Delivery of Nursing Care

• July 2, 2020
• Tony Guo
• no comments

Delivery of Nursing Care

• Care delivery models
• Team care
• Total patient care
• Case management
  • Collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.
• Telehealth
  • Using the nursing process to provide nursing care to patients through telecommunication technologies, including high-speed Internet, wireless, satellite, and video communications

Decision- Making

• Critical thinking
  • Ability to focus your thinking to get the results you need in various situations, has been described as knowing how to learn, be creative, generate ideas, make decisions, and  solve problems
• Clinical reasoning
  • Critical thinking to examine and analyze patient care issues
  • Involves understanding the medical and nursing implications of a patient’s situation when making decisions regarding patient care

Communication

SBAR

• This is a model of effective transfer of information by providing a standardized structure of concise factual communications from nurse-to-nurse/physician/other health care providers

• S- Situation
  • What is the situation you want to discuss?
  • What is happening at the present time?
  • Identify self, unit.
    • State, “I am calling about patient and the room number”
  • Briefly state the problem: What it is, when it happened or started, and how severe it is
    • State, “I have just assessed the patient and I am concerned about, identify why you are concerned”
• B- Background
  • What is the background or circumstances leading up to the situation?
  • State pertinent background information related to the situation that may include
    • Admitting diagnosis and date of admission
    • List of current medications, allergies, IV fluids
    • Most recent vital signs
    • Date and time of any laboratory testing and results of previous tests for comparison
    • Synopsis of treatment to date
    • Code status
• A-Assessment
  • What do you think the problem is? What is your assessment of the situation?
    • State what you think the problem is:
  • Changes from prior assessments
  • Patient condition unstable or worsening
• R- Recommendation
  • What should we do to correct the problem? What is your recommendation or request?
    • State your request:
      • Specific treatments
      • Tests needed
      • Patient needs to be seen now