03 Apr Chamberlain College of Nursing NR341 Complex Adult HealthNR341 RU
Chamberlain College of Nursing NR341 Complex Adult HealthNR341 RUA Interdisciplinary Care.docx Revised 06/2016 1Required Uniform Assignment: Interdisciplinary CarePURPOSEThe purpose of this assignment is for the student to reflect on the nursing care of a critically‐ill individualfrom a clinical experience. The student will demonstrate clinical reasoning skills and will discussinterdisciplinary care that had been incorporated and/or anticipated during the care of the critically‐illindividual.COURSE OUTCOMESThis 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 ontheories and principles of nursing and related disciplines.CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical‐care andemergent care settings.CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care topatients 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 andemergent care settings.CO 5: Implement a plan of for continued personal, professional, and educational development related tonursing practice within critical‐care and emergent care settings.CO 7: Use evidence including research findings from nursing and related disciplines to answer clinicalquestions 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 POINTSREQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPERBackground Information Summary: Demographics History of present illness Relevant past medical and surgical history Admitting diagnosis (diagnoses) Course of current hospitalization to date Significant assessment findings during day(s) of care. Include vital signs, focused assessment,and data from monitoring devices. (This information can be presented in a table).Laboratory and Diagnostic TestsIdentify and list a summary of relevant and significant lab values and diagnostic tests/proceduresperformed. Include the rationales for performing the tests and for any abnormal results. Providean analysis of the relationships between/among the diagnostic tests and lab results with thecritically‐ill individual’s current condition(s).Chamberlain College of Nursing NR341 Complex Adult HealthNR341 RUA Interdisciplinary Care.docx Revised 06/2016 2MedicationsIdentify and list a summary of relevant and significant medications. Indicate the trade name andgeneric name, the medication classification, the therapeutic use, major adverse effects, timing,dosage, route of administration, and the nursing implications. Also include the rationale(s) as towhy the medication is prescribed for treatment. For example, document the rationale for how thetreatment corrects the critically‐ill individual’s condition or a side effect of another drug that isprescribed for treatment. *This information can be presented in a table.Nursing DiagnosesIn order of priority, identify three (3) nursing diagnoses for the individualized plan of care for thispatient. Two of the nursing diagnoses must address actual problems, and one of the nursingdiagnoses must be a “Risk for” or “Potential Complication” (PC). For each nursing diagnosis,include three (3) nursing outcomes, three (3) nursing interventions, and three (3) collaborativeinterventions. *This section can be presented as a table or concept map.Interventions ‐ ROUTINE NURSING MANAGEMENTDescribe 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, andnutrition (prescribed diet, tube feedings/TPN, formula, rate, and calculation of basal energyexpenditure (BEE), patient education, wound care etc.). The rationale must be included for eachintervention.Interdisciplinary (ID) CareCollaborative ManagementIdentify the members of the interdisciplinary team caring for the critically‐ill individual. Providea brief description of their roles and responsibilities. Interdisciplinary team members include,but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratorytherapy, physical therapy, occupational therapy, speech therapy, social work/casemanagement, pastoral care, ethicist, etc.Therapeutic ModalitiesDescribe the various therapeutic modalities used in the management of care for the critically‐illindividual. Discuss the extent of the nurse’s responsibilities and skills required to manage thetherapeutic modality in comparison to the responsibilities of the members of theinterdisciplinary 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 ReflectionProvide a brief summary of how your role interacted with the members of the interdisciplinaryteam. Include in your summary Analysis of communication style preferences among interdisciplinary team members and withthe critically‐ill individual and family members. What is the impact of your owncommunication style on others? System barriers and facilitators. Did the organizational framework for interdisciplinarymanagement of care facilitate or hindered the quality of care/outcomes for the critically‐illindividual? What recommendations can you make to the organizational system for enhancingChamberlain College of Nursing NR341 Complex Adult HealthNR341 RUA Interdisciplinary Care.docx Revised 06/2016 3interdisciplinary collaboration? Provide at minimum