Step 1 Think about your experiences as part of an interprofessional health care team and answer the following questions:
Step 2 Choose two of the recommendations of your peers and explain, in three to five sentences, explain why you agree or disagree with what they wrote. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions
I work at a Psychiatric Hospital. We have times when a patient has to be placed in seclusion, restraints, or both. When a patient is put in seclusion/restraints, the charge nurse leads the patient’s care and treatment. If a chemical restraint is needed, the nurse will call the provider on call for an order. Once a seclusion/restraint is initiated, the nurse is required to fill out the paperwork with detailed information and a debriefing form.
Joe was admitted to the Psych hospital due to psychosis. Joe has a history of schizophrenia and has been off of his meds for about two weeks. He has been using methamphetamines since being off of his meds. He is delusional, responding to internal stimuli, and being aggressive with staff and peers. The staff and RN try to calm the patient by talking with him and moving him to a different area away from others. After multiple attempts to redirect the patient, he became more aggressive with the staff and had to be put in a restraint hold and taken to seclusion.
All the staff at the Psych hospital have gone through CPI training (Crisis Prevention Institute, n.d.). The CPI training instructs the stuff on how to safely restrain a patient. The RN and other staff can safely restrain the patient together and then move the patient to a seclusion room. Once in the seclusion room, the adult patient can be locked in the room for up to four hours. The staff continue to check on the patient at least every fifteen minutes. The RN will evaluate the patient and determine when the patient can be removed from locked seclusion. It is important that the patient is able to be safe to themselves and others.
During the debriefing, the RN speaks with the staff involved. The RN discusses with the staff what lead to Joe’s increase in aggression. Joe became upset because of the voices in his head are telling him to do things and he can’t get the voices to go away. The RN talks with the staff about letting the RN know when Joe is starting to get worked up. The RN can give a prn medication to Joe to help decrease aggression and audio hallucinations. Hopefully with treating the patient earlier, we can avoid physical/chemical restraints and seclusions.
Crisis Prevention Institute. (n.d.). Physical Restraining Training. CPI Blog Post. https://www.crisisprevention.com/Blog/Physical-Restraint-Training#:~:text=CPI%20also%20teaches%20that%20physical,avoid%20the%20need%20to%20restrain.
Poor communication during patient education can result in a patient who does not understand how to self manage a chronic disease. Missed communications between physicians and nurses can negatively affect the working environment and patient safety . Barriers in communication in health care setting include time contraints, language barriers, patient who verbally can not communicate, cultural or ethnic diversity, patients who have altered mental status, and patient who is confused (Greenwood, B. 2020).
Nurses help promote patient safety. Nurses have to use critical thinking skills and help determine if patient is potentially unsafe. A nurse has the responsibility to contact the physician if patient is unsafe and an order is unclear. If a nurse does not communicate clearly in an interdisciplinary team errors can be made and patients may be at a higher risk for danger. Communcication in a interdisciplinary team need to work as a team to avoid errors and to keep patients safe. According to Greenwood (2020), physicians have the responsibility to sit down with the patient and answer questions honestly, show empathy and respect, involve the patient in decisions concerning their care and demonstrate cultural sensitivity.
Interpersonal skills are the skills we use everyday when we communicate and interact with other people, individually, and in groups. It includes a wide range of skills, such as listening, and effective communication. In my employment we collaborate as a team between nurses, physicians, pharmacy, lab, CNA’s, and respiratory. We need all these departments to work as a team to take care of our patients to give them that patient centered care.
I need the physicians to give the orders and oversee the care for the patient. I need the pharmacy to give me the medications I need to properly take care of my patients. The CNA’s do the patient care and report any abnormalities to me. The respiratory therapists gives the neb treatments, inhalers, EKG, and to be there during an emergency situation. The lab techs are there to draw the blood to get our lab values and cultures. We need to all communicate efficiently throughout the day to keep our patients safe and have a good working environment to work as a team. The nurses work together to have an efficient working environment. I am always there to help the other nurses on my team if they get too overwhelmed so no errors happen and they are there for me.
Greenwood, B. (2020). The importance of the interpersonal communication process within the health care workplace. Chron. https://www.work.chron/importance-interpersonal-co…
Blais., & Hayes, J. (2016). Professional issues in nursing practice: Concepts and perspectives (7th ed.). Hoboken, NJ: Pearson Education, Inc.