A male who Experienced blunt abdominal trauma

You are transporting a 42-year-old A male who experienced blunt abdominal trauma. He is receiving oxygen at 12���� via a nonrebreathing mask, and full spinal precautions have been applied.
During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:
perform a comprehensive secondary assessment to determine why his clinical status has changed.
suction his oropharynx to ensure it is clear of secretions and then increase the oxygen flow rate to 15����.
reassess his vital signs and then notify the receiving hospital of the change in his clinical status.
insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.

Nurses assist in the Safe and accurate Management of medication

In the Nursing Department, Nurses assist in the safe and accurate Management of medication. Which of the interventions reflect a good understanding of this concept by the nurse?
A. The nurse prepares and uses the infusion pump for the Administration of intravenous fluid
B. The nurse identifies the patient by using 2 patient identifiers before administering medication.
C. The nurse ensures that sound alike/look-alike medications are stored and administered as per protocol.
D. All of the above

Accident patient who Sustained head injury

Mr. Smith is a 33 year old motor vehicle accident patient who sustained head injury and was admitted to the surgical ICU post-operatively. The RN observed the patient having generalized seizure activity and immediately informed the MD. Mr. Smith has an order for Phenytoin Sodium (Dilantin) 750�� IVPB loading dose and the scanner is not readily available. In this case, what should the nurse do?
A. Verify the patient’s identification
B. Defer scanning the patient and administer the medication
C. Document in the EMAR and progress notes as a critical event
D. All of the above

Report to the executive team of a Local healthcare provider

From this article, prepare aLocal healthcare provider that addresses these three areas:Why teamwork is important in healthcare, be specific.Which of two of these seven strategies to build stronger teams in healthcare would be the most beneficial and why?

  • Offer one additional suggestion, not in this list of seven, that would build stronger teams in healthcare. Be specific and explain how.

Every day, find one person whom you can express gratitude for who they are and what they do.

3. Break down the silos by recognizing other teams

Silos in healthcare, let’s just say, have pretty thick walls! Silos exist between roles (nurses, physicians, technicians, etc.) and between departments (pharmacy, ICU versus medsurg, etc.). We often forget that every person in every department can somehow be linked to the same patient (ever hear of the degrees of Kevin Bacon?).

Therefore, we all play an important role in patient care and need to start acting like it. Recognizing someone from a different department can be the start of breaking down these long-standing silos.

Notice someone’s good work who is NOT in your department. Congratulate them and share this in an email with their boss and with your team. During huddles or monthly meetings, give kudos to a sister department or share a positive comment about pharmacy, radiology, or dietary. The key is to reinforce and remind your team that they re not the ONLY team that matters. Building stronger healthcare teams beyond one department strengthen the entire organization. Shared by Dr.

Mitchell Kusy, HWI Consultant.

4. Avoid the Communication Triangle

It’s much easier to talk to your co-worker about the behavior of a 3rd colleague instead of addressing it directly. Many leaders want to be problem solvers and feel good when they can jump in to help work out a disagreement. This causes the Communication Triangle and isn’t a healthy team behavior. It weakens trust and builds walls.

The next time one of your direct reports approaches you complaining about something a co-worker did (or didn’t) do, ask “What did Co-worker ‹Name> say when you talked to her?” Nine times out of 10, the team member will say…” haven’t talked to her.” This is a great opportunity to coach on assertive communication and role-play how to have to directly address behaviors. When members of a team are comfortable addressing challenges in real time, the team gets stronger and results improve. Shared by Vicki Hess, RN, MS, CTP, CVP To learn how to improve employee engagement from Vicki, click here.

5. Show your team that you care about them as individuals

People will accept negative feedback and will follow you anywhere if they first believe you care about them. I’ve said this so many times to the leaders I work with

– Be tough on standards and tender with your people.

Schedule a 1:1 with each employee. Ask this question – What matters most to you right now? And then incorporate what matters to them into conversations. For example, If an experienced nurse says that getting her advanced degree is most important, then ask about what class she is taking this semester and if there is anything you can do to support her – might be accommodating her through scheduling

6. Make self-care a habit

To build stronger healthcare teams, leaders must sincerely care for their staff and offer them specific tools and programs for self-care. This is proven to instill trust. boost morale, decrease burnout, and increase retention. Just as negativity and incivility can spread through your department like wildfires if left unattended, so can positivity, resilience, and well-being.

