Differentiate the roles of the interdisciplinary team.
ATI reading beginning pg. 9:
- Scope of practice for one discipline often overlaps with scope of a... [Show More] nother (i.e. Nurse and Respiratory Therapist r/t chest
physiotherapy).
- Interdisciplinary team works collaboratively
- Nurse is often the manager of care and coordinates the other team members
NON-NURSING TEAM:
- Clergy: spiritual care.
EXAMPLE when to refer: client requests communion, prayer, etc.
- Registered Dietician: assess, plan, educate pt r/t nutritional needs.
o EXAMPLE when to refer: pt has low albumin & unexplained weight loss
- Lab Tech: gathers specimens, runs tests. Refer when provider orders a test to be run STAT.
- Occupational Therapist (OT): help pt regain ADLs, especially motor skills of upper extremities. Referral example: client
has stroke, difficulty using eating utensils with dominant hand.
- Pharmacist: provide/monitor meds. Referral example: client has concerns r/t whether or not a new med will interact with
other meds.
- Physical Therapist (PT): help pt increase musculoskeletal functions, especially in lower extremities. Referral example:
post-hip replacement, pt needs help learning to ambulate and regain strength.
- Provider: assess, diagnose, treat pt for disease and injury. MDs, Dos, APNs, PAs. When to refer: pt has change in vital
signs. Running a fever of 103, pt is achy, shaking, and feels cold.
- Radiologic Technologists: position pt & perform x-rays, etc. to review for diagnosis of disorders of various body parts.
When to refer: pt reports severe pain in his hip after a fall, MD orders x-ray.
- Respiratory Therapist: evaluate respiratory status, provide prescribed Resp. treatments including O2 therapy, chest
physiotherapy, inhalation therapy and artificial mechanical ventilation. When to refer: pt with respiratory disease is SOB
and requests a nebulizer treatment that has been ordered as prn.
- Social Worker: works with pt and family by coordinating inpatient resources to meet psychosocial and environmental
needs that are necessary for recovery and/or discharge. When to refer: pt dying of Cancer wants to go home but can’t
perform many ADLs. Spouse needs medical equipment in the home to care for the pt.
- Speech Therapist: evaluations, recommendations r/t the functions of speech, language, and swallowing. Teaches the pt
techniques and exercises to improve function when possible. When to refer: pt having difficulty swallowing a regular diet
after trauma to the head and neck.
NURSING PERSONNEL
- Team is responsible for working together to advocate for and meet the needs of the client within the health care delivery
system.
- RN= lead team member, gets input from all team members, sets priorities, shares info w/everyone, coordinates care of
client.
1
Expanded Nursing Roles
- APNs (Advanced Practice Nurses) have a lot of autonomy and advanced education of at least a master’s degree in nursing,
etc. and usually specialty certifications. Included are:
o Clinical Nurse Specialists (CNS): specializes in a disease field/practice setting
o NP (Nurse Practitioner): Collaborates w/one or more providers to provide nonemergency primary health care.
o CRNA (Certified Registered Nurse Anesthetist): administers anesthesia.
o CNM (Certified Nurse Midwife): collaborates with one or more providers to provide care to maternal-newborn
clients and their families.
- Nurse Educator
- Nurse Administrator
- Nurse Researcher
CAM THERAPISTS
- Complementary/alternative medicine. Includes: massage therapists, chiropractors, acupuncturists, reflexologists, etc. CAM
therapies can be provided by nurses, physicians and others who are associated with traditional allopathic medicine.
2. Differentiate the components of the Nursing Process.
PPT wk 1, ATI reading starting pg. 53, handout from prof. Nouredeen.
NURSING
In 1980, The American Nurses’ Association (ANA) defined nursing as: The diagnosis and treatment of HUMAN RESPONSES to actual
or potential health problems.
The Nursing Process
- Cyclical, critical thinking process that is systematic and allows nurses to organize care.
- Client-centered, problem-solving
- Now a 6-step process (ADOPIE) ASSESSMENT, DIAGNOSIS, OUTCOME IDENTIFICATION, PLANNING,
IMPLEMENTATION and EVALUATION.
Purpose of Nursing Process:
1. To identify a client’s health status; his Actual/Present and potential/possible health problems or needs.
2. To establish a plan of care to meet identified needs.
3. To provide nursing interventions to meet those needs.
4. To provide an individualized, holistic, effective and efficient nursing care.
Steps/Phases of the Nursing Process:
1. A – Assessment (what data is collected?)
It is systematic and continuous collection, validation and communication of client data as compared to what is standard/norm.
It includes the client’s perceived needs, health problems, related experiences, health practices, values and lifestyles.
Purpose: To establish a data base (all the information about the client):
1. Nursing health history
2. Physical assessment
3. The physician’s history & physical examination
4. Results of laboratory & diagnostic tests
5. Material from other health personnel
2. D – Diagnosis (what is the problem?)
- Actual
- Potential
- Risk
Formula in writing nursing diagnosis: PES or PE [Show Less]
