Cooperation with the interdisciplinary team: NCLEX-RN (2023)

In this section of the NCLEX-RN exam, you are expected to demonstrate your knowledge and ability to work with interdisciplinary teams to:

• Identify the need for interdisciplinary conferences
• Identify important information to report to other disciplines (eg, healthcare professionals, pharmacists, social workers, respiratory therapists).
• Review the care plan to ensure continuity across disciplines
• Collaborate with healthcare professionals in other disciplines on customer service
• Act as a reference person for other employees

Identifying the need for interdisciplinary conferences

Health care and the delivery of health services are highly complex, with a variety of disciplines or professions contributing to overall patient care. For this reason, interdisciplinary or multidisciplinary customer care conferences are an extremely effective way for all these interacting professions and departments to come together to discuss and resolve complex patient care issues with the hope that this collaboration will produce high quality results. for the patient.

Interdisciplinary or multidisciplinary client care conferences also provide the Registered Nurse with opportunities to advocate for the client, serve as a leader of an interdisciplinary group, serve as a member of an interdisciplinary group, increase the nurse's commitment to the client and customer service, group skills such as negotiation, Use compromise, conflict resolution, and consensus building, and use creative problem-solving and decision-making skills to achieve the patient's desired outcomes and goals.

Registered nurses identify, plan, organize, and manage patient cases who can benefit from an interdisciplinary patient conference.

Planning interdisciplinary customer service conferences is often a challenge. An agenda is developed, information is gathered for presentations, healthcare team members are invited, a time, date, and room are set, and the client and other key people are invited to attend.

Participating in groups, including an interdisciplinary customer service conference, requires preparation; Therefore, the nurse must be prepared for these encounters. They should have data and information to discuss, and they should also have some recommendations for future care that might improve patient outcomes.

In addition to expressing their own thoughts, nurses must listen carefully to the thoughts and suggestions of others in a respectful manner and also be able to compromise and negotiate the best treatment plan for the patient.

Identify important information to be reported to other disciplines

Nursing professionals assess and evaluate patients throughout their care and also communicate and report important information to other disciplines as needed.

For example, when weaning a client off mechanical ventilation, the nurse will report changes in the patient's arterial blood gases or oxygen saturation levels to the physical therapist; A nurse will report any significant changes in the client's psychological or emotional state following administration of a new psychotropic drug and will also report significant changes in the client's vital signs following a diagnostic test or treatment to the client's treating physician. the nurse will report medication side effects to the pharmacist; and they report a client's change in their social support system to the social worker, a discharge planner, and/or a case manager.

This report is designed to ensure uninterrupted, timely, and appropriate care for the client or groups of clients who meet their current and ever-changing needs as a result of significant changes in their biological, emotional, and social state.

Review of care plan to ensure continuity across disciplines

Nurses, as patient care collaborators, managers and coordinators, consistently and continuously review the plan of care to ensure that all appropriate disciplines within the multidisciplinary team are performing their services according to the plan of care and that this care lead the client towards expected results and goals.

Collaborate with healthcare professionals in other disciplines on customer service

Roughly speaking, collaboration is collegial and respectful cooperation with others.

Nurses work with patients, caregivers, family members, other nurses and other healthcare professionals to solve patient care problems and provide the patient or group of patients with the best quality of care.

Some of the skills a nurse must possess to be an effective and reliable worker include superior interpersonal and communication skills, respect for others, ability to build and maintain trust, critical thinking skills, problem solving skills, decision making skills decision making and ability to understand and recognize the contributions of others that can improve the quality of patient care.

The titles and numbers of the various members of the health care team with whom nurses work are extensive and varied.

You will now learn some of these roles and responsibilities of these team members so that you can identify and leverage their different and unique perspectives and contributions to the patient's problem-solving and care plan.

TIED TOGETHER:

• How is a nurse's scope of practice determined?
• Scope of practice vs scope of employment
• Scope RN

Nursing Assistants, Nursing Technicians and other titles

These care team members are unlicensed aides who assist caregivers in providing direct and indirect care under the caregiver's direct supervision. They perform non-sterile functions such as providing and assisting with the patient's activities of daily living, measuring and recording urinary output and oral intake, assisting the patient with exercises such as range of motion exercises, recording and documenting vital signs, measuring height and Weight, collecting some samples, providing comfort measures such as back massage, ambulance and office tasks including errands.