Incorporate self-care tips during huddles. Ask your teams what they are doing to care for themselves. And, be the role model for self-care by sharing how YOU are incorporating wellness into your life (stop “bragging” about not getting enough sleep!). Shared by Leanne Thieman, CSP, CAE

Click here to learn more about self-care for healthcare from LeAnn.

7. Make giving and receiving constructive feedback a habit I saved the best for last. High performing. professional, and respectful teams consistently go out of their way to improve as individuals and as a team. Like the collective powerful fist, each “finger” plays a role. Good teams know this and don’t get defensive when receiving feedback – they embrace it as part of their improvement plan. Great teams actively seek feedback.

Ask your teams consistently – What do we need to work on (team)? What’s one thing that I can do better (leader)? What’s one thing you’re working on right now (individual)? You can’t build stronger healthcare teams without establishing a culture where giving and receiving feedback is the norm.

We all want 2021 to be a better year. Actually, that’s an understatement! And it is possible even if this pandemic drags on for most of this year too. It’s possible when leaders and their teams take the actions necessary to help them become stronger and better despite what’s happening around them. One thing 2020 has taught us is that there are some things beyond our control. However, you do have control over

Signs of Short-term memory loss

An athlete gets hit in the head and complains of a slight headache and ringing in his ears. Within a few minutes he shows signs of short-term memory loss. What should you do next?
a.Just monitor for additional signs and symptoms.
b.Have the athlete lie down.
c.Call emergency medical personnel.
d.Call the athlete’s parents or guardians, and have them take the athlete to a physician or emergency medical facility.
e.None of the above

Taking different  ‘End-of-life’ action  towards Terminal cancer

Identify two possible solutions that will assist Bernie to address his concerns and be comfortable  taking different  ‘end-of-life’ action  towards terminal cancer .Case Study 1 – Bernie and Glenys Bernie and Glenys have been married for 47 years. Glenys has been diagnosed with dementia and requires constant care.

Bernie has been caring for Glenys at home and is committed to her care. Bernie has been advised he has terminal cancer. He will probably only have about six months to live. Bernie is distraught and worried about what will happen to Glenys after he dies. One day while you are cleaning their bedroom, you find a stash of medications hidden behind the cupboard. When you ask Bernie about them he looks very guilty.

‘End-of-life’ action  towards terminal cance He says that they are his ‘insurance’ to make sure that neither he nor Glenys will suffer. He also says that you should not say anything to Glenys or anyone else about them – he couldn’t bear for Glenys to be lonely when he dies. You look at the medications and see that these are very strong. You realise that Bernie is considering ending his own and Glenys’s lives when he feels they can no longer cope.

The Australian Human Rights Framework

Which of the following actions are included in the Australian Human Rights Framework?Select all that apply.
Guidance: Select four (4) responses.
Select all that apply
ReaffirmWhich of the following situations uphold the Universal Declaration of Human Rights for people working in residential support facilities?
Guidance: Select four (4) responses.
Select all that apply
A religious support facility has the right to impose their religious belief on their residents. This is in breach of people’s rights.

The correct Nursing intervention to help a client push effectively

A client is completely dilated and ready to push. What is the correct nursing intervention to help a client push effectively?
Select the correct response:
Instruct the client to take two breaths, hold, and bear down between contractions.
Instruct the client to take two breaths, hold, and bear down with contractions.
Turn the client to her side and have her bear down between contractions.
Encourage the client to bear down slowly since it may result in tears.

A Dysfunctional labor pattern

A woman with a dysfunctional labor pattern is undergoing labor augmentation. The client is currently having regular contractions of moderate-to-fin that last 30 to 60 seconds every 4 to 5 minutes The fetal heart tracing is within normal limits. Which action should the nurse take?

Select the correct response:
Increase the oxytocin according to protocol.
Maintain the current dose of oxytocin.
Increase intravenous fluids.
Immediately turn off the oxytocin.

A physician is morally obligated to defend euthanasia

Support or refute the claim that a physician is morally obligated to defend euthanasia or physician-assisted suicide (PAS) because they are obligated to respect the patient’s autonomy.
Discuss how the commitments promised in the Hippocratic Oath might conflict with a physician’s obligation to save lives.
How can you take this week’s discussion topic and apply it in the real world?Support or refute the claim that a physician is morally obligated to defend euthanasia or physician-assisted suicide (PAS) because they are obligated to respect the patient’s autonomy.
Discuss how the commitments promised in the Hippocratic Oath might conflict with a physician’s obligation to save lives.
How can you take this week’s discussion topic and apply it in the real world?C