Module 2 | Improve Communication Quality and Safety in Client Care: Activity 1
Instructions
Read Improve Communication Quality and Safety in Client Care: Activity 1, then answer the Clinical Application Questions.
Scenario
Hilary Jones is a 72-year-old obese white female admitted three days ago with a chief complaint of hip pain after falling at home. An open reduction and internal fixation (ORIF) of the right hip was performed to repair a fracture on admission. Mrs. Jones developed a pulmonary embolism (PE) on post-op day 2.
- PMHx: HTN, DM, GERD, and anemia
- PSH: Cholecystectomy
- Current Medications: Metoprolol, Glucophage, Prevacid, and Dilaudid
- PRN Allergies: NKDA
I forgot to mention, her husband keeps getting in the way, and she is constantly on the call light. When I assessed her: she is alert and oriented x3 in no apparent distress. Vitals are stable: T 99, P 80, R 20, BP 150/90, and Oxygen on at 4 L via NC. Heparin is infusing at 8 mL/hr. Foley is patent and draining clear yellow urine. C/O pain at 4 AM, rated pain a 10 on a scale of 0-10, medicated X 1 with Dilaudid. She can receive 2mg IVP Q6 PRN. Mrs. Jones keeps complaining of pain. The monitor showed normal sinus rhythm, abdomen soft, non-tender with BS present in all quads. Her abductor pillow has been in place throughout the night.
Clinical Application Questions
After reading the scenario, answer the following questions in a Microsoft Word document. Refer to the learning material presented in this module for guidance.
- After actively listening to the night shift nurse’s report, what important data was omitted from the night shift nurse? What other information should have been provided by the night nurse to give quality and safe client care?
- What was inappropriate about the night RN’s report?
- What can you do to change behaviors like this in your nursing unit? How could factors such as effective listening, assertiveness, and teamwork play a role in changing behaviors of unit staff?
Submission and Assessment Guidelines
- Submit your Microsoft Word document with the questions clearly listed and answered. All of the questions MUST be answered in your document.
- Each response should be 3–5 sentences in length, clear and concise, original (using your own words), and free of grammatical errors.
- Review the Improve Communication Quality and Safety in Client Care Rubric for grading criteria
- This activity is worth 75 points.
Rubric
NUR 218 – Improve Communication Quality and Safety in Client Care Rubric
NUR 218 – Improve Communication Quality and Safety in Client Care Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeConnections
60 ptsOutstandingEvidence of critical thinking and provides rationale, as well as examples and specific details.
45 ptsGoodEvidence of critical thinking and details, mostly specific.
30 ptsProficientEvidence of critical thinking and details but usually of a generalized nature.
15 ptsNeeds ImprovementIdea presence is limited or not supported.
0 ptsUnacceptableIdea presence is limited and not supported.
60 pts
This criterion is linked to a Learning OutcomeContent
15 ptsOutstandingExceptionally well-presented; ideas are detailed and well developed.
12 ptsGoodWell-presented; ideas are detailed and mostly well-developed.
8 ptsProficientContent is sound and solid; ideas are present but not particularly developed or supported.
4 ptsNeeds ImprovementContent is slightly reasonable.
0 ptsUnacceptableContent is not sound.
15 pts
Total Points: 75
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