", a procedure being in th Toolkit best ensures that staff understand its non-negotiabili and how to carry it out. Angela: My only concern is that, with my recent push to improve Handoffs, I've already given the staff enough to focus on for now. Why don't we discuss this again in a few days. What is the most appropriate response? While I share your concern for the staff's workload, not addressing this gap in policy leaves us open to fumble another patient discharge, and only would require a minor effort of staff. You scored 1.0 out of 1 The correct answer is: While I share your concern fo the staff's workload, not addressing this gap in policy leaves us open to fumble another patient discharge, an only would require a minor eff of staff. Angela: I suppose you do have a point. Why is this an appropriate statement? A streamlined discharge policy is an important enough outcome to warrant the small cost of staff reading a line in the Toolkit and being mindful of it when arranging discharges. You scored 1.0 out of 1 The correct answer is: A streamlined discharge polic is an important enough outco to warrant the small cost of st reading a line in the Toolkit an being mindful of it when arranging discharges. Angela: Before we agree on anything, can you tell me more about the change you'd like to be codified? How should you respond to Charge Nurse Angela? The Toolkit should say that if a nurse provides discharge teaching at night, and subsequently has to hand over care of the patient due to their shift ending, then they should inform the new nurse of the need to arrange the physical discharge. 1.0 out of 1 The correct answer is: The Toolkit should say that if nurse provides discharge teaching at night, and subsequently has to hand ove care of the patient due to their shift ending, then they should inform the new nurse of the n to arrange the physical discharge. Angela: I can see that working. Why is this the best policy to suggest? You minimize the chance of error by necessitating communication between nurses and clearly designating responsibilities. You scored 1.0 out of 1 The correct answer is: You minimize the chance of er by necessitating communicati between nurses and clearly designating responsibilities. Angela: OK, I have to go -- one of my patients has a heart rate on a rapid decline. Talk later. How will you respond to Charge Nurse Angela? OK! You scored 1.0 out of 1 The correct answer is: OK! You scored Why is this an appropriate response? A current patient's need for physiological care takes priority over a discussion of policy, which only influences the comfort of future patients. 1.0 out of 1 The correct answer is: A current patient's need for physiological care takes prior over a discussion of policy, which only influences the comfort of future patients. Time: 0600 Angela: Alright everyone, let's huddle up for a second. Angela: So, here's the deal, folks: I've been noticing a lot of inconsistencies in our Bedside Shift Reports: people missing pieces of information, whether in the in-person handoffs or in the EHR. Now, this stuff can really affect a patient -- you know, you miss one medication in your Background, and boom, we've got a problem. Alright? And I want this to be a team effort. If you see someone missing something, you tell them. You tell them to look at their Toolkit and freshen up on the SBAR aspects. Sounds good? I know I'm nitpicking, but folks, it really matters. Alright, that's all for now. Angela: I just wanted to say, your work is of such a consistent quality that I really don't find myself worrying about you. So I want you to be extra on the lookout for ways to help the team with Bedside Shift Reports. Don't be afraid to give them constructive criticism, let some of the newer folks shadow you, review EHRs, whatever you think works. Sounds good? I'm counting on you. How will you respond to Charge Nurse Angela's request? That works for me. I'll let you know how it goes. You scored 1.0 out of 1 The correct answer is: That works for me. I'll let you know how it goes. Angela: Awesome. Looking forward to it. Why have you accepted an appropriate level of responsibility? All Shadow General staff are expected to be change agents, no matter the situation or the ranking of the parties involved. 