Communication and informatics

Communication Video exercise and summary
Purpose of the Session: To review the importance of excellent communication among health
care providers in promoting career satisfaction and patient safety
Learning Objectives: At the completion of this exercise, you should:
• Understand the contribution of effective communication to promote safe patient care
• Be able to concisely summarize a concern about a patient
• Demonstrate active listening to information that might be communicated by the physician or
other healthcare providers
• Assertively yet professionally communicate concerns you have about a patient that are not being adequately addressed

**This is a 2-part assignment. First, create a video of yourself simulating a call to a provider ( PLEASE NOTE – I WILL MAKE THE VIDEO, ALL I NEED YOU TO DO HERE IS TO WRITE A BLUEPRINT OF WHAT YOU WILL SAY SUPPOSING YOU ARE MAKING THE CALL, SHOULD BE BRIEF) Utilize the patient scenario below to create a script and then record yourself simulating a call to
the provider.

**The second part of the assignment is to submit a one-page summary. After you have recorded video, please consider these questions and provide a one-page summary (APA format is not required for this summary).
Address the 3 questions below in your summary.
1. Insight: What new thing did you learn about the topic covered?
2. Strengths: What were the 2-3 best things about this presentation?
3. Weaknesses: What were the 2-3 things most in need of improvement?

**Case presentation**
You are coming on to your evening shift. You have 2 post ops and 3 medical patients to care for.
You are on the list to receive the 2nd admission from the ED. One of you post ops is a 68 year old
woman. She has no medical problems. She has no known allergies. She is two days post-op
following hip fracture surgery. No problems were noted at nursing sign-out other than c/o pain,
for which she was receiving non-narcotic pain medication (Tylenol) with good relief.
When you perform your initial assessment on this patient, you find her to be confused.
When you call the resident physician on duty, how would you state your concerns and question?
Provide a brief summary.
Over the phone the resident physician asks that you obtain the following tests: CXR, ABG, EKG,
and routine blood work (chemistry studies and complete blood count), UA and urine C&S.
The resident has called back and reported to you that the CXR suggests pneumonia, and the
resident orders an IV antibiotic. Two hours later, as you enter the room to start the first dose of
the antibiotic, you note that the patient is more short of breath and more confused. Her color is
now gray.
You place an SPO2 on her and get VS. The patient’s O2 sat is now 88% on 50% face mask, and
her respiratory rate is 30/minute.
You are uncomfortable about keeping her on the general unit, and feel she needs more rigorous
monitoring and nursing care, and are worried about how you will care for your other 4 patients
and handle an admission. You ask if the resident if the patient should be moved to the ICU, but he
states he wants to first see how she responds to the antibiotic. You request that the resident reevaluate the patient