NURS-FPX 4010 Collaboration and Leadership Reflection Video

INTRODUCTION Good morning, my name is Ashley Heck and this is my Collaboration and Leadership Reflection Video for NURS-FPX4010: Leading People, Processes, and Organizations in Interprofessional Practice. During this video I will discuss four topics: Reflect on my collaboration experience Identify ways poor collaboration can result in inefficient management of human and financial resources Identify best-practice leadership strategies that would improve an interdisciplinary team’s ability to achieve its goals Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together more effectively COLLABORATION EXPERIENCE REFLECTION During my last semester of nursing school I did a clinical rotation on a cardiac rehab unit. One morning my instructor came up to the group of students and asked who wanted to place a Foley catheter. Since I had not done one yet, I offered. She and I walked into the patient’s room and he was just chatting away, everything and anything, he was talking about it. Throughout the day, he had set his bed alarm off so many times that he had to eventually be transferred to a room closer to the nurses station. The next morning, I was assigned to have him as a patient since mine from the day before had been discharged. I went in to his room to do my head to toe assessment and he was still sleeping, it was still before dawn, so I was not surprised. I let him sleep a little longer and went back into the room about an hour later. At this point, the sun was up and it was about 8am. We were chatting and laughing, I gave him his medication, but he did not appear to be the same as the day before. Not as enthusiastic, and little more somnolent. I asked him how he was feeling and he replied, “Just a little tired, I want to sleep some more”. I left the room to let him sleep, but thought I’d have the staff nurse check on him, just to make sure I was not missing anything. She said he was fine. I had a gut feeling that he was not “fine” so I asked the aide that worked with him the day prior just to put her eyes on him. She had worked as an aide for several years so I thought at least having someone else saying he looked ok would make me feel a little better. The aide peaked in his room through the window, by now it was close to 9am, and she said he was “definitely not fine” and to get his nurse right away. I approached the nurse and explained the situation; “I know you looked at him and said he was fine, but I just have a gut feeling that something is not right. I had the aide that worked with him yesterday look at him, and she agrees with me”. After the nurse heard this, she decided to go do a more thorough assessment. “Thank you so much for not giving up, Ashley. You’re right, he’s not well”. As we were standing there, his heart rate increased, blood pressure decreased, respiration rate doubled, and his oxygen saturation dropped. She looked at me and said, “Good catch Ashley; he’s in the beginning stages of respiratory failure.” She turned up his oxygen and made many phone calls. I was definitely proud of myself, but so scared for him. Within the next ten minutes his room filled with people