Increasing Emotional Intelligence
Running head: PATIENT JOURNEYThe Patient Journey – Transitions of CareAn Interprofessional Education (IPE) Group ActivityDwight DavisJuanita HernandezJulie MilesMarilyn StanilandThe University of Texas at Arlington College of NursingIn partial fulfillment of the requirements of N6320 Leadership in Healthcare SystemsDonna L. Hamby, DNP, RN, APRN, ACNP-BCJune 25, 2017The Patient Journey – Transitions of CareAn Interprofessional Education (IPE) Group ActivityInterprofessional collaborative (IPC) practice is a process whereby professionals from varying disciplines work together and value the expertise and contributions of each team member to provide safe, effective, patient-centered care (White, Dudley-Brown, and Terhaar, 2016; Institute of Medicine, 2001; Interprofessional Collaborative Practice, 2016). Professionals often do not understand the complementary roles of other collaborative partners, how to respectfully communicate care coordination with impact, or how to share accountability for decisions that ultimately impact patient care and outcomes (White et al. 2016). IPE is any learning activity that acts as a vehicle by which individuals of an inter-disciplinary team learn how to communicate and collaborate effectively to improve quality of care (Center for Advancement of Interprofessional Education, 2005; New et al. 2015). Appendix A introduces a simulated IPE activity that addresses various patient scenarios to challenge team collaboration, communication and sharing of collective knowledge. Appendix B presents the accompanying participant self-assessment tool. The Four Competencies of IPEFour core competencies guide the IPE model, which are values and ethics, roles and responsibilities, interprofessional communication, and teamwork (IPEC, 2016; White et al. 2016)). The goal of values and ethics is to “maintain a climate of mutual respect and shared values” (White et al. 2016 p. 267). The questions posed to participants of this IPE activity reflect core patient values, such as the patient’s refusal to participate in care, or the team’s consideration of the unique needs of the patient as an older adult. Thus, the game encourages the team to discuss individual differences, build trust, and act with integrity and honesty in their interactions with the patient and family (White et al. 2016). With roles and responsibilities, individuals are expected to use their specialized knowledge collaboratively, while at the same time acknowledging others’ expertise and capabilities to help assess and achieve patient-centered goals (IPEC, 2016; White et al. 2016). The IPE activity presented in this paper highlights the collective nature of the healthcare team and includes questions designed to challenge roles from each discipline (New et al. 2015; Wilhaus, 2012). This dialogue fosters shared responsibility, and advances understanding within the team to provide “care that is safe, timely, efficient, effective and equitable” (White et al. 2016, p. 268). Healthcare teams must also develop effective communication strategies to provide safe, uncompromised care (White et al. 2016; IOM, 2001). Participants of this IPE activity will need to discuss barriers to discharge, and identify ways to promote healthy outcomes as they move the patient through transitions of care. Successful communicators will learn to express themselves with clarity, respect and consistency, allowing others to do the same through active listening (IPEC, 2016; White et al. 2016). Teamwork is the final core competency of the IPE model, and is directed at the team’s accountability to share in collective problem-solving and decision-making, which are characteristics of effective teams (IPEC, 2016; White et al. 2016). The goal of healthcare teams is to provide safe, patient-centered care (IOM, 2001). The questions in this IPE are multi-disciplinary in nature, requiring team members to engage in problem identification and decision-making to promote a safe and efficient discharge. This activity fosters greater understanding and challenges silo thinking (White et al. 2016). Traditional Model versus Interprofessional Collaborative Model of CareThe IPE activity presented in this paper highlights how active learning can further understanding and build positive interprofessional relationships that may promote positive outcomes in patient-centered care (Wilhaus, 2015). White et al. (2016) describes teamwork within the traditional health care model as professionals “working within a group where each individual has agreed to use his or her own skills to achieve a common goal” (p. 264). The tradition of “silo education and practice” (White et al. 2016, p. 274) is a barrier to true interprofessional collaboration. TeamSTEPPS is an organization dedicated to improving teamwork within an IPC model (Agency for Healthcare Research and Quality, 2011). TeamSTEPPS identifies several key factors associated with successful teamwork: team structure, communication, situation monitoring, team leadership and mutual support. In the IPC model, team structure is interdisciplinary and non-linear communication is essential to positive outcomes. All members are accountable for outcomes, assessment, and monitoring of patient status and safety. Safety of patients and team members is the highest priority. Within this teamwork structure, leadership is shared rather than hierarchical, and team members are supportive of each other and the process (White et al. 2016; AHRQ, 2011). The IPE activity presented in this paper capitalizes on the functional heterogenicity of the participants and exemplifies the attributes of collaborative practice and successful teamwork. Communication is a key