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Written by hand in the chart by the MD or RN. They are interpreted,
transcribed, and clarified by the RN (this is our legal obligation).
Inconsistency in team membership;lack of time, lack of information
sharing, hierarchy; defensiveness; conventional thinking; complacency;
conflict; varying communication styles; lack of coordination and
follow-up with co-workers; distractions; fatigue; workload;
misinterpretation of cues; lack of role clarity
(1) aggressive or aggressive-assertive communication is unfeminine. (2) assertive always get what they want
Words to communicate messages, writing or speaking in a language or code that is mutually understood
teamwork, communication, and collaboration. In other words, this is
more important than being able to identify and arrhythmia or start an
IV.
A joint action by two or more people where each person: contributes
with different skills, expresses individual interests and opinions to
the unity and efficiency of the group in order to achieve common goal(s)
Cohesive idea of what you are trying to accomplish.
The 3 Rs: reflect the speaker's message back, repeat the assertive message, restate the meaning by using assertive language.
Follow the steps in proper sequence; block out distractions &
interruptions; double check the order with a second nurse (does this
make sense?)
Therapeutic RelationshipProfessional BoundariesPower
DifferentialBoundary Crossing (dating a coworker)Boundary violation
(dating or accepting a gift from a pt)Sexual misconductOrganizational
Prevention
What would I do to correct it? I request that you...Do you need any
tests like...If the pt's condition does not improve when would you want
us to call again?
Stress teamwork and communication among interprofessional teams to ↓
clinical errors, ↑ patient outcomes, ↑ patient & staff satisfaction
involves rights and responsibilities of being a nurse
clearly understood, legible, communicated EXACTLY as entered by MD, double checked by second RN (agency specific).
aggressive message presented in a passive way. Limited verbal
information which is incongruent with nonverbal behavior . Person feels
strongly about a situation but feigns withdrawal in an effort to
manipulate the situation. Example: "Were you going to do that dressing
change? Or should I?"
passive, aggressive, indirectly aggressive (aka passive-aggressive), assertive
you must repeat back the order that you heard for validation, then
write it in the chart immediately. The physician is required to sign the
order within 24 hours.
Orders placed directly by the physician into the electronic chart. Used often for labs and radiology.
What is going on with the patient?I am calling about...The problem I
am calling about is...Vitals are...I am concerned about the ____
because...
listen, give, find solutions, comfort others, do your best, correct
your mistakes, make others happy, be a friend, praise, reward others, be
dependable, love others
rephrasing the aggressors language will diffuse the emotion.
Paraphrasing helps aggressor focus on cognitive part of message. Restate
by changing "you" to "I" message
Situation, Background, Assessment, Recommendation. Structures
communication and helps clinicians respond with a shared mental model.
Used for handoffs.
What is the clinical background or context?
Sharing of information . All must be able to send and receive message.
The sender is responsible for CLARITY (simple, EXACT, & PRECISE) .
Receiver actively LISTENS . Feedback. Speak directly to the person you
are having a problem with.
must promote trust and sincerity. Team more likely to ask questions
and seek clarification. Receiver: use active listening. Sender: be
assertive and clear. Both must have emotional intelligence.
I think the problem is...or I am not sure what the problem is but the patient is deteriorating/ unstable.
Shared Mental Model (all team members 'on the same page'),
Adaptability (in case team roles change), Team Orientation (everyone
knows their role with no overlapping or gaps), Mutual Trust (What is
said is accurate to foster trust), Team Performance, Patient Safety!
MASTOP
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