Interdisciplinary Care Assignment Guidelines_FOR KIM WOODS ONLY

Chamberlain College of Nursing NR340 Critical Care Nursing

NR340 Interdisciplinary Care Assignment Guidelines.docx Revised 07/08/2013 RC-AG/slp 1

Interdisciplinary Care Assignment Guidelines PURPOSE This purpose of this assignment is for the student to present a complete picture of nursing care of a critically-ill individual encountered during the course. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated during the care of the critically-ill individual.

COURSE OUTCOMES This assignment enables the student to meet the following course outcomes:

CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on theories and principles of nursing and related disciplines.

CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and emergent care settings.

CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to patients and families in critical-care and emergent care settings.

CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical and professional standards and principles when caring for patients and families in critical care and emergent care settings.

CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing practice within critical-care and emergent care settings.

CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients in critical care and emergent care settings.

DUE DATE: See Course Calendar. This assignment falls within the college’s Late Assignment Policy. TOTAL POINTS POSSIBLE: 100 POINTS

REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER Background Information on the critically-ill Individual:

• Demographics • History of present illness • Relevant past medical and surgical history • Admitting diagnosis(es) • Course of current hospitalization to date • Review of systems (ROS) with rationale for abnormal findings • Assessment findings during day(s) of care. Includes vital signs, focused assessment, and data from

monitoring devices. Laboratory and Diagnostic Tests

Identify and list all lab values and diagnostic tests/procedures performed. Include the rationales for performing the tests and for any abnormal results. Provide an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s).

Medications Indicate the trade name and generic name, the medication classification, the therapeutic use, major adverse effects, the nursing implications, and patient teaching. Also include the rationale(s) as to why the medication

Chamberlain College of Nursing NR340 Critical Care Nursing

NR340 Interdisciplinary Care Assignment Guidelines.docx Revised 07/08/2013 RC-AG/slp 2

is prescribed for treatment. For example, document the rationale for how the treatment corrects the critically-ill individual’s condition or a side effect of another drug that is prescribed for treatment.

Nursing Diagnoses In order of priority, identify three (3) nursing diagnoses for the plan of care. The nursing diagnoses may include “Risk for” and “Potential Complications” (PCs). Include three (3) nursing outcomes, a minimum of three (3) nursing interventions, and a minimum of three (3) collaborative interventions for each nursing diagnosis or potential complication.

Interventions Routine Nursing Management Describe independent nursing care you provided in the care of the critically-ill individual. Examples include, but are not limited to: activity level, position, ongoing monitoring, nutrition (prescribed diet, tube feedings/TPN, formula, rate and calculation of basal energy expenditure (BEE), patient education, wound care etc. The rationale must be included for each intervention.

Interdisciplinary (ID) Care Collaborative Management

Identify the members of the interdisciplinary team caring for the critically-ill individual. Provide a brief description of their roles and responsibilities. Interdisciplinary team members include, but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory therapy, physical therapy, occupational therapy, speech therapy, social work/case management, pastoral care, ethicist, etc.

Therapeutic Modalities Describe the various therapeutic modalities used in the management of care for the critically-ill individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy (mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2). The rationale must be included for each modality.

Nursing Role Reflection Provide a brief summary of how your role interacted with the members of the interdisciplinary team. Include in your summary • Analysis of communication style preferences among interdisciplinary team members and with the

critically-ill individual and family members. What is the impact of your own communication style on others?

• System barriers and facilitators. Did the organizational framework for interdisciplinary management of care facilitate or hindered the quality of care/outcomes for the critically-ill individual? What recommendations can you make to the organizational system for enhancing interdisciplinary collaboration? Provide at least two (2) evidence-based literature items to support your recommendations.

• Professional Development. Based on your experience(s), write ideas for your own professional self- development plan to enhance your potential for becoming an effective member in an interdisciplinary team.

PREPARING THE ASSIGNMENT Style and Format The paper should be typed and presented in APA format, including an APA title page, us of headings, and references with in-text citations. Spelling and grammar will be evaluated with this assignment.

Chamberlain College of Nursing NR340 Critical Care Nursing

NR340 Interdisciplinary Care Assignment Guidelines.docx Revised 07/08/2013 RC-AG/slp 3

GRADING CRITERIA Assignment

Criteria Points % Description

Background Information

10 10%

Includes ALL the elements as described in the assignment guidelines: • Demographics • History of present illness • Relevant past medical and surgical history • Admitting diagnosis(es) • Course of current hospitalization to date • Review of systems (ROS) with rationale for abnormal findings • Assessment findings during day(s) of care. Includes vital signs, focused assessment, and

data from monitoring devices. Laboratory and Diagnostic Tests

10 10% • Identifies and lists all lab values and diagnostic tests/procedures performed. • Includes the rationales for performing the tests and for any abnormal results. • Provides an analysis of the relationships between/among the diagnostic tests and lab

results with the critically-ill individual’s current condition(s). Medications 10 10% • Indicates the trade name and generic name, the medication classification, the

therapeutic use, major adverse effects, the nursing implications, and patient teaching. • Includes the rationale(s) as to why the medication is prescribed for treatment.