component of the activity, requiring clarity and thoughtful deliberation. Patient monitoring by the team is ongoing, each card presenting a new facet of patient care. Leadership by consensus must be in place for the patient to move through the admission-discharge process. Problems along the way highlight the effects of poor communication, gaps in care and safety, unresolved conflict and lack of trust. This activity exemplifies how breaking down practice silos and implementing new mental models of team building, where safe patient-centered care is paramount, promotes a richer, more effective and efficient system of care (White et al. 2016). ReferencesAgency for Healthcare Research and Quality. (2011). TeamSTEPPS National Implementation TeamSTEPPS curriculum tools and materials. Rockville, MD. Retrieved from abouttoolsmaterials.htmCenter for Advancement of Interprofessional Education. (2005). Interprofessional Education: A definition. London: CAIPE. Retrieved from .uk/Institute of Medicine. (2001). ?Crossing the quality chasm: A new health system for the 21st century.??Retrieved from: Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdfInterprofessional Education Collaborative Expert Panel. (2016). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, DC: IPEC.New, S.N., Huff. D.C., Hutchison. L.C., Bilbruck, T.J., Ragsdale, P.S., Jennings, J.E., & Greenfield, T.M. (2015). Integrating collaborative interprofessional simulation into pre-licensure health care programs. Nursing Education Perspectives, 36(6), p. 397-398. doi: 10.5480/13-1108Willhaus, J. ?(2012). Working towards interprofessional educational with simulation. ?Nursing Education Perspectives. 33(12) p. 134.White, K.M., Dudley-Brown, S., & Terhaar, M.F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York: Springer.Appendix AThe Patient Journey - Transitions of CareAn Interprofessional Collaborative Learning ActivityObjective of the Game: This interactive game requires teams to move through a series of case scenarios randomly determined by the card deck, and discuss issues regarding movement of the patient from admission to discharge. In this case, the teams will be composed of a physician, nurse, pharmacist, and care transition manager (social worker). After each card is drawn, the patient may move forward towards discharge, not move, or move backward.? The team will discuss what could be done by each of them in their role to prevent barriers to discharge and provide the safest and most efficient care for the patient and family. The activity encourages interprofessional collaboration and communication with each person in their professional role as they provide their expertise and knowledge of their responsibilities (New et al. 2015; White et al. 2016). Each team will receive a patient and the goal will be to discharge the patient. Personnel and Materials Required: A room large enough to accommodate at least 11 people (minimum of 2 teams) and ten chairs for each team. A second option is to place chairs in a circle with an admission and discharge chair identified. Have both teams move through the circle of chairs.The cards (attached) are separated, shuffled and stacked, face down.The patient can be a person or an inanimate object such as a doll or stuffed animal. If the room is large enough there can be more than two teams. Each team should have 10 chairs and four inter-professional members. There should be at least one moderator for every two teams and one set of cards for two teams.Room Set up: Chairs should be set up with admission and discharge identified. The patient will start in chair number 1 at admission. The cards will be placed faced down in an area both teams can access. Each team member should be identified by role and assigned.Flip a coin to see which team will draw the first card.Directions: Draw a card and read the event in the patient journey out loud. Determine if your patient is moving towards discharge and make those moves. If the first card is for negative movement; stay in chair one. (in real life, this is a little bit like being placed in ER Hold). Discuss what your team can do to optimize patient outcomes. Discuss how each member’s actions helps or hinders the rest of the team and ultimately the patient’s journey. The next team will take their turn and repeat the process. After all teams have drawn one card, the first team draws a second card and the process continues. The final chair represents the day of discharge. The first team to move their patient beyond the discharge chair is the winner. Once the game is completed, moderator will facilitate a debrief for individuals to share their learnings and how they may change their collaborative practices?in the future. 04452759The patient refuses SCD and does not ambulate often. The RN does not reinforce importance of SCD. The Patient develops VTE in their lower extremity.Move back 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged00The patient refuses SCD and does not ambulate often. The RN does not reinforce importance of SCD. The Patient develops VTE in their lower extremity.Move back 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged-2235200 the Patient does not Know what medications or doses he is on but gave the name of his pharmacy to the RN who will call in the morning and then the MD and Pharmacist can reconcile the PTA med LIST. Do not move forward; wait for next turn.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.00 the Patient does not Know what medications or doses he is on but gave the name of his pharmacy to the RN who will call in the morning and then the MD and Pharmacist can reconcile the PTA med LIST. Do not move forward; wait for next turn.