two (2) evidence‐based literature sourcesto support your recommendations. Professional Development. Based on your experience(s), write ideas for your own professionalself‐development plan to enhance your potential for becoming an effective member in aninterdisciplinary team.PREPARING THE PAPERStyle and FormatThe paper should be typed and presented in APA format, including an APA title page, use of headings,and references with in‐text citations. Spelling and grammar will be evaluated with this assignment.Page LimitsThe body of the paper should be between 7‐10 pages, NOT including the Title and Reference pages. Background Summary 1 to 1.5 pages Laboratory and Diagnostic Tests 1 to 1.5 pages Medications 1 to 1.5 pages Nursing Diagnoses 1 to 1.5 pages Interventions 1 page Interdisciplinary Care 1 to 1.5 pages Nursing Role Reflection 1 to 1.5 pagesGRADING CRITERIAAssignmentCriteriaPoints % DescriptionBackgroundInformation10 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 Significant assessment findings during day(s) of care. Include vital signs,focused assessment, and data from monitoring devices.LaboratoryandDiagnosticTests10 10% Identifies and lists relevant and significant lab values and diagnostictests/procedures performed. Includes the rationales for performing the tests and for any abnormal results. Provides an analysis of the relationships between/among the diagnostic testsand lab results with the critically‐ill individual’s current condition(s).Medications 10 10% Identifies and lists relevant and significant medications. Indicates the trade name and generic name, the medication classification, thetherapeutic use, major adverse effects, and nursing implications. Includes the rationale(s) as to why the medication is prescribed for treatment.NursingDiagnoses15 15% Identifies three (3) nursing diagnoses in order of priority: 2 actual problemsand 1 risk for or potential complications for the plan of care. Includes 3 nursing outcomes, 3 nursing interventions, and 3 collaborativeinterventions for each nursing diagnosis.Chamberlain College of Nursing NR341 Complex Adult HealthNR341 RUA Interdisciplinary Care.docx Revised 06/2016 4Interventions:RoutineNursingManagement10 10% Describes independent nursing care provided in the care of the critically‐illindividual. The rationales are included for each intervention.ID Care:CollaborativeManagement10 10% Provides a comprehensive list of the interdisciplinary team members caringfor the critically‐ill individual. Provides a brief description of the roles and responsibilities of each respectiveinterdisciplinary team members.ID Care:TherapeuticModalities10 10% Describes the various therapeutic modalities used in the management ofcare for the critically‐ill individual. Discusses the extent of the nurse’s responsibilities and skills required tomanage the therapeutic modality in comparison to the responsibilities of themembers of the interdisciplinary team. The rationales are included for each respective modality.Nursing RoleReflection20 20% Summary includes: Analysis of communication style preferences among interdisciplinary teammembers 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 ofcare/outcomes for the critically‐ill individual Discussion of recommendations to the organizational system for enhancinginterdisciplinary collaboration, which are supported by at least two (2)evidence‐based literature Description of ideas for own professional self‐development plan to enhanceown potential for becoming an effective member in an interdisciplinaryteam.APA Format,Spelling,Grammar,andMechanics5 5% Proper APA format for title page, headings, references and in‐text citations. No errors in spelling, grammar, and mechanicsChamberlain College of Nursing NR340 Critical Care NursingNR341 RUA Interdisciplinary Care.docx Revised 06/2016 5GRADING RUBRICAssignmentCriteriaOutstanding or Highest Levelof PerformanceA (92–100%)Very Good or High Level ofPerformanceB (84–91%)Competent or SatisfactoryLevel of PerformanceC (76–83%)Poor, Failing or UnsatisfactoryLevel of PerformanceF (0–75%)BackgroundInformation(10 points)Includes ALL the guidelineelements: Demographics History of present illness Relevant past medical andsurgical history Admitting diagnosis(es) Course of currenthospitalization to date Significant assessment findingsduring day(s) of care. Includesvital signs, focused assessment,and data from monitoringdevices.10 pointsDoes not include 1‐2 elements: Demographics History of present illness Relevant past medical andsurgical history Admitting diagnosis(es) Course of currenthospitalization to date Significant assessment findingsduring day(s) of care. Includesvital signs, focused assessment,and data from monitoringdevices.9 pointsDoes not include 3 elements: Demographics History of present illness Relevant past medical andsurgical history Admitting diagnosis(es) Course of currenthospitalization to date Significant assessment findingsduring day(s) of care. Includesvital signs, focused assessment,and data from monitoringdevices.8 pointsDoes not include 4 or moreelements: Demographics History of present illness Relevant past medical andsurgical history Admitting diagnosis(es) Course of currenthospitalization to date Significant assessment findingsduring day(s) of care. Includesvital signs, focused assessment,and data from monitoringdevices.0–7 pointsLaboratory andDiagnostic Tests(10 points) Identifies and lists relevant andsignificant lab values anddiagnostic tests/proceduresperformed. Comprehensively discusses therationales for performing thetests and for any abnormalresults. Comprehensively provides ananalysis of the relationshipsbetween/among the diagnostictests and lab results with thecritically‐ill individual’s currentcondition(s).10 points Missed identifying 1‐2relevant/significant lab valuesand/or diagnostic tests/procedures performed. Adequately discusses therationales for performing thetests and for any abnormalresults. Adequately provides ananalysis of the relationshipsbetween/among the diagnostictests and lab results with thecritically‐ill individual’s currentcondition(s).9 points Missed identifying 3‐4relevant/significant lab valuesand/or diagnostic tests/procedures performed. Adequately discusses therationales for performing thetests and for any abnormalresults. Adequately provides ananalysis of the relationshipsbetween/among the diagnostictests and lab results with thecritically‐ill individual’s currentcondition(s).8 points Missed identifying ≥ 5relevant/significant lab valuesand/or diagnostic tests/procedures performed. Adequately discusses therationales for performing thetests and for any abnormalresults. Adequately provides ananalysis of the relationshipsbetween/among the diagnostictests and lab results with thecritically‐ill individual’s currentcondition(s).0–7 pointsChamberlain College of Nursing NR340 Critical Care NursingNR341 RUA Interdisciplinary Care.docx Revised 06/2016 6AssignmentCriteriaOutstanding or Highest Levelof PerformanceA (92–100%)Very Good or High Level ofPerformanceB (84–91%)Competent or SatisfactoryLevel of PerformanceC (76–83%)Poor, Failing or UnsatisfactoryLevel of PerformanceF (0–75%)Medications(10 points) Identifies and lists relevant andsignificant medications. For medications listed:identifies trade name andgeneric name, the medicationclassification, the therapeuticuse, major adverse effects, andnursing implications. Comprehensively discusses therationale(s) as to why themedication is prescribed fortreatment.10 points Missed identifying 1‐2 relevantand significant medications. For medications listed:identifies trade name andgeneric name, the medicationclassification, the therapeuticuse, major adverse effects, andnursing implications. Adequately discusses therationale(s) as to why themedication is prescribed fortreatment.9 points Missed identifying 3‐4 relevantand significant medications. For medications listed:identifies trade name andgeneric name, the medicationclassification, the therapeuticuse, major adverse effects, andnursing implications. Adequately discusses therationale(s) as to why themedication is prescribed fortreatment.8 points Missed identifying ≥ 5 relevantand significant medications. For medications listed:identifies trade name andgeneric name, the medicationclassification, the therapeuticuse, major adverse effects, andnursing implications. Inadequately discusses therationale(s) as to why themedication is prescribed fortreatment.0–7 pointsNursing Diagnoses(15 points)Identifies 3 nursing diagnoses – 2actual problems and 1 risk for orpotential complication; All thediagnoses are consideredpriorities for the critically‐illindividual.For each nursing diagnosis, theplan of care includes: 3 nursing outcomes, 3 nursing interventions 3 collaborative interventions.14‐15 pointsIdentifies 3 nursing diagnoses – 2actual problems and 1 risk for orpotential complication; Two of thediagnoses are consideredpriorities for the critically‐illindividual.For each nursing diagnosis, theplan of care includes: 3 nursing outcomes, 3 nursing interventions 3 collaborative interventions.13 pointsIdentifies 2 nursing diagnoses –actual and/or risk for or potentialcomplication; Both of thediagnoses are consideredpriorities for the critically‐illindividual.For each nursing diagnosis, theplan of care includes: 2‐3 nursing outcomes, 2‐3 nursing interventions 2‐3 collaborativeinterventions.12 pointsIdentifies nursing diagnoses ‐actual and/or risk for or potentialcomplications that are notrelevant OR are not priority forthe critically‐ill individual.For each nursing diagnosis, theplan of care includes: 0‐1 nursing outcome, and/or 0‐1 nursing interventions,and/or 0‐1 collaborative intervention.0–11 pointsInterventions:Routine NursingManagement(10 points)Comprehensively describesindependent nursing careprovided in the care of thecritically‐ill individual.Adequately describesindependent nursing careprovided in the care of thecritically‐ill individual.Adequately describesindependent nursing careprovided in the care of thecritically‐ill individual.Minimally describes independentnursing care provided in the careof the critically‐ill individual.Chamberlain College