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1. To what extent do the nursing staff of this unit support patientcentered care of individuals and families whose values differ than
their own? What are the barriers supporting this fully? How can it be
improved?
The nursing staff support patient-centered care by utilizing a team approach and keeping the
patient involved in their own care. Each morning the hospitalist, nursing supervisor, case
manager, and primary RN do a morning round in each patient room for a brief discussion about
the goals for the day and to address any immediate issues/concerns. The patients also
establish daily goals with each RN that are written on a board in the room. Each individual
patient is different and has expectations that we try to accommodate, but barriers that may
affect that include staffing issues, lack of communication, differing views between the patient
Lynette Helminen
and their family, lack of knowledge or experience, and patient conditions. As nurses we are
exposed to constant change, and the best thing we can do for our patients is to care for them
with clear communication and engaging them in their own care. It is also crucial to maintain a
positive work environment with strong support from senior nursing leaders/management so
everyone on the team is capable of providing their best care of each patient.
Lynette Helminen
safety. We identified the biggest issue was communication among staff. Any patient that is
identified as a high fall risk is given a yellow gown, yellow wrist band, a tag is placed outside of
their room, chair and bed alarms are activated, and patients and families are educated on that
process as well. Staff RNs also do bedside handoffs at shift change which allows for a visual
assessment of each patient and safety concerns. With this process in place it ensures
everyone is easily aware of any high fall risk patient so we can avoid patient harm.
6. What are the two main issues with the Electronic Medical Records on
this unit?
The two main issues with the Electronic Medical Records on our unit are the workflow
interruptions that arise during patient care, and the technical problems with different programs
not interfacing. We have recently changed our bedside medication administration devices to
one that is designed by Meditech and many of our nurses feel we have taken a step back with
that. RNs are monitored for their percentage of scans during med administration, so when it is
a busy day for them and barcodes will not scan, or the system does not recognize an order it
can be very frustrating.
Grading Criteria:
1. Complete answers to the above questions (8 points)
2. APA, grammar, and spelling (2 points)