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.05151755Medication Reconciliation: the Patient does not Know what medications or doses but his family provides a complete up to date list of medications, doses, and purposes along with allergies/reactions. Move ahead 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.00Medication Reconciliation: the Patient does not Know what medications or doses but his family provides a complete up to date list of medications, doses, and purposes along with allergies/reactions. Move ahead 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.lefttopMedication Reconciliation: the Patient does not Know what medications or doses he is on but brought a bag with all of the medication bottles. the RN INPUTS EACH current medication into THE PTA list Move ahead 1 space.Discuss situation in terms of inter-professional collaboration to help the patient be discharged00Medication Reconciliation: the Patient does not Know what medications or doses he is on but brought a bag with all of the medication bottles. the RN INPUTS EACH current medication into THE PTA list Move ahead 1 space.Discuss situation in terms of inter-professional collaboration to help the patient be discharged0-114935The patient has a PICC line and no maintenance orders, the central line stays in longer than needed and dressing is not changed with proper sterile technique by the RN. The patient gets a CLABSI.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has a PICC line and no maintenance orders, the central line stays in longer than needed and dressing is not changed with proper sterile technique by the RN. The patient gets a CLABSI.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04004945The patient Has a PICC line and the doctor orders a central line maintenance bundle which the nurse follows. The line is removed as soon as no longer indicated. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient Has a PICC line and the doctor orders a central line maintenance bundle which the nurse follows. The line is removed as soon as no longer indicated. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04338955The patient receives flu shot on second day in hospital..Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient receives flu shot on second day in hospital..Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.-1117600The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-110490The ctm is waiting for pricing and doses from pharmacy for charity medication requests for patient dischargeDo not move, wait for next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The ctm is waiting for pricing and doses from pharmacy for charity medication requests for patient dischargeDo not move, wait for next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.38104462145The patient eats breakfast even though they are NPO and the procedure is delayed.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient eats breakfast even though they are NPO and the procedure is delayed.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04001135The patient becomes septic and moves to a higher level of care.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient becomes septic and moves to a higher level of care.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-2540The patient does not complete bowel prep and cannot do test. must repeat prep.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient does not complete bowel prep and cannot do test. must repeat prep.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04454664The pharmacist manages the vancomycin dosing and sends a reminder through the electronic health record that a trough is due. The rn sends the lab. The patient receives the correct dose.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The pharmacist manages the vancomycin dosing and sends a reminder through the electronic health record that a trough is due. The rn sends the lab. The patient receives the correct dose.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-111125The CTM meets with the family to determine preferences for possible rehab hospitals and provides brochures so they can visit and make a final decision and she can clear with insurance. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The CTM meets with the family to determine preferences for possible rehab hospitals and provides brochures so they can visit and make a final decision and she can clear with insurance. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04062080The surgeon discharges the patient but the hospitalist won’t be on the unit until 3 pm. The family is in the hall yelling at the charge nurse..Do not move; wait till next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The surgeon discharges the patient but the hospitalist won’t be on the unit until 3 pm. The family is in the hall yelling at the charge nurse..Do not move; wait till next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-116840The RN misses the Vancomycin trough. The pharmacist cannot adjust the dose properly.Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The RN misses the Vancomycin trough. The pharmacist cannot adjust the dose properly.Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.