You will work under the direct supervision and guidance of the caregiver.

Licensed practical/occupational nurses

Licensed Practical/Professional Nurses are licensed healthcare providers who provide a wide range of nursing services to patients in all types of healthcare settings.

They work under the supervision of a nurse and perform both sterile and non-sterile procedures. They work in structured environments with patients who have predictable and relatively straightforward health conditions, including chronic conditions like heart disease and chronic obstructive pulmonary disease.

PLEASE NOTE: Professional Nurses are only called Professional Nurses in California and Texas.

registered nurses

Registered nurses are licensed health care providers who, unlike licensed practicing nurses, are independent professionals who provide nursing services in a variety of health care settings.

You may work in unstructured environments and with patients with unpredictable and complex health issues and concerns.

The... seeList of RN careers and specialties.

nursing supervisor

nursing supervisorMonitor patient care and the quality of care provided to groups of patients. Depending on the size and complexity of the healthcare environment, supervisors can have many roles and may or may not provide direct care in addition to overseeing their care.

Nurses report to their nursing supervisors in accordance with the facility's chain of communication and chain of command. For example, they report to their 'supervising nurse/head of care/head of care', then to 'head of care', then to 'assistant head of care', then to 'head of care or vice president of nursing '.

Vice President of Nursing Services/Director of Nursing

The Vice President of Nursing Services, also namedNursing Directoror the Director of Nursing Services in some facilities, is theHead nurseof health. They are responsible for all aspects of patient care, regulatory compliance, and a variety of other responsibilities.

Sometimes that vice president of nursing services may have one or more vice presidents or deputy directors of nursing.

Clinical Specialists for Nurses

Clinical Specialists for Nursesare graduate and graduate practicing nurses with a specialty who have successfully passed and maintained their American Nurses Credentialing Center (ANCC) certification as a clinical nurse specialist in a specialty. Some possible practice specialties include pediatrics, psychiatric mental health, adult health, and community health.

nurse

nurse, as well as specialists in clinical nursing, are mastered and preparedAdvanced Registered Nurseswith a specialty who have successfully passed and maintained certification as a registered nurse in a specialty from the American Nurses Credentialing Center (ANCC). Some possible practice specialties include pediatrics, psychiatric mental health, family health, and community health.

midwives nurses

A member of the nursing staff and midwifery staff

midwives nursesare registered advanced nurses who work with pregnant women during pregnancy under the supervision of a risk-free obstetrician.

nurse anesthesiologist

A member of the nursing team and the anesthesia team

nurse anesthesiologistare registered nurses with advanced practice who work under the supervision of an anesthesiologist in the administration of all types of anesthesia.

doctors

Doctors are licensed professionals who provide medical care. Many physicians act as general practitioners, but there is a wide variety of physicians who perform different roles and have specialties such as cardiology, endocrinology, pulmonology, gastrology, neurology, dermatology, pediatrics, gerontology, ophthalmology, nephrology, psychiatry, and other specialty practices.

Doctor Extender

Outreach Physicians work under the direct supervision of a physician and provide care based on protocols and their state jurisdiction. Unlike nurses, they are not autonomous professionals. A medical assistant is an example of a medical extender.

Osteopathic Doctors (DOs)

Although osteopathic doctors are similar to physicians in some ways, they are also different. Pedagogical preparation varies, their licensure exam and scope vary, but they are found in critical care, long-term care, and community-based healthcare settings. Osteopathic physicians may also have specialties in practice, but most work as general practitioners. They can also provide care, write prescriptions, and perform surgery.

