Question

QUESTIONS: Create a concept of team work and interprofessional practice, consider the paradox of authority and responsibility in teams AS NURSE PRACTITIONER in Physician private practice?

Scenario: The MAs at private physician office complain to Dr..... that Nurse Practitioner (ME) slow but they are not supportive. At the end of your very long busy day the MA catches Nurse Practitioner ( ME)  in the hall and tells you that there is a drop in sick visit and asks if you can take care of it in front of the patient? All the rooms are filled with patients so there is unspoken pressure to see the patient in the hallway. In front of you is a 82-year-old man who looks frail, feeling weak and short of breath. You tell the MA you need a room. She look angry but rooms the patient. When you go in to see the patient they are fully clothed and the vital signs have not been done. You leave to find the pulse ox to check patient oxygen. You finally find it tucked in a back room draw after a ten minute search.

Question: Identify what the challenges are and what factors to enhance in the practice as Nurse practitioner at Physician private practice?

Scenario: There is another general practice physician and two nurse practitioners also working in the practice part time. Working today there are the two receptionists, one medical assistant, one NP, the diabetic educator, and a new case manager. The atmosphere is tense because the patients have been waiting. MAs at private physician office complain to Dr..... that Nurse Practitioner (ME) slow but they are not supportive. At the end of your very long busy day the MA catches Nurse Practitioner ( ME)  in the hall and tells you to see the patient in the hallway. Pt is 82-year-old man who looks frail, feeling weak and short of breath. You tell the MA fine but you will need a room. She look angry but rooms the patient. When you go in to see the patient they are fully clothed and the vital signs have not been done. You leave to find the pulse ox to check patient oxygen. You finally find it tucked in a back room draw after a ten minute search.

Question: Write a introduction that could be used to meet with staff to discuss a plan AS NURSE PRACTITIONER.

• Scenaio: Physician practice more than 35 years, his routine is to come in the office after making morning rounds at two skilled nursing facilities. Although his first 3 patients are already roomed he stops to go through the mail. There is another general practice physician and two nurse practitioners also working in the practice part time. Working today there are the two receptionists, one medical assistant, one NP, the diabetic educator, and a new case manager.The atmosphere is tense because the patients have been waiting. The physician walks by and says "not now I need her to set up for a procedure." The other physician comes in at 9 am. You share an office. At the end of very long busy day the MA asks if you can see the patient in the hallway. 82-year-old man who looks frail, feeling weak and short of breath. You tell the MA fine but you will need a room. She look angry but rooms the patient. When you go in to see the patient they are fully clothed and the vital signs have not been done. You leave to find the pulse ox to check patient oxygen. You finally find it tucked in a back room draw after a ten minute search

Answer 1

1. Concept of teamwork in a private Healthcare set up

Teamwork in healthcare setup can be conceived as interaction between staffs of multidisciplinary arena like nursing, laboratory staffs, ra diology staffs for a same purpose, working toward measurable goals from leadership, honest discussion and problem solving in a inter dependent manner.

Importance of adopting teamwork :

1. Complexity of clinical care involving multispeciality approach.

2.Working together reduces the probability of medical error and improves patient safety.

3. Teamwork is focused on communication among the patient, physician, nurse and patient bystanders

2. Challenges in nursing practice:

1. Long working hours - Nurses are forced to work back to back in shifts which affects them physically and psychologically creating fatigue which can lead to medical errors.

2. Workplace hazards - Getting exposure to different infections, serum borne pathogens, skin manifestation due to repeated jandwashes etc.

3. Short staffing- Reduced staff intake causes burnout in the working staffs.

4. Payment - Not all sectors and countries of staffs are been payed adequately.