NSGCB 302 Assignment: Assessment and Professional Contemporary Nursing Role and Practice
NSGCB 302 Assignment: Assessment and Professional Contemporary Nursing Role and Practice
Competency 2 Assessment and Rubric Course Title: Professional Contemporary Nursing Role and Practice Competency Assessment Title:
Interdisciplinary Care Provider Plan Using Evidence-Based Best Practices Assignment Directions
You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old Asian man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks.
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Critical Thinking Case Study Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia. Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress. You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she has many years of critical care experience and she did not care what anyone said. She insists that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.
Use the Critical Thinking Case Study to develop your interdisciplinary care provider plan, including evidence-based best practices in which you:
• Identify the interdisciplinary care providers you need to include to ensure your patient receives the best treatment.
• Outline and describe how the interdisciplinary providers will be engaged in the patient’s care. • Explain how the patient will be transitioned to the care of the interdisciplinary providers.
• Outline the strategies you will use to search for evidence related to best practices for suctioning and whether the instillation of saline while suctioning is an acceptable technique.
• Summarize the evidence related to best practices based on your search.
• Develop a PICO question for the instillation of saline during endotracheal suctioning.
• Explain how you could apply PICO to problems in the workplace to influence things in clinical practice.
Include at least 2 scholarly articles as a basis for your interdisciplinary recommendations.
Cite at least 2 scholarly articles in APA format as a basis for your interdisciplinary recommendations and evidence-based best practices presentation.
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