-1143005080 there are duplicate orders for pain medications. the doctor wrote an order for: 1 mg morphine for moderate (4-7) pain and Norco 5, 2 tablets for moderate (4-7) pain. The RN CLARIFIES the order to see which is to be given for moderate pain. Do not move; wait for next turn. Discuss situation in terms of inter-professional collaboration to help the patient be discharged.00 there are duplicate orders for pain medications. the doctor wrote an order for: 1 mg morphine for moderate (4-7) pain and Norco 5, 2 tablets for moderate (4-7) pain. The RN CLARIFIES the order to see which is to be given for moderate pain. Do not move; wait for next turn. Discuss situation in terms of inter-professional collaboration to help the patient be discharged.53284458335The patient is over sedated after the patient receives Norco 10, Xanax, Benadryl, Phenergan, and dilaudid within 2 hours and rapid response is called. the patient is sent to a higher level of care.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient is over sedated after the patient receives Norco 10, Xanax, Benadryl, Phenergan, and dilaudid within 2 hours and rapid response is called. the patient is sent to a higher level of care.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-52705The dr used a condom cath instead of a foley catheter during surgery and it was removed the morning following the surgery. The patient urinated with no discomfort.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The dr used a condom cath instead of a foley catheter during surgery and it was removed the morning following the surgery. The patient urinated with no discomfort.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.-50804453394The patient has a foley and is mobile on Post or day one, the foley is no longer indicated and the dr used an order set so the rn can remove it when not indicated. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has a foley and is mobile on Post or day one, the foley is no longer indicated and the dr used an order set so the rn can remove it when not indicated. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.014708505The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.03942095 The patient has a foley. the doctor places and order to remove it post op day one.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00 The patient has a foley. the doctor places and order to remove it post op day one.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-118110The patient has a foley and it is post op day 2 and the patient has activity orders. there is no order to remove it. The oversight is Caught on Post op day 3. the patient develops a Cauti.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has a foley and it is post op day 2 and the patient has activity orders. there is no order to remove it. The oversight is Caught on Post op day 3. the patient develops a Cauti.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04572201 The patient is over 65 yrs. old and gets benzodiazepine after a procedure and develops sudden onset delirium. he falls from the bed and has an injury.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00 The patient is over 65 yrs. old and gets benzodiazepine after a procedure and develops sudden onset delirium. he falls from the bed and has an injury.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.014972665The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.011092041The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient refuses SCD and does not ambulate often. The RN EDUCATES patient about importance of SCD. The Patient decides to wear them.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.-1117600 The patient having a procedure is over 65 yrs. old. The Dr., pharmacist, and RN consult and adjust MEDICATIONS TO exclude benzodiazepines and reduce risk of sudden onset delirium. Patient recovers without incident. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00 The patient having a procedure is over 65 yrs. old. The Dr., pharmacist, and RN consult and adjust MEDICATIONS TO exclude benzodiazepines and reduce risk of sudden onset delirium. Patient recovers without incident. Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-116840The patient wants a foley catheter, She is morbidly obese and difficult to mobilize. The rns recommend a Peer WICK INSTEAD to avoid a possible CAUTI. The patient agrees and the physician orders the external device.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient wants a foley catheter, She is morbidly obese and difficult to mobilize. The rns recommend a Peer WICK INSTEAD to avoid a possible CAUTI. The patient agrees and the physician orders the external device.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04364355The patient has a foley catheter and insists on keeping it for convenience. She is morbidly obese and rns agree due to difficulty mobilizing HER. She develops a CAUTI..Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has a foley catheter and insists on keeping it for convenience. She is morbidly obese and rns agree due to difficulty mobilizing HER. She develops a CAUTI..Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-248The patient has a picc line and the nurses carefully follow the maintenance orders for cleaning the and flushing the lines. No clabsi or phlebitis.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has a picc line and the nurses carefully follow the maintenance orders for cleaning the and flushing the lines. No clabsi or phlebitis.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04459605The Doctor consults the pharmacist and determines that the antibiotics can be given through midline and then PO and the patient will not require a picc line for IV access.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Doctor consults the pharmacist and determines that the antibiotics can be given through midline and then PO and the patient will not require a picc line for IV access.