Friday, May 17, 2019

Therapeutic Communication

Therapeutic Communication- Nurse Relationships as Part of a team up Abstract The scenario in which I will discuss within my paper consists of an LPN student and a preceptor working a busy 12 hour switch on their acute negociate practicum. Both Patty (student) and bloody shame Lou (preceptor) worked precise hard one evening and had not had a tumble when a patient requested some pain medication. They discussed their options with regards to pain management and later Patty administered morphine 7. 5 mg SC into injector port in Mr Bs leg. At the end of the shift it was noted during a narcotic count that there had been an error with Morphine.Patty had given the wrong amount as per order. Therapeutic Communication- Nurse Relationships as Part of a Team Before bloody shame Lou whoremaster take a meeting with Patty the LPN student, she must first ensure the safety of the patient as paramount. Then she must decide the best way to draw close Patty, an appropriate location to interview, the factors to consider term interviewing and the communication skills that would benefit their interview. Also she needs to determine whether allbody else should be involved. After shareful consideration and all(prenominal) the facts gathered, Mary Lou calls Patty in for a interview.Discussion Mary Lou decided to call a meeting in a neutral setting that would be non- confrontational and non-threaten to Patty. A place they could sit comfortably crosswise from each other and make eye contact. It is important for Mary Lou not to attach blame and her approach will include sensitivity and respect, by and by all Patty is a student and still sooner vulnerable. Mary Lou wants to make it clear an error has been made and that it needs to be addressed, rectified and reported without demoralize or belittling Patty. The methods by which it is reported or addressed should be thoughtful, maintain confidentiality, and be tell toward the appropriate person, agency, or regulatory body. ( Bu rkhardt, Nathaniel, Walton, 2010, p 200) Some factors Mary Lou considers while interviewing Patty are any possible underlying reasons for the error what happened. It is important for Patty to comfortably clarify in her own address and for Mary Lou to actively listen to the accounts of the day. This helps both parties understand completely where the error might have occurred and they can take steps to avoid a reoccurrence.While Mary Lou realizes Patty ultimately administered the wrong dose of medication, it is very important that Mary Lou states her role as preceptor and her accountability in the fortuity. The Canadian Nurses Association notes in its Code of Ethics that as a part of being accountable, ( Burkhardt, Nathaniel, Walton, 2010, p 200) Nurses share their knowledge and leave behind feedback, mentorship and guidance for the professional development of nursing students, novice nurses and other health care team members. (CNA, 2008, p18) Mary Lou also offers empathy as she w as once a nursing student as well and while we assay for perfection, human error can not always be avoided. The last issue to be considered and use is if anybody else needed to be involved? Mary Lou decided as long as they clearly set the issue at hand and recognized they both had an ethical and professional responsibility to report the incident and rectify their shortfalls as student and preceptor, no other entity need to be involved. ConclusionIn conclusion I entail Mary Lou did an excellent job of identifying and addressing the issue of medication error ensuring dignity and respect to Patty. Mary Lou showed empathy and discretion while focusing on responsibilities of both parties to be more accountable in their daily care of patients, which at the end of the day is their main goal. One area of improvement that I noticed of Mary Lou after viewing the recording was she could have offered more open ended questions and let Patty say herself more. While I did feel Mary Lou activ ely listened to Patty, the opportunity for Patty to give feedback was not full utilized.Over all I found this to be an interesting experience on therapeutic communication that I enjoyed completing. References Arnold, E. C. & Boggs, K. U. (2011) Interpersonal relationships Professional Communication Skills for Nurses, sixth edition (6th ed. ). St Louis, MO Elsevier/Saunders Burkhardt, M. , Nathaniel, A. , Walton, N. (2010) Ethics and Issues in Contemporary treat (1st ed. ) Toronto, ON Nelson Education Ltd Canadian Nurses Association (2008) Code of Ethics for Registered nurses. Author If you need to type anything after the reference list then start it on this page

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