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Discussion Questions Requirements: Main discussion post should be at least 2-3 paragraphs. Two peer responses should be at least 50 words minimum. Cite your references using APA 7th edition.

NUR435 Discussion post:

Step 1 Choose a communication error you have experienced or witnessed.
Think about a situation in which there was less than optimal communication between staff in two or more disciplines (changing names when appropriate).

Step 2 Post your response to the discussion board. Cite your references using APA 7th edition.

Respond to the following questions as related to the communication error:

• What parties were involved in the discussion? Give a brief description of the role they played.
• What communication technique or techniques were used to communicate with all the people involved?
• How could the lapse in communication have been prevented? (Include communication techniques, interdisciplinary roles, negotiation, and other factors.)
• What punishment was involved, and how could that communication have been more collaborative among the different professionals?
• What steps has your workplace taken to improve communication between different professions to prevent future errors?

Step 3 Read other students’ posts and respond to at least two of them. Cite your references using APA 7th edition.

Use your personal experience, if it’s relevant, to support or debate other students’ posts. In your responses, provide the students with alternative resources for supporting their role as a delegator. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.

NUR435 Student Posts:

Student #1: Communication is a two-way process used to send a message between two or more people. It is the key to a successful group and ultimately to improving patient outcomes. One way to overcome communication barriers is to become effective at giving and receiving feedback (Huber, 2018).

A situation in which there was less than optimal communication between staff, includes a primary RN, respiratory therapist and OPO RN. The patient was an organ procurement patient, in this type of situation the OPO RN takes over complete patient care, including ordering medications and ventilation. The order administered to the primary RN was to place the patient on 100% Fi02 for 30minutes; every four hours, draw an arterial blood gas to measure lung capacity for organ placement. The primary RN relayed the information to respiratory, RT was a new traveler on the unit and their first time caring for an OPO patient. The RT left the patient ventilated on 100% for 8hours. The oncoming RN caught the mistake by assessing the ventilator settings during patient handoff. Although the results of the arterial blood gas were inaccurate, no detrimental damaged occurred to the patients’ lungs.

The lapse in communication could have been prevented by adhering to the orders and making sure delegation to RT does not get misconstrued by clarifying the orders and asking them to repeat the order back. There was no initial punishment involved, considering we all learn from the mistakes we make. Ways to combat this barrier include employing active listening and repeating what you thought you heard. This can be done by monitoring nonverbal cues or asking follow-up or clarification questions. It is also a good idea to avoid making assumptions (Huber, 2018).

Student #2: “Communication errors or issues typically occur in the workplace because of hectic schedules and busy professional lives. Resolving communication problems quickly prevents the situation from becoming worse and disrupting work flow or spreading to include other employees. Poor communication occurs at every level. Choosing the best mechanism to deliver the message ensures that the recipient fully understands the contents. Despite the fact that today’s business environment provides so many opportunities to communicate, problems arise when information is incomplete, incorrect or obsolete. ” (“Communication Errors or Issues That Can Occur in the Workplace”, 2021)

A recent communication order that I recently witnessed was when one of the nurses that I supervise was told that a medication order had changed. The original order was for twice a day, once in the morning and once in the evening. The evening dose was keeping the patient awake because of the type of medication that it was so it was changed to be given in the morning and in the afternoon, instead of the morning and bedtime. The nurse was told that the order had changed and she was aware of the change. The change was told to the nurse but not showed to her. The lapse could have been prevented by better explaining that the medication change had been made and what times it needed given. When the patient came in for his medication in the evening, he told her that he was still supposed to get it in the evening. Instead of going by the Emar for medication administration, she took the patient’s word and was administering it to him also in the evening. It turned out that the patient was lying to her and instead of receiving the medication two times daily, he was receiving it three times daily.

The nurse stated that she had been giving him the medication because of what the patient was telling her instead of going by the Emar. I ended up having to write the nurse up and give her a verbal warning for a medication error that could have been prevented if she would have paid attention to the Emar. The steps to improve communication is to make sure that the nurses are all going by the Emar instead of what the patients tell them. Most of the patients will be honest with you and not take anything extra, but there are always those few that like to play the system and see what they can get away with.

NUR445 Discussion Post:

Step 1 In an initial post of approximately 150 words, respond to the prompt.

Yvonne Johnson is a 45 year old woman recently diagnosed with Myasthenia Gravis and she searches the Internet for information about her ongoing symptoms. Review the document Tips and Suggestions for Evaluating Websites

Identify ways to determine whether an Internet site is trustworthy and valid when you are seeking medical information. Also discuss any negative experiences you might have encountered when a patient or someone you know has used the web for “medical advice.”

Step 2 Read other students’ posts and respond to at least two of them.
In your response posts, discuss other options, not mentioned by your peers, that could be used to assist in determining what medical information websites are valid and reliable.

NUR445 Student Posts:

Student#1: Patient Care Technology Options

Currently, internet sites are vital sources of medical advice to people such as Yvonne Most sites provide honest and valid medical advice, whereas quite a number provide unreliable information that may mislead the patients. For Yvonne to check the trustworthiness and validity of the internet site when seeking the medical information, she needs to check the accuracy of the posted information by comparing the available information to what she already knows (Kanekar & Thombre, 2019). Yvonne should also check the publisher/author’s trustworthy background, time of publication (up-to-date), and information coverage of the site (Kanekar & Thombre, 2019).

I recently encountered a client in critical condition since she followed the wrong medical advice from an internet site. The patient started experiencing fatigue, weight loss, frequent extreme thirst, and hunger and decided to seek medical advice from the internet. She was advised that maybe it was because of too much work without rest, and the solution was to take a break. She followed the internet medical advice and only realized that she had diabetes after her condition worsened and went to the hospital. The internet medical advice, in this case, misled the patient and caused her condition to worsen.

Student #2: There are multiple ways to determine whether or not an internet site is trustworthy and valid when you are seeking information. For Yvonne to discover the validation of the website she is searching about Myasthenia Gravis, is to take a closer look at the source, does the article have an author and if so, did they cite or link authoritative sources. Another way to differentiate a good resource is to check the date of publication and make sure data is not obsolete (“Evaluation”, 2021).

A negative experience I’ve encountered when someone I know used the web for medical advice was my son. He’s about to turn 17 and runs to the internet for everything. He’s been battling acne for a few months now and listed on a website for home remedies was to apply baking soda to the affected area. He took it upon himself to apply baking soda directly on his skin, in return caused a rash and allergic reaction. Luckily, I keep saline and Bactroban ointment in our medical supplies. It was important for me to educated him regarding misinformation and inaccurate medical advice on the internet. It’s vital to encourage patients, family and friends to seek medical information from medical professionals and how to determine whether an internet site is valid and reliable.