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-2788The rn, Patient, dr, & CTM discussed discharge medications during rounding and determined that the needed medications were on the $4 list and the PATIENT COULD afford them.Move ahead 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.00The rn, Patient, dr, & CTM discussed discharge medications during rounding and determined that the needed medications were on the $4 list and the PATIENT COULD afford them.Move ahead 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.04649470The doctor discharges the patient. the CTM recognizes the medication is very expensive and not covered by the patient’s insurance. The patient cannot afford the medication. An application for charity meds is started.Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The doctor discharges the patient. the CTM recognizes the medication is very expensive and not covered by the patient’s insurance. The patient cannot afford the medication. An application for charity meds is started.Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00 The day before discharge, the doctor, rn, and CTM, PLAN with the patient that includes having a family member present for transportation.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00 The day before discharge, the doctor, rn, and CTM, PLAN with the patient that includes having a family member present for transportation.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04453394The patient has been discharged and has their paperwork but no ride home. they say their friends, family and neighbors are all unavailable. They stay in the room until 7 pm DESPITE patients in ER HOLD and PACU.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has been discharged and has their paperwork but no ride home. they say their friends, family and neighbors are all unavailable. They stay in the room until 7 pm DESPITE patients in ER HOLD and PACU.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has been discharged and has their paperwork but no ride home. they say their friends, family and neighbors are all unavailable. The CTM provides a cab voucher (due to holds in ER).Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient has been discharged and has their paperwork but no ride home. they say their friends, family and neighbors are all unavailable. The CTM provides a cab voucher (due to holds in ER).Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.-1143004110247 The patient initially refused the flu shot and now wants it before leaving, the rn has requested it via protocol order. Pharmacy will send it through the tube system.Do not move; wait till next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00 The patient initially refused the flu shot and now wants it before leaving, the rn has requested it via protocol order. Pharmacy will send it through the tube system.Do not move; wait till next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-234176The Doctor forgot to sign the triplicate prescription and has left the hospital. The rn has left 2 messages with his answering service.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Doctor forgot to sign the triplicate prescription and has left the hospital. The rn has left 2 messages with his answering service.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0-2343150004109085The Doctor forgot to sign the triplicate prescription and has left the hospital. The RN calls his cell and he returns to the unit right away to sign the prescription.Do not move, wait for next turn.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Doctor forgot to sign the triplicate prescription and has left the hospital. The RN calls his cell and he returns to the unit right away to sign the prescription.Do not move, wait for next turn.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Doctor forgot to sign the triplicate prescription and has left the unit. The RN goes to the other unit to get the prescription signed. Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Doctor forgot to sign the triplicate prescription and has left the unit. The RN goes to the other unit to get the prescription signed. Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04688205The doctor signed the triplicate prescription and handed it to the discharge RN.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The doctor signed the triplicate prescription and handed it to the discharge RN.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient is out of bed to the rest room or in the room to sit in the chair FOR MOST meals.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient is out of bed to the rest room or in the room to sit in the chair FOR MOST meals.Move ahead 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04518660The family said they can no longer care for grandma and will need to find new living accommodations. Grandma does not agree. The ctm helps find an agreeable solution. Move forward 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The family said they can no longer care for grandma and will need to find new living accommodations. Grandma does not agree. The ctm helps find an agreeable solution. Move forward 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0342265The patient was found on floor and cannot return to same living situation. CTM must find skilled nursing facility. There is no family to assist. Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient was found on floor and cannot return to same living situation. CTM must find skilled nursing facility. There is no family to assist. Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04460240The patient ambulates in the halls at least four times a day and sits in the chair for all meals.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient ambulates in the halls at least four times a day and sits in the chair for all meals.