of Nursing NR340 Critical Care NursingNR341 RUA Interdisciplinary Care.docx Revised 06/2016 7AssignmentCriteriaOutstanding or Highest Levelof PerformanceA (92–100%)Very Good or High Level ofPerformanceB (84–91%)Competent or SatisfactoryLevel of PerformanceC (76–83%)Poor, Failing or UnsatisfactoryLevel of PerformanceF (0–75%)ALL interventions are referenced,with use of evidence‐basedliterature.10 points1‐2 interventions are notreferenced, yet display use ofevidence‐based literature.9 points3‐4 interventions are notreferenced, and show minimal useof evidence‐based literature.8 points≥ 5 interventions are notreferenced, with minimal/no useof evidence‐based0–7 pointsID Care:CollaborativeManagement(10 points)Comprehensively identifies ALLinterdisciplinary team membersinvolved in the care of thecritically‐ill individual.Comprehensively describes theroles and responsibilities of eachinterdisciplinary team member.10 pointsMissed identifying 1interdisciplinary team memberwho was involved in the care ofthe critically‐ill individual.Adequately describes the rolesand responsibilities of eachinterdisciplinary team member.9 pointsMissed identifying 2interdisciplinary team memberswho were involved in the care ofthe critically‐ill individual.Minimally describes the roles andresponsibilities of eachinterdisciplinary team member.8 pointsMissed identifying ≥ 3interdisciplinary team memberswho were involved in the care ofthe critically‐ill individual.Inadequately describes the rolesand responsibilities of eachinterdisciplinary team member.0–7 pointsID Care:TherapeuticModalities(10 points)Comprehensive and accuratedescription of therapeuticmodalities.Comprehensive discussion ofnursing responsibilities/skillsrequired to manage therapeuticmodalities in comparison to theresponsibilities of theinterdisciplinary team.Comprehensive and properlyreferenced description ofrationales included for eachrespective modality.10 pointsAdequate and accuratedescription of therapeuticmodalities.Adequate discussion of nursingresponsibilities/skills required tomanage therapeutic modalities incomparison to the responsibilitiesof the interdisciplinary team.Adequate and properlyreferenced description ofrationales included for eachrespective modality.9 pointsBrief, yet accurate description oftherapeutic modalities.Adequate discussion of nursingresponsibilities/skills required tomanage therapeutic modalities incomparison to the responsibilitiesof the interdisciplinary team.Brief, yet properly referenceddescription of rationales includedfor each respective modality.8 pointsMinimal and/or inaccuratedescription of therapeuticmodalities.Minimal or inadequate discussionof nursing responsibilities/skillsrequired to manage therapeuticmodalities in comparison to theresponsibilities of theinterdisciplinary team.Minimal and/or improperlyreferenced description ofrationales included for eachrespective modality.0–7 pointsNursing RoleReflection(20 points)For ALL 4 Criteria, summaryprovides comprehensive andinsightful reflection on the nursingFor 3 Criteria, summary providescomprehensive and insightfulreflection on the nursing roleFor 2 Criteria, summary providescomprehensive and insightfulreflection on the nursing roleFor 0‐1 Criteria, summaryprovides comprehensive andinsightful reflection on the nursingChamberlain College of Nursing NR340 Critical Care NursingNR341 RUA Interdisciplinary Care.docx Revised 06/2016 8AssignmentCriteriaOutstanding or Highest Levelof PerformanceA (92–100%)Very Good or High Level ofPerformanceB (84–91%)Competent or SatisfactoryLevel of PerformanceC (76–83%)Poor, Failing or UnsatisfactoryLevel of PerformanceF (0–75%)role within the interdisciplinaryteam, which addresses communication style andpreferences system barriers andfacilitators practical, evidence‐basedrecommendations for systemenhancements practical, relevantprofessional self‐development plan19–20 pointswithin the interdisciplinary team,which addresses communication style andpreferences system barriers andfacilitators practical, evidence‐basedrecommendations for systemenhancements practical, relevantprofessional self‐development plan17‐18 pointswithin the interdisciplinary team,which addresses communication style andpreferences system barriers andfacilitators practical, evidence‐basedrecommendations for systemenhancements practical, relevantprofessional self‐development plan16 pointsrole within the interdisciplinaryteam, which addresses communication style andpreferences system barriers andfacilitators practical, evidence‐basedrecommendations for systemenhancements practical, relevantprofessional self‐development plan0– 15 pointsAPA Format,Spelling,Grammar, andMechanics(5 points)Contains no errors in APAformatting, spelling, grammar, andmechanics.5 pointsContains 1‐2 errors in APAformatting, spelling, grammar, andmechanics.4.5 pointsContains 3‐4 errors in APAformatting, spelling, grammar, andmechanics.4 pointsContains ≥ 5 errors in APAformatting, spelling, grammar, andmechanics.0‐3 pointsTotal Points Possible = 100 points
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