Question

         Communication
Conflict Management Activity

Case 2: Nurse to Nurse Conflict:

The PACU nurse is trying to give report to the floor nurse that the patient is ready for discharge from the Post Anesthesia Care Unit (PACU). This means that the patient is signed out by the anesthesiologist and the floor nurse has received a 30 minute heads-up by pager that the patient is ready to be admitted to the floor. The floor nurse refuses to take report on this call. What would you do as the PACU nurse? (33 points)

Case 3: Nurse to Patient/Family Conflict:

Michelle is a seasoned LPN with many years of experience who is taking care of Mr. Cahill. The patient is currently on the Med/Surg floor with multiple non-life threatening stab wounds. The patient had multiple family members at his bedside, including a toddler. This patient was involved in a fight and was stabbed several times. His situation as mentioned above, was not life threatening. The nurse had asked the visitors to leave the bedside, but could return to visit later on. Not one family member left the bedside. The nurse came to the charge nurse and asked for assistance. The LPN wants to call security, because the family would not leave upon her request. What would you do? (34 points)

Answer 1

Case 2.

The following thing cB be dine as a PACU nurse

• First make a direct call and try to communicate with the concerned call regarding the transfer of patient
• In case if the nurse is busy or doesn't attends the call ,ensure the concerned charge nurse or senior nurse is contacted and informed regarding the transfer so that appropriaye post operative care can be delivered when patient is received on floor
• If this continues and interrupts the workflow ,patient tolerance ,relatives pressure inform to the nurse supervisor of the operation theatre who can inform to the nurse uncharged on floor and take appropriate actions

Case 3.

• In these cases first infirm the hospitals protocol regarding number of patient visitor and visiting time
• Educate them when patient relatives are there, the patient care cannot be provided
• A public relation officer can be involved to explain the hospitals rules and regulations
• Educate them the toddlers are prone for infection ,cannot visit a hospital if less than 12 years of age.
• Reassure the family members they will provide the best care to their patient and not worry and leave
• If they do not abide ,kindly inform them that a security person will be called upon as per the hospital's rules and regulations to help them in providing patient care