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient is very weak and unstable. The Rn notifies the doctor who orders home health and home PT. The CTM begins the insurance approval process.Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient is very weak and unstable. The Rn notifies the doctor who orders home health and home PT. The CTM begins the insurance approval process.Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.1168404457065 The patient is over 65 yrs. old and gets benzodiazepine after a procedure and develops sudden onset delirium. he needs a sitter.. Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00 The patient is over 65 yrs. old and gets benzodiazepine after a procedure and develops sudden onset delirium. he needs a sitter.. Move back 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged. 0-116840The patient is on 40 mg Lovenox and pharmacist notices the patient has poor renal function; he contacts THE DOCTOR and obtains an updated order for 30 MG Lovenox.Move ahead 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient is on 40 mg Lovenox and pharmacist notices the patient has poor renal function; he contacts THE DOCTOR and obtains an updated order for 30 MG Lovenox.Move ahead 2 spaces.Discuss situation in terms of inter-professional collaboration to help the patient be discharged.04114800The Doctor told the patient they were discharged and then continued rounding. He did not input the orders for 2 hours. The husband is standing in the hall with his arms crossed. He told the nurse he is leaving in 20 minutes, with or without paperwork. Do not move; wait for next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Doctor told the patient they were discharged and then continued rounding. He did not input the orders for 2 hours. The husband is standing in the hall with his arms crossed. He told the nurse he is leaving in 20 minutes, with or without paperwork. Do not move; wait for next turnDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.0248The Doctor forgot to sign the triplicate prescription and has left the hospital. The rn has left 2 messages with his answering service.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Doctor forgot to sign the triplicate prescription and has left the hospital. The rn has left 2 messages with his answering service.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.04337685patient stays in bed and experiences functional decline. Doctor consults Physical therapy and they recommend Discharge to rehab. Doctor writes order and CTM begins insurance approval process.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00patient stays in bed and experiences functional decline. Doctor consults Physical therapy and they recommend Discharge to rehab. Doctor writes order and CTM begins insurance approval process.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.03947795The Patient did not want to be discharged. After being told that they would be going home today they were found on the floor and said they fell and were hurt.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Patient did not want to be discharged. After being told that they would be going home today they were found on the floor and said they fell and were hurt.Move back 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Rn could not locate a needed antibiotic. She called the pharmacy and they are re-sending through the tube station. Move forward 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The Rn could not locate a needed antibiotic. She called the pharmacy and they are re-sending through the tube station. Move forward 1 spaceDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.2286009147175The patient refuses SCD and does not ambulate often. RN EDUCATES patient about importance of SCD. Patient decides to wear them.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.00The patient refuses SCD and does not ambulate often. RN EDUCATES patient about importance of SCD. Patient decides to wear them.Move ahead 2 spacesDiscuss situation in terms of inter-professional collaboration to help the patient be discharged.Appendix BParticipant Self-Assessment ToolThe Patient Journey – Transitions of CareAn Interprofessional Collaborative Learning ActivityThe Patient Journey – Transitions of CareAn Interprofessional Collaborative Learning ActivityTo help us evaluate effectiveness of our IPE program, and offer you an opportunity to assess your own learning, please fill out the following self-assessment evaluation. We thank you for attending today’s workshop. Strongly AgreeAgreeUndecidedDisagreeStrongly disagreeThe objectives of this activity were accomplished?????This activity improved my understanding of howto be an effective team member?????This activity helped me better understand how toimprove patient care/outcomes through collaboration?????The format of this activity was helpful to my learning and development on interprofessional collaboration?????I better understand how some actions of the interprofessional team can help the patient get to a timely discharge and how some actions can hinder patient discharge?????I would recommend this activity to other departmentsin my hospital.?????Mutual respect and trust of my co-workers’ capabilitiesis a foundation for effective collaboration and patientcare?????I will work toward understanding the role of others and use their expertise to help me meet patient care goals.?????Patient care will be enhanced when I actively listen to others and communicate my knowledge and ideas in a clear and consistent manner.?????I will focus more on sharing patient care decisions with colleagues when I return to work.????? ................
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