Multidisciplinary Conference 6.1
Multidisciplinary team meetings, conferences, or rounds are mechanisms through which care providers from different specialties (physicians, nursing, case management, social work, quality, pharmacy, and other ancillary services) meet to communicate, coordinate patient care, make joint decisions, and manage responsibilities. These can occur either during bedside rounds or in a team meeting.
This time, prior to reviewing the bedside rounds, the team supervisor has come up with two scenarios that could happen to nurses outside of the hospital.
Select the tabs to review each story. Then share your responses to the questions provided:
Accessible Interactive Instructions: Use the arrow keys to navigate between tabs. After selecting a tab, use the Tab key to move to the tab content.
While Eating at a Restaurant
While Driving to Work
While Eating at a RestaurantWhile eating at a restaurant close to your hospital with a friend, you notice a hospital employee drop her drink. The female appears in her 50s and is Hispanic. You approach to help her clean up the spill when you notice her face is drooping on the left side. You get focused and begin conducting FAST and ADPIE. You will ask if she is ok. You will ask her name. Introduce yourself and tell her that you can help her. You have your friend call for help (notify staff and call 911). You stay by the patient’s side; monitoring ABCs; reassuring and decreasing anxiety. When EMS arrives, the patient’s initial blood pressure is 200/110. The patient is placed on a cardiac monitor and EMS transports her to VHC.
Discuss the following:
What are her risk factors (modifiable and nonmodifiable)?
What do you think would be done upon her arrival at VHC?
Your friend, a new nursing student, then asks you, “What if the CT scan shows that it is an ischemic stroke?” What would you say?
What could be done for ischemic stroke if TPA is contraindicated?
While Driving to WorkYou are sitting at a red light in your car when you notice a pedestrian that is crossing the crosswalk in front of you, grabs the front of your car, and lowers herself to the ground. You jump out of the car to offer assistance. The white female, who appears to be in her 70s, seems confused and due to weakness of the left side is not able to stand back up.You implement FAST and ADPIE, as you should. You ask her if she is ok and ask her name. You then introduce yourself and tell her that you will help her. You have your cell phone and call for help (call 911). You stay by the patient’s side; monitoring ABCs; reassuring and decreasing anxiety.You just happen to have your lab kit with you and the patient’s initial blood pressure is 210/90. You notice the patient has a medical alert bracelet on that states she is on Coumadin for A. Fib. When EMS arrives, the patient is placed on a cardiac monitor and EMS transports her to VHC. She is able to ask for you to follow her to VHC and since you are done with class for the day, you do. When staff allows you back to visit her in the ED after the CT scan, the patient is alert, oriented to person, place, and time and grabs your hands with both of hers (equal grips), and thanks you profusely.After the patient’s permission (HIPAA); the ED physician shares that her CT scan was negative and that all her symptoms have resolved.Share your thoughts on what might have happened.