Nursing Diagnoses

15 15% • Identifies three (3) nursing diagnoses and/or potential complications in order of priority for the plan of care.

• Includes three (3) nursing outcomes, a minimum of three (3) nursing interventions, and a minimum of three (3) collaborative interventions for each nursing diagnosis or potential complication.

Interventions: Routine Nursing Management

10 10% • Describes independent nursing care provided in the care of the critically-ill individual. • The rationales are included for each intervention.

ID Care: Collaborative Management

10 10%

• Provides a comprehensive list of the interdisciplinary team members caring for the critically-ill individual.

• Provides a brief description of the roles and responsibilities of each respective interdisciplinary team members.

ID Care: Therapeutic Modalities

10 10% • Describes the various therapeutic modalities used in the management of care for the critically-ill individual.

• Discusses the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team.

• The rationales are included for each respective modality. Nursing Role Reflection

20 20%

Summary includes • Analysis of communication style preferences among interdisciplinary team members

and with the critically-ill individual and family members; • Analysis of the impact of own communication style on others • Description of system barriers and facilitators in relation to the quality of

care/outcomes for the critically-ill individual • Discussion of recommendations to the organizational system for enhancing

interdisciplinary collaboration, which are supported by at least two (2) evidence-based literature

• Description of ideas for own professional self-development plan to enhance own potential for becoming an effective member in an interdisciplinary team.

APA Format, et al.

5 5% • Proper APA format for title page, headings, references and in-text citations. • No errors in spelling, grammar, and mechanics

Chamberlain College of Nursing NR340 Critical Care Nursing

NR340 Interdisciplinary Care Faculty Feedback Form.docx Revised 07/08/2013 RC-AG/slp 4

GRADING RUBRIC AND FEEDBACK FORM Assignment

Criteria Outstanding or Highest Level

of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory Level of Performance

F (0–75%)

Background Information (10 points)

Includes ALL the guideline elements: • Demographics • History of present illness • Relevant past medical and

surgical history • Admitting diagnosis(es) • Course of current

hospitalization to date • Review of systems (ROS) with

rationale for abnormal findings • Assessment findings during

day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.

10 points

Does not include 1-2 elements: • Demographics • History of present illness • Relevant past medical and

surgical history • Admitting diagnosis(es) • Course of current

hospitalization to date • Review of systems (ROS) with

rationale for abnormal findings • Assessment findings during

day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.

9 points

Does not include 3 elements: • Demographics • History of present illness • Relevant past medical and

surgical history • Admitting diagnosis(es) • Course of current

hospitalization to date • Review of systems (ROS) with

rationale for abnormal findings • Assessment findings during

day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.

8 points

Does not include 4 or more elements: • Demographics • History of present illness • Relevant past medical and

surgical history • Admitting diagnosis(es) • Course of current

hospitalization to date • Review of systems (ROS) with

rationale for abnormal findings • Assessment findings during

day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.

0–7 points

Laboratory and Diagnostic Tests (10 points)

• Identifies and lists ALL lab values and diagnostic tests/procedures performed.

• Comprehensively discusses the rationales for performing the tests and for any abnormal results.

• Comprehensively provides an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s).

10 points

• Missed identifying 1-2 lab values and/or diagnostic tests/procedures performed.

• Adequately discusses the rationales for performing the tests and for any abnormal results.

• Adequately provides an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s).

9 points

• Missed identifying 3-4 lab values and/or diagnostic tests/procedures performed.

• Adequately discusses the rationales for performing the tests and for any abnormal results.

• Adequately provides an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s).

8 points

Missed identifying ≥ 5 lab values and/or diagnostic tests/procedures performed. Adequately discusses the rationales for performing the tests and for any abnormal results. Adequately provides an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s).

0–7 points

Chamberlain College of Nursing NR340 Critical Care Nursing

NR340 Interdisciplinary Care Faculty Feedback Form.docx Revised 07/08/2013 RC-AG/slp 5

Assignment Criteria

Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory Level of Performance

F (0–75%)

Medications (10 points)

• For ALL medications: identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, the nursing implications, and patient teaching.

• Comprehensively discusses the rationale(s) as to why the medication is prescribed for treatment.

10 points

• Missed identifying 1-2 medications. For medications identified: identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, the nursing implications, and patient teaching.

• Adequately discusses the rationale(s) as to why the medication is prescribed for treatment.

9 points

• Missed identifying 3-4 medications. For medications identified: identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, the nursing implications, and patient teaching.

• Adequately discusses the rationale(s) as to why the medication is prescribed for treatment.

8 points

• Missed identifying ≥ 5 medications. For medications identified: identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, the nursing implications, and patient teaching.

• Inadequately discusses the rationale(s) as to why the medication is prescribed for treatment.

