Question

Question Set 3

You are receiving bedside report on your patient, Fred Hearty, in Room 218. He is being monitored possible chest trauma after being in a MVA earlier in the day. The nurse giving you handoff report states, “He’s stable and doing all right.”

When you perform your assessment at 1930, Mr. Hearty is more restless than you think he should be. His V/S are as follows: 37.3, 112, 28, 130/79, and 95% on RA. He has diminished lung sounds in the right base. Mr. Hearty feels cool and clammy. He has had 1000 ml of intake and 800 ml of output in the past 8 hours. At 1700, he ate 100% of his dinner.

You think the provider needs to come and assess the patient. You page the provider and brainstorm how you will structure your communication.

What standardized communication technique could the nurse use when communicating his or her concerns to the provider?

Please write out an example of what you would say for the patient situation noted above. Include at least one sentence for each of the four parts of the structured communication technique. Also include at least one example of an assertive communication technique.

Values Clarification

Clarifying what your values are is very important to not only your growth as an individual, but also your growth as a nurse. Also, a match between what you say you value and what actions you carry out can make you a much more effective nurse. It can also help you identify areas where you may become ethically or morally distressed.

Answer 1

The nurse forms the major part of patient care. They are the one who has to communicate and update the patient status to the provider.This can be categorised in four ways like the nurse communicating the status at right time,every individual involved in the team,clear content,sort this issue immediately before it becomes medical emergency

Here the nurse when she pages the following things to be clearly updated like

• Wish the provider
• inform about patient detail precisely like name age,diagnosis.
• Inform patient status first his symptoms like dyspnoea ,tachypenia and tachycardia
• Inform the vital signs of the patient
• inform about the oxygen saturation in RA
• Inform the intake output aswell
• Always before calling down for a provider make sure at least come basic interventions are carried out like position,ventilation, oxygen administration if ordered
• Take orders and do it before provider arrives

The nurse can be morally distressed if the right information at right time is not conveyed

Fowler position, O2 administration, mediation which are on SOS to be administered, close monitoring, informing the senior, nurse in charge, or supervisor can fastenmtge action level.

By doing this the nurse gains knowledge of how to handle a patient in these type of situation