Experience Overview
Assignment 5: Change Management and Patient Advocacy
Digital Clinical Experience Score
92.0%
The DCE score represents a weighted
... [Show More] score based on all learning activities in this assignment. Some learning activities have been
assigned greater value than others. This score may not be your final grade if your instructor chooses to include additional components,
such as rationales or time spent.
Activity Scores 92.0/100 points
Team Delegation 15.0/15 points
Interprofessional Communication 29.0/30 points
Prioritizing Individual Patient Needs 13.0/20 points
Prioritizing Delivery of Care 35.0/35 points
Interprofessional Communication Score: 29.0 out of 30
Time: 1055
Angela: Hey, I heard Mr. Liu was left hanging this morning
waiting to be discharged. Any idea what happened?
Angela: Hm. That's an unfortunate mix-up. OK, well, thanks
for the update.
How should you respond?
I believe this type of miscommunication is liable to
happen again if a standard procedure isn't codified into
the Toolkit.
You scored
1.0 out of 1
The correct answer is:
I believe this type of miscommunication is liable to
happen again if a standard procedure isn't codified into
the Toolkit.
Angela: Interesting. You scored
Why is this the most appropriate statement?
As opposed to an "unspoken rule", a procedure being in
the Toolkit best ensures that staff understand its nonnegotiability and how to carry it out.
1.0 out of 1
The correct answer is:
As opposed to an "unspoken rule", a procedure being in
the Toolkit best ensures that staff understand its nonnegotiability and how to carry it out.
Angela: My only concern is that, with my recent push to
improve Handoffs, I've already given the staff enough to
focus on for now. Why don't we discuss this again in a few
days.
What is the most appropriate response?
While I share your concern for the staff's workload, not
addressing this gap in policy leaves us open to fumble
another patient discharge, and only would require a
minor effort of staff.
You scored
1.0 out of 1
The correct answer is:
While I share your concern for the staff's workload, not
addressing this gap in policy leaves us open to fumble
another patient discharge, and only would require a
minor effort of staff.
Why is this an appropriate statement?
A streamlined discharge policy is an important enough
outcome to warrant the small cost of staff reading a line in
the Toolkit and being mindful of it when arranging
discharges.
You scored
1.0 out of 1
The correct answer is:
A streamlined discharge policy is an important enough
outcome to warrant the small cost of staff reading a line in
the Toolkit and being mindful of it when arranging
discharges.
Angela: Before we agree on anything, can you tell me more
about the change you'd like to be codified?
How should you respond to Charge Nurse Angela?
The Toolkit should say that if a nurse provides discharge
teaching at night, and subsequently has to hand over care
You scored
1.0 out of 1
The correct answer is:
The Toolkit should say that if a nurse provides discharge
teaching at night, and subsequently has to hand over care
of the patient due to their shift ending, then they should
inform the new nurse of the need to arrange the physical
discharge.
of the patient due to their shift ending, then they should
inform the new nurse of the need to arrange the physical
discharge.
Angela: I can see that working.
Why is this the best policy to suggest?
You minimize the chance of error by necessitating
communication between nurses and clearly designating
responsibilities.
You scored
1.0 out of 1
The correct answer is:
You minimize the chance of error by necessitating
communication between nurses and clearly designating
responsibilities.
Angela: OK, I have to go -- one of my patients has a heart rate on a rapid decline. Talk later.
How will you respond to Charge Nurse Angela?
OK!
You scored
1.0 out of 1
The correct answer is:
OK!
Why is this an appropriate response?
A current patient's need for physiological care takes
priority over a discussion of policy, which only influences
the comfort of future patients.
You scored
1.0 out of 1
The correct answer is:
A current patient's need for physiological care takes
priority over a discussion of policy, which only influences
the comfort of future patients.
Time: 0600
Angela: Alright everyone, let's huddle up for a second.
Angela: So, here's the deal, folks: I've been noticing a lot of inconsistencies in our Bedside Shift
Reports: people missing pieces of information, whether in the in-person handoffs or in the EHR. Now,
this stuff can really affect a patient -- you know, you miss one medication in your Background, and
boom, we've got a problem. Alright? And I want this to be a team effort. If you see someone missing
You scored
0.5 out of 1
The correct answer
is:
That works for
something, you tell them. You tell them to look at their Toolkit and freshen up on the SBAR aspects.
Sounds good? I know I'm nitpicking, but folks, it really matters. Alright, that's all for now.
Angela: I just wanted to say, your work is of such a consistent quality that I really don't find myself
worrying about you. So I want you to be extra on the lookout for ways to help the team with Bedside
Shift Reports. Don't be afraid to give them constructive criticism, let some of the newer folks shadow
you, review EHRs, whatever you think works. Sounds good? I'm counting on you.
How will you respond to Charge Nurse Angela's request?
As opposed to in-person discussions, the course of action that seems to me least liable for
awkwardness is to review nurses EHRs after Handoffs.
As opposed to in-person discussions, the course of action that seems to me least liable for awkwardness
is to review nurses EHRs after Bedside Shift Reports.
Angela: EHRs aren't the only thing that we need help improving.
That works for me. I'll let you know how it goes.
me. I'll let you
know how it goes.
Angela: Awesome. Looking forward to it.
Why have you accepted an appropriate level of responsibility?
All Shadow General staff are expected to be change agents,
no matter the situation or the ranking of the parties
involved.
You scored
1.0 out of 1
The correct answer is:
All Shadow General staff are expected to be change
agents, no matter the situation or the ranking of the
parties involved.
Angela: Great. Now, I want you to sync up with Nurse Ben at some point and run through a
practice SBAR. He's had problems in the past with missing whole aspects of the Bedside Shift
Report. I tried doing one with him, but he seemed nervous around me, as usual. Anyway, you're
not the charge nurse, so I don't think he'd be as intimidated with you.
How should you respond?
Sounds good. I'll talk with Ben soon about practicing the SBAR. [Show Less]