The profession of nursing has transformed and evolved tremendously over time. That transformation is reflected in the ever-evolving delivery of care methods known as nursing care models (Finkelman, 2016). Nursing care models are the blueprints of how patient care is delivered, who is involved in it, and who is responsible for each specific aspect. They are comprised of knowledge, beliefs, facts, and a desire to heal. Nursing care models are ever-changing due to successes, failures, and adaptations to the humans we, as nurses, mend. There have been numerous nursing care models over the history of nursing. The one that I have observed and will focus on for this paper is the interprofessional nursing practice model. The interprofessional nursing practice model is a delivery of care model that establishes the patient as the central focus, and all appropriate medical entities take ownership of the common goal, optimal patient health (Finkelman, 2016).
Observation of interprofessional nursing practice model
My observation of the interprofessional nursing care model takes place in the unit that I am the manager of, but I was also once a staff nurse of the Preadmission testing unit. A preadmission screening call nurse is an autonomous position. Being an autonomous nurse within an interprofessional practice model means they are self-reliant, proficient, thorough, and have a solid understanding of the impact their detailed evaluation has on the patient’s surgical outcome (Finkelman, 2016). There are eight scheduled preadmission screening call nurses every Monday to Friday. They work independently, as in; they have their own schedule of patients, which are scheduled every forty-five minutes, to interview during their eight- or ten-hour shifts. They also collaborate appropriately inside and outside of their department. In my network, preadmission testing is divided into two types of preadmission: the preadmission visits and the preadmission. Screening calls. In both cases the preadmission nurse works closely with other healthcare entities, but it is the preadmission screening call nurse that works the closest and with the most diverse healthcare entities. This is due to not having a Certified Registered Nurse Practitioner (CRNP) from the Anesthesia department coming in and completing the preadmission encounter; the preadmission screening call nurse must rely heavily on their nursing background and their critical thinking skills when completing the patient interview and chart review.
These interprofessional working relationships materialize as the result of the preadmission screening call nurse completing the surgical database, which includes: allergies, medications, medical and surgical history, pre-op instructions, etc. After the patient interview is concluded, the preadmission screening call nurse directs all red flags discovered during the patient interviews and chart investigations to the correct healthcare entities. Some of the most common healthcare entities that the preadmission nurse interacts with are Anesthesia, Primary care physicians, Cardiology, Pulmonary, and Endocrinology, just to name a few. The autonomy of their position allows them to freely collaborate with specific entities ensuring patients’ health objectives are met via the formulation of a custom plan of care on the patient’s behalf. An example of this collaboration would be: the preadmission screening call nurse learns via the patient interview that the patient has a history of severe obstructive sleep apnea and a BMI greater than 45, and the patient does wear CPAP at HS. He is scheduled to have outpatient surgery at the Ambulatory Surgery Center. She calls and delivers the previous details to the CRNP with the Anesthesia department, and she tells the CRNP where she can find his most recent Pulmonary note and sleep study. The CRNP reviews all the patient’s information. The CRNP then calls the Pulmonologist and asks him for recommendations for the patient’s care for before and after his surgery. One of the recommendations by the Pulmonologist is that the patient has his surgery at an in-patient hospital instead of an ambulatory setting. He also gave the CRNP some recommendations for supportive care after extubation. The CRNP then calls the surgeon’s office to ask them to move the patient’s surgery from the ambulatory setting to the in-patient setting. Everyone is working together to support the patient the best they can.
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