7.8: Tasks of nursing in interprofessional group practice (2023)

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    Earlier sections of this chapter discussed the IPEC competencies required for effective interprofessional collaboration and conflict resolution methods. In addition to demonstrating these competencies, nurses also have many other responsibilities related to interprofessional collaboration. Nurses plan and participate in interdisciplinary nursing conferences; Appoint, delegate and supervise members of the care team; train customers and employees; act as client advocates; give customer recommendations; ensuring continuity of care; and contribute to the evaluation of patient outcomes. These maintenance responsibilities are described in more detail in the following subsections.

    Planning and participation in interdisciplinary nursing conferences

    Nurse identifies clients who would benefit from interdisciplinary nursing conferences.Interdisciplinary nursing conferencesare meetings where interprofessional team members work together professionally, share their expertise and plan joint interventions to meet clients' needs. As a member of the interprofessional team who likely spends most of their time at the patient's bedside, nurses are key members in advocating for patient needs at interdisciplinary nursing conferences. The nurse uses effective communication techniques, expresses and advocates for the client's needs, carefully listens to suggestions from other team members, formulates a shared care plan, and documents it in the client's care plan.

    reflective activity

    Watch the YouTube video below, which illustrates an interdisciplinary nursing conference as a patient's care plan is designed and implemented.[1]

    Collaborative interprofessional professionalism

    (Video) What is interprofessional collaborative practice 1/7

    reflective questions[2]:

    1. As you watch the video, observe how professionals from different healthcare disciplines communicate and interact to formulate a treatment plan for a patient and how care is continued through multidisciplinary engagement.
    2. Assess the healthcare team's interprofessional collaboration using the following PDF:

    Interprofessional tool for evaluating professionalism

    .

    Assign, delegate and monitor

    Nurses direct, delegate and oversee the care of other members of the nursing staff, such as B. Licensed Practical/Professional Nursing (LPN/VN) and Nursing Practitioner (AP). Appropriate allocation and delegation of care with appropriate monitoring are strategies that ensure quality client care is completed efficiently.

    Read more about assigning and delegating in the "delegation and supervision" Chapter.

    Train customers and employees

    Nurses provide patient education, train staff, and serve as a human resource. For example, an RN serves as a resource for Support Personnel (AP) floating to your unit. The RN provides an overall orientation of the entity, explaining the relevant needs of clients in relation to the AP's assigned duties and sharing how staff interact and communicate within the entity. The RN ensures that the AP understands the guidance information, is competent in their assigned/delegated duties, and uses the RN as a resource throughout the shift.

    (Video) WHY Interprofessional Collaborative Practice?

    Working as a customer advisor

    Nurses advocate for clients' needs with family members, interprofessional team members, health care administrators, and in some cases health insurance companies and policy makers. Nurses protect and defend the rights and interests of their clients and ensure their safety, particularly when the client is unable to represent themselves. For example, unconscious, developmentally disabled, illiterate, or confused clients often require assertive interprofessional team representation to effectively address their needs and preferences.[3]

    Read more about care advice in the “advocacy" Chapter.

    make customer recommendations

    Nurses assess clients, determine their needs, and make recommendations based on potential or actual problems. When the client's identified needs cannot be met through collaborative nursing interventions, the nurse seeks other resources to meet the client's needs. For example, nurses often advocate referrals to community agencies such as home nursing, support groups, social services, respite care, emergency housing, transportation, day care for the elderly, and parent groups. Once the required referrals are identified, the caregiver will receive the necessary instructions from the provider and complete the appropriate referral forms. This information is shared confidentially with the client and the referral resource.

    Ensuring continuity of care

    Nurses play an important role in caregivingcontinuity of careand for a smooth and seamless transition in customer care. Continuity of care is defined as “the use of information about past events and personal circumstances to design current care appropriate for each individual”.[4]Care transitions include admission to a facility, transfer from one facility to another within the same facility, transfer from one facility to another, or discharge to your home or long-term care facility. A transfer occurs, for example, when a client is transferred from a hospital bed to the intensive care unit.