1.0 out of 1 The correct answer is: All Shadow General staff are expected to be change agents no matter the situation or the ranking of the parties involve Angela: Great. Now, I want you to sync up with Nurse Ben at some point and run through a practice SBAR. He's had problems in the past with missing whole aspects of the Bedside Shift Report. I tried doing one with him, but he seemed nervous around me, as usual. Anyway, you're not the charge nurse, so I don't think he'd be as intimidated with you. How should you respond? Sounds good. I'll talk with Ben soon about practicing the SBAR. You scored 1.0 out of 1 The correct answer is: Sounds good. I'll talk with Ben soon about practicing the SB Angela: Great, thanks for your help! Which of the following rationale statements is <b>false</b>? A nurse with experience doing SBARs and Bedside Shift Reports is better prepared to effectively instruct on them. It is in your jurisdiction to accept this task from Charge Nurse Angela, even though only she is normally responsible for staff teaching. You scored 0.5 out of 1 The correct answer is: It is in your jurisdiction to acc this task from Charge Nurse Angela, even though only she normally responsible for staff teaching. Angela: Thanks for your help! Let's check in soon. Ben: Hi, what's up? What is the most appropriate response? Charge Nurse Angela said that you were having a difficult time with Bedside Shift Reports, specifically missing some aspects of the SBAR, so she's asked me to run you through a practice SBAR. You scored 1.0 out of 1 The correct answer is: Charge Nurse Angela said tha you were having a difficult tim with Bedside Shift Reports, specifically missing some aspects of the SBAR, so she's asked me to run you through practice SBAR. Ben: OK, I guess that's fine. Which of the following rationale statements is <b>false</b>? Without using hurtful language, you alert Ben that he has room for improvement. You inform Ben that he will be receiving disciplinary action for his mistake. You scored 0.5 out of 1 The correct answer is: You inform Ben that he will be receiving disciplinary action f his mistake. You scored Ben: I just think that this whole thing is not as big a deal as she's saying. Like, we all went to school, I think we all know it's not a big deal to leave out like, oh, this patient who's in the hospital for a foot scrape has an allergy to cats. When would that even matter? How should you respond to Ben? I understand it can feel tedious and sometimes pointless, but conducting Bedside Shift Reports thoroughly helps build that skill, and is mandated by hospital policy. It also ensures without a doubt that staff has access to all information that may be needed, however unlikely. 1.0 out of 1 The correct answer is: I understand it can feel tediou and sometimes pointless, but conducting Bedside Shift Reports thoroughly helps buil that skill, and is mandated by hospital policy. It also ensure without a doubt that staff has access to all information that may be needed, however unlikely. Ben: Yeah, no, I get it. Which of the following rationale statements is <b>false</b>? Allowing colleagues to practice independently and per their own styles is the top priority, due to its positive effect on morale and interprofessional relationships. 1.0 out of 1 The correct answer is: Allowing colleagues to practic independently and per their o styles is the top priority, due t its positive effect on morale a interprofessional relationship Ben: OK. So, Arun Patel . . . Arun Patel is a 38-year-old male who is on his third day at Shadow General. He's had nausea, vomiting, and diarrhea, related to hyperglycemia. How's that? How will you respond to Ben's Situation statement? That was great; the only thing you missed was telling me Mr. Patel's provider, as is standard in the Situation stage. If you need to reference the Toolkit, don't be shy. You scored 1.0 out of 1 The correct answer is: That was great; the only thing you missed was telling me Mr Patel's provider, as is standar the Situation stage. If you nee to reference the Toolkit, don't shy. Ben: Oh dang, right, the provider. OK, let me just check . . . yep, I see that in the Toolkit here. Sweet. Why is this an appropriate response? Reminding Ben of the resourcefulness of the Toolkit will lead to more precise Bedside Shift Reports in the future. You scored 1.0 out of 1 The correct answer is: Reminding Ben of the resourcefulness of the Toolkit will lead to more precise Beds Shift Reports in the future. Ben: Thanks for your help. I'm sorry I was a bit defensive . . . I get worried that people will think I'm this terrible nurse. But your advic was super helpful, so thank you, again. Time: 1045 Samuel: Hey, sorry to bother you -- but I've been waiting here for at least two hours. Do you know if I can get dressed and leave yet? How will you respond to Samuel's request? Yes, you have been cleared to discharge, so I can wheel you out now. Someone should have come to discharge you, but I'm not sure what happened; I apologize for the mix-up. You scored 1.0 out of 1 The correct answer is: Yes, you have been cleared to discharge, so I can wheel you out now. Someone should hav come to discharge you, but I' not sure what happened; I apologize for the mix-up. Samuel: OK. I guess it's no big deal. Let's get out of here. Why is this an appropriate response? No patients can discharge on their own; they require a wheelchair and the assistance of a member of the Shadow General healthcare staff. You scored 1.0 out of 1 The correct answer is: No patients can discharge on their own; they require a wheelchair and the assistance a member of the Shadow Gen healthcare staff. Time: 0715 [Show More]

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