0–7 points

Nursing Diagnoses (15 points)

Identifies 3 nursing diagnoses and/or potential complications with ALL being priorities for the individual. For each nursing diagnosis or potential complication, the plan of care includes: • 3 nursing outcomes, • ≥ 4 nursing interventions • ≥ 4 collaborative

interventions. 14-15 points

Identifies 3 nursing diagnoses and/or potential complications, with 2 being priorities for the individual. For each nursing diagnosis or potential complication, the plan of care includes: • 1-2 nursing outcomes, • 3 nursing interventions • 3 collaborative interventions.

13 points

Identifies 1-2 nursing diagnoses and/or potential complications with 1 being a priority for the individual. For each nursing diagnosis or potential complication, the plan of care includes: • 1-2 nursing outcomes, • 1-2 nursing interventions • 1-2 collaborative

interventions. 12 points

Selects 1 or more nursing diagnoses and/or potential complications that are not relevant to the individual OR select no priority nursing diagnoses. For each nursing diagnosis or potential complication, the plan of care includes: • NO nursing outcomes, OR • NO nursing interventions, OR • NO collaborative

interventions. 0–11 points

Chamberlain College of Nursing NR340 Critical Care Nursing

NR340 Interdisciplinary Care Faculty Feedback Form.docx Revised 07/08/2013 RC-AG/slp 6

Assignment Criteria

Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory Level of Performance

F (0–75%)

Interventions: Routine Nursing Management (10 points)

Comprehensively describes independent nursing care provided in the care of the critically-ill individual. ALL interventions are referenced, with use of evidence-based literature.

10 points

Adequately describes independent nursing care provided in the care of the critically-ill individual. 1-2 interventions are not referenced, yet display use of evidence-based literature.

9 points

Adequately describes independent nursing care provided in the care of the critically-ill individual. 3-4 interventions are not referenced, and show minimal use of evidence-based literature.

8 points

Minimally describes independent nursing care provided in the care of the critically-ill individual. ≥ 5 interventions are not referenced, with minimal/no use of evidence-based

0–7 points

ID Care: Collaborative Management (10 points)

Comprehensively identifies ALL interdisciplinary team members involved in the care of the critically-ill individual. Comprehensively describes the roles and responsibilities of each interdisciplinary team member.

10 points

Missed identifying 1 interdisciplinary team member who was involved in the care of the critically-ill individual. Adequately describes the roles and responsibilities of each interdisciplinary team member.

9 points

Missed identifying 2 interdisciplinary team members who were involved in the care of the critically-ill individual. Minimally describes the roles and responsibilities of each interdisciplinary team member.

8 points

Missed identifying ≥ 3 interdisciplinary team members who were involved in the care of the critically-ill individual. Inadequately describes the roles and responsibilities of each interdisciplinary team member.

0–7 points

ID Care: Therapeutic Modalities (10 points)

Comprehensive and accurate description of therapeutic modalities. Comprehensive discussion of nursing responsibilities/skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team. Comprehensive and properly referenced description of rationales included for each respective modality.

10 points

Adequate and accurate description of therapeutic modalities. Adequate discussion of nursing responsibilities/skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team. Adequate and properly referenced description of rationales included for each respective modality.

9 points

Brief, yet accurate description of therapeutic modalities. Adequate discussion of nursing responsibilities/skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team. Brief, yet properly referenced description of rationales included for each respective modality.

8 points

Minimal and/or inaccurate description of therapeutic modalities. Minimal or inadequate discussion of nursing responsibilities/skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team. Minimal and/or improperly referenced description of rationales included for each respective modality.

0–7 points

Chamberlain College of Nursing NR340 Critical Care Nursing

NR340 Interdisciplinary Care Faculty Feedback Form.docx Revised 07/08/2013 RC-AG/slp 7

Assignment Criteria

Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of Performance

B (84–91%)

Competent or Satisfactory Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory Level of Performance

F (0–75%)

Nursing Role Reflection (20 points)

For ALL 4 Criteria, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses • communication style and

preferences • system barriers and

facilitators • practical, evidence-based

recommendations for system enhancements

• practical, relevant professional self- development plan

19–20 points

For 3 Criteria, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses • communication style and

preferences • system barriers and

facilitators • practical, evidence-based

recommendations for system enhancements

• practical, relevant professional self- development plan

17-18 points

For 2 Criteria, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses • communication style and

preferences • system barriers and

facilitators • practical, evidence-based

recommendations for system enhancements

• practical, relevant professional self- development plan

16 points

For 0-1 Criteria, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses • communication style and

preferences • system barriers and

facilitators • practical, evidence-based

recommendations for system enhancements

• practical, relevant professional self- development plan

0– 15 points

APA Format, Spelling, Grammar, and Mechanics (5 points)

Contains no errors in APA formatting, spelling, grammar, and mechanics.

5 points

Contains 1-2 errors in APA formatting, spelling, grammar, and mechanics.

4.5 points

Contains 3-4 errors in APA formatting, spelling, grammar, and mechanics.

4 points

Contains ≥ 5 errors in APA formatting, spelling, grammar, and mechanics.

0-3 points

Total Points Possible = 100 points