Shadow Health Leadership Assignment 4: Ethics
Interprofessional Communication Q & A
The correct answer is:
Thank you for telling me. I know this must have been a hard decision to make,
and I'm glad you reached out.
...
Shadow Health Leadership Assignment 4: Ethics
Interprofessional Communication Q & A
The correct answer is:
Thank you for telling me. I know this must have been a hard decision to make,
and I'm glad you reached out. Let's talk about the details
The correct answer is:
In agreeing to discuss the patient's need for a DNR, you represent the
Shadow General Toolkit accurately.
The correct answer is:
Only a provider can assess a patient's mental readiness to sign legal
documents. Mrs. O'Connor has the last word on whether she is requesting a
DNR. As this is her request, I will call in a provider at the end of our
discussion.
The correct answer is:
You correctly cite the policy, which says that if Debbie wants to sign a Do Not
Resuscitate form, other family members need not weigh in; she needs only a
provider's verification of her mental status.
The correct answer is:
It is against Shadow General policy to disclose patient information without
express permission from the patient. I understand you are concerned about
Mr. Patel, but until I can clear you, these rules are firm and in place for his
benefit.
The correct answer is:
You do not disclose Arun's protected medical information, and you minimize
conflict with Miranda.
The correct answer is:
Even if you assist Mr. Patel with his care at home, I cannot talk to you about
his care at this hospital without permission.
The correct answer is:
Ms. Paris's involvement with Mr. Patel's care in other settings does not mean
she has permission to receive his medical information at Shadow General.
The correct answer is:
I understand that having a loved one in the hospital is a stressful experience,
especially not knowing how they're doing. Mr. Patel is not currently able to
speak with me, but when he is, I can talk to him about getting you clearance.
The correct answer is:
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You commit to speaking to Mr. Patel about visitor clearance only when it
abides by his care plan
The correct answer is:
While you are right that sometimes staff can talk to uncleared visitors if doing
so would aid care in a critical scenario, this is not a situation that warrants
that. Unfortunately, I can't tell you more than that at this time.
The correct answer is:
You appropriately inform her that this is not a circumstance requiring
uncleared visitors to receive information, and do so without giving away
patient information.
The correct answer is:
While that's a fair question, the ability to distribute information is not
affected by staff ranking.
The correct answer is:
It is important to continue a conversation with a visitor even when your safety
is threatened.
The correct answer is:
Thank you for expressing your concerns about opioids, which is perfectly
within your rights. Let's discuss this further to make sure you are able to
make an informed decision about any choices that might impact your health
and recovery.
The correct answer is:
This answer abides by the Toolkit, reinforcing the nurse's relationship to the
patient.
The correct answer is:
While your concerns about opioids are valid, the hydromorphone is a safe
option in your case because short-term use for acute injury has a low risk for
dependency; especially when you only use it when you are feeling increased
pain. Going off pain medication altogether could actually cause shallow
breathing, which could lead to complications like pneumonia. It's ultimately
your call.
The correct answer is:
This answer provides the patient with information needed to make an
informed decision about their care.
The correct answer is:
Ultimately, you have the power to make your healthcare decisions. While my
job is to champion your health, I will not tell you what to do. I will respect
your wishes and continue to provide the best care possible.
The correct answer is:
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This answer reaffirms the principle of patient autonomy.
The correct answer is:
We would never compromise our nursing practice for monetary gain. You can
rest easy, we have your best interest at heart and there is nothing more
important than your well-being. The reason it's so important to keep your
pain managed is to keep you breathing deeply and prevent any further
respiratory issues. I just want to see you get better and I know that's what
you want, too.
The correct answer is:
This answer reassures the patient that your relationship to the nursing
profession is one of integrity.
The correct answer is:
Thanks for telling me about your brother's experience with dependency. That
does sound like a really difficult experience. How is he doing now?
The correct answer is:
This answer displays empathy by paraphrasing what the patient has just said,
and acknowledging the difficulty of the experience.
The correct answer is:
Notify Charge Nurse Angela about the situation and ask her to contact the
admitting provider about a venturi mask for Mrs. O'Connor.
The correct answer is:
You can administer oxygen without a provider's orders if the patient's
condition is critical enough to require it.
The correct answer is:
Debbie O'Connor's breathing and oxygen levels are deteriorating; I couldn't
reach her provider after two tries. Could you try contacting Dr. Tremblay
yourself and requesting orders for a venturi mask?
The correct answer is:
Too much information can cause delay in getting the patient care, and can
distract Charge Nurse Angela from what she needs to proceed to call Dr.
Tremblay; too little information, and she can't proceed at all.
The correct answer is:
Call the Department Head and ask them to implement the venturi mask
orders.
The correct answer is:
If the admitting provider is unreachable, the Department Head is the next
available provider in the Chain of Command, as defined by the Toolkit.
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The correct answer is:
I'm calling about Mrs. O'Connor, who is experiencing more difficulty breathing
than before, and whose O2 saturation has dropped. I recommend your putting
in an order for oxygen via a venturi mask.
Why is this the appropriate level of information to include in your conversation with Dr.
Tremblay?
You use only the required elements from each stage of the Situation,
Background, Assessment, and Recommendation.
What will you suggest for Mrs. O'Connor's treatment plan going forward?
Mrs. O'Connor's condition may not remain as stable as it is, so I recommend
her being closely monitored for changes in her O2 saturation and breathing
abilities. If she deteriorates farther than she did just now, I recommend Mrs.
O'Connor be considered for a transfer to the Intensive Care Unit. I can discuss
this with Dr. Tremblay.
Which of the following statements is false?
Planning for critical scenarios ensures that the admitting provider does not
have to be contacted.
Description of Activity
Prioritize delivery of care between multiple patients.
Student Responses
Debbie O'Connor Follow-up on breathing
Omar Haddad pain
Model Response
A patient who has just come out of surgery often has urgent physiologic needs, such as
pain, that will require attention. In accordance with Maslow's hierarchy of needs, the
patient with the most urgent physiological needs should be prioritized first. Patients in
this position may also have needs in other areas, requiring education, comfort, or
emotional support. By prioritizing the patient newly out of surgery, it allows you to
bundle a variety of tasks and prevent negative outcomes that might have arisen had
their care been delayed.
Time: 1300
Description of Activity
Prioritize delivery of care between multiple patients.
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