    There is a high risk of treatment errors in care transitions. Nurses help with seamless transitions with good reporting and transfer documentation while working effectively with the interprofessional team. Read the box below to learn how to avoid medication errors during care transitions.

    Avoiding medication errors during the transition [5]

    Key strategies to improve medication safety during care transitions include:

    • Implementation of formally structured processes for medication comparison at all supply transition points. Steps to effective medication reconciliation include building the best possible medication history, interviewing the patient and verifying it with at least one credible source of information, reconciling and updating the medication list, and communicating with the patient and future healthcare professionals about changes to your medication.
    • Working with clients, families, caregivers, and healthcare professionals to agree treatment plans, ensure clients are prepared to administer their medications safely, and ensure clients have an up-to-date medication list.
    • Prioritize patients at high risk of drug-related harm for improved support, e.g. B. Contact by a nurse after discharge.

    Picking up and discharging customers safely

    Permitrefers to an initial visit or contact with a customer.dischargerefers to the completion of care and services at a healthcare facility and the client being sent home (or to another healthcare facility).

    Admission and discharge are more than just a person's physical movement. They require a high level of confidential information sharing to maintain continuity of care. During an admission, nurses use the nursing process to thoroughly assess the patient, diagnose nursing issues, determine expected outcomes, and create a nursing plan. Referrals to other inpatient services such as a dietician, wound nurse, chaplain, social worker, or other members of the interprofessional team can be initiated. In addition, the client and their family members are informed of the area and information about HIPAA and the patient's rights and responsibilities is provided; Medication is matched; and other admissions tasks are done based on agency guidelines.

    (Video) Interprofessional Healthcare Team Meeting (IPE)

    Much information is also shared with clients during discharge about follow-up appointments with interprofessional team members, medication coordination, and patient education.

    Reporting new information and changing conditions

    Often the nurse is responsible for reporting new information about inpatients to the interprofessional team, such as: B. Laboratory results or recent diagnoses or changes in a patient's condition. Here are some examples of a nurse reporting and following up on issues:

    • In a patient receiving BiPAP therapy, oxygen saturation and respiratory status deteriorate. The caregiver reports these changes to the physical therapist, who reassesses and adjusts the positive pressure settings as needed.
    • A patient hospitalized with furosemide has new abnormal potassium levels. The nurse reports the newly reported lab results to the provider.
    • A patient receiving an antibiotic for the first time develops a rash and shortness of breath. The nurse reports the customer's adverse reaction to the prescribing provider and pharmacist and ensures that the allergy is noted on the customer's medical record.
    • A family member shares a recent change in a client's living conditions that is troubling. The nurse reports updates to the social worker to help find alternative housing.
    (Video) Effective Collaboration to Meet the Patient 's Needs 7/7

    Contribution to the evaluation of customer results

    In today's complex healthcare system, patient outcome data is constantly being documented and analyzed. This data guides management decisions and is also reported to insurers as part of pay-for-performance reimbursement processes. The caregiver is directly involved with this data by setting personalized expected outcomes for the patient, assessing these outcomes, and documenting supportive outcomes related to collaborative care interventions.

    1. Collaborative interprofessional professionalism. (2018, August 15).IPC Case Scenario for Mr. Jones Part I. [Video]. youtube. All rights reserved.https://youtu.be/woHaclEtLFw
    2. Collaborative interprofessional professionalism. (2019).IPA-Toolkit.http://www.interprofessionalprofessionalism.org/toolkit.html
    3. Gerber, L. (2018). Understand the nurse's role as patient advocate.Nursing, 48 (4), 55-58.https://journals.lww.com/nursing/Fulltext/2018/04000/Understanding_the_nurse_s_role_as_a_patient.15.aspx
    4. Kim, S.Y. (2017). continuity of care.Korean Journal of Family Medicine, 38(5), 241.https://doi.org/10.4082/kjfm.2017.38.5.241
    5. Drug safety in care transitionsvonWorld Health Organizationis licensed underCC BY-NC-SA 3.0

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    4. Proper Patient Care - Communication Techniques
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    5. Gerontological Nursing: Competencies for Care
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