Doctors of Chiropractic

Working primarily in the community, chiropractors focus their non-pharmacological treatments on musculoskeletal and neuromuscular conditions such as scoliosis, chronic headaches, back pain and neck pain. They are also licensed professionals who have their own state-determined scope of practice.

nutritionists

Nutritionists assess, plan, implement and evaluate interventions, including those related to the nutritional needs of patients who require regular or therapeutic nutrition. They also provide nutrition education and work with other healthcare professionals when a client has dietary needs due to physical disorders such as dysphagia.

physiotherapists

Physical therapists are licensed health care professionals who assess, plan, perform, and evaluate interventions, including those related to the patient's functional abilities of strength, mobility, balance, gait, coordination, and joint movement. They also provide assistive devices such as walkers and canes and exercise programs for patients.

Physical therapists practice in all aspects of health, including the home and community, and similar to occupational therapists, physical therapists are often found in the rehabilitation and recovery area of ​​a large acute or long-term care facility.

occupational therapy

Occupational therapists assess, plan, implement and evaluate interventions, including those that allow the patient to achieve the highest possible level of independence in relation to activities of daily living, such as bathing, personal hygiene, eating and dressing.

They also provide patients with adaptive devices such as special long shoehorns to allow the patient to put their shoes on, socks to allow them to put their socks on independently, special adaptive cutlery to facilitate independent eating, tongs to allow the patient to pick up objects from the floor, special oral hygiene tools and special buttoning manipulation devices to allow the person to wear and button their clothes independently.

Occupational therapists also assess the safety of the home and the need for assistive devices when the patient returns home. They can recommend changes to the home environment such as ramps, grab bars and handrails to ensure safety and independence.

Like physical therapists, occupational therapists practice in all aspects of health, including the home and community, and similar to physical therapists, they are often found in the rehabilitation and recovery area of ​​a large critical care or long-term care facility.

speech therapists

Speech-language pathologists primarily assess, diagnose, and treat communication disorders such as aphasia and swallowing disorders such as dysphagia. For example, speech therapists can help patients with word formation and speech if they have a limited ability to communicate with others using words. This deficit is called expressive aphasia. They also assist the patient with word boards and other electronic devices to facilitate communication.

Dysphagia and other swallowing disorders are also evaluated, diagnosed and treated in collaboration with other members of the healthcare team, such as nurses, nutritionists and physicians.

Atemtherapeuten

Respiratory therapists, like other members of the healthcare team, work with other disciplines to address health issues related to the respiratory system.

They collect arterial blood gases, keep the patient mechanically ventilated, provide CPAP, BiPAP, incentive spirometry and intermittent respiratory therapy such as IPPB, administer respiratory medication, intubate patients, assist with bronchoscopy and other diagnostic tests related to the respiratory tract, perform hygiene procedures , such as chest physiotherapy, and play an important role in cardiac and respiratory arrest.

social worker

Social workers have a variety of roles in healthcare. They counsel patients and provide psychological support, liaise with the community regarding patients' financial needs, are part of the team that ensures care throughout the continuum of care after an individual's discharge, and sometimes act as managers of case .

psychologists and psychiatrists

Psychologists and psychiatrists provide mental health and psychiatric services for people with psychiatric mental health disorders, both long-term and acute. They also provide psychological support to family members and significant others as indicated.

Podológeno

Podiatrists care for and care for patients with foot problems. They often work with diabetics to evaluate the foot and prevent diabetic foot complications. They recommend special shoes, frequently trim toenails, and also treat other non-diabetics with foot problems.

of the prosthesis

Prosthetists, in collaboration with other members of the healthcare team, assess patients and then design, fit, and fit the patient with an artificial body part, such as a prosthetic leg or arm. They also follow up with patients who have had a prosthesis to review and adjust it for proper fit, comfort and patient function.

Act as a reference person for other employees

Nurses are the center of the care provided. Registered Nurses have a professional responsibility to serve as a point of reference in their areas of expertise for other staff, including staff from other disciplines, to enhance their understanding of nursing, the provision of care, the needs of clients and the way nurses interact and work with them.

RELATED NCLEX-RN CARE CONTENT MANAGEMENT:

• advance directives
• defense
• Attribution, delegation and supervision
• fall management
• customer rights
• Cooperation with an interdisciplinary team (currently here)
• management concepts
• Confidentiality/Information Security
• continuity of care
• set priorities
• ethical practice
• consent form
• information Technology
• Legal rights and obligations
• recommendations

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