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Team Building. NPN 215. Composition of the Health Care Team. Physicians Paramedics/EMT’s RN/LPN/NA/Unit clerk X-ray/Lab Respiratory/PT/OT/Speech Surgical Tech’s Transporters/Medical records Pharmacist Minister/Social worker Dietitian/Housekeeper Outpatient . Nursing Role in the Team.

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Team building l.jpg

Team Building

NPN 215


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Composition of the Health Care Team

  • Physicians

  • Paramedics/EMT’s

  • RN/LPN/NA/Unit clerk

  • X-ray/Lab

  • Respiratory/PT/OT/Speech

  • Surgical Tech’s

  • Transporters/Medical records

  • Pharmacist

  • Minister/Social worker

  • Dietitian/Housekeeper

  • Outpatient


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Nursing Role in the Team

  • Nursing Staff

    • Unit managers

    • RN’s (3 million in US)

      • AND, Diploma, BSN, MSN, Advanced Practice RN, DR.

    • LPN’s (700,000)

    • Student nurses

    • NA’s

    • Unit secretary


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5 Nursing Roles

  • Professional

  • Provider of care

  • Manager of care

  • Teacher

  • Researcher


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What is a Team

  • People who come together to fulfill a specific purpose

  • Teams may be ongoing or formed for a specific purpose

  • They are a small number of people with complementary skills who are committed to a common purpose and hold themselves responsible

  • Teams are both more or less efficient than individuals


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Team Building

  • Members of the team may be from all different directions

  • Teams are not perfect when first put together

  • Michael Jordan and Arnold Palmer on a soccer team

  • Teams must be put together carefully and caringly


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Characteristics of a Team

  • Must have a clear goal

  • Must have a result driven structure

  • Must have competent members

  • Must have unified commitment

  • Must be a collaborative climate

  • Must have a standard of excellence

  • Must have external support and recognition

  • Must have a leader with standards of excellence


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Team Work

  • The health care environment does not allow us to work independently

  • Patients have multiple and complex needs

  • Teamwork is essential to quality, timely and cost efficient care


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Time Management

  • Defined as: a set of related common-sense skills that helps you use your time in the most effective and productive way possible

  • Or: it allows us to achieve more with the available time we have


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Time Management

  • Requires a shift from being busy to getting things done

  • Pareto principle = 80% of unfocused effort results in 20% of the results or 20% of focused efforts results in 80% of the outcomes


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Use of Time

  • 25 % of the nurses time is spent charting and reporting

  • 30-35 % is spent on direct patient care

  • The rest is spent on admission and discharge, professional communication, personal time, and providing care that could be provided by unlicensed personnel, such as transportation and housekeeping.


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How to Use Time Effectively

  • Know the big picture

  • Priority setting is the most critical skill

  • Constant assessment and re-prioritization of patient needs occurs

  • Must decide what needs immediate attention and what can wait, based on the patient’s condition and responses to care


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Priority Traps

  • Do whatever hits first trap

  • Taking the path of least resistance trap

  • Responding to the squeaky wheel trap

  • Completing tasks by default

  • Relying on misguided inspiration


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Setting Priorities

  • Use Maslow’s Hierarchy of Needs

  • Not every patient can be first (ER sees critical – urgent – can wait to be seen)

  • Always protect patients and maintain safety of patient and staff first


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Priorities

  • ABC’s and equipment used to support these systems

    • Vitals, LOC, pain, IV access, cardiac rhythm, O2, suction, UOP, etc.

  • Urgent patients

    • Safety and security

  • Non- urgent patients

    • Love and belonging, self-esteem, self actualization


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First Look Approach

  • Overall

    • Airway sounds

    • Nasal flaring

    • Eye contact

    • Speech

    • Interactions

    • Posture

    • Pain

    • LOC


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First Look Approach

  • Circulation

    • Color

    • Flushed

    • Cyanotic

    • Presence of IV or oxygen

  • Drainage

    • Urine

    • Blood

    • Gastric

    • Stool

    • sputum

  • Breathing

    • Rate, symmetry, depth

    • Positioning

    • retractions


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Patient Care Rounds

  • May be done after information is given to you in shift report

  • Perform rapid assessments

  • May need to reorganize the plan for the shift based on patient needs

  • Physician orders may change prn