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Clinical Care Coordination Fundamentals: Patient Care-> Unit 2
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Clinical Care CoordinationFundamentals: Patient Care-> Unit 2
Introduction to Clinical Care Coordination
When asked how important leadership skills are to being an effective nurse, many people may
have to think about their answer. After all, what the patient sees is the people who provide their
care, not the coordination of care that occurs outside the examination or hospital room. Whether
working in a hospital, extended care facility, clinic, or health care provider’s office, nurses are
the team members responsible for managing the care provided to the patient with whom they are
working.
• By completing the Clinical Care Coordination learning activities, the learner will gain
the knowledge and skills needed to:
• Make clinical decisions through application of the nursing process and critical thinking.
• Set priorities based on the identified needs of one patient.
• Incorporate effectiveness and efficiency into the delivery of care.
• Plan for cost-effective care to one individual.
• Effectively manage time while providing care to one patient.
• Incorporate ongoing evaluation of the patient’s response to care, adapting plan as
priorities change.
Shared Leadership Characteristics
,Indicate which leadership characteristics are required of the nurse leader and which are required
by the staff nurse by placing a check in the appropriate column. Note, some characteristics may
apply to both.
Nurse LeaderStaff Nurse
Is an effective communicator
Is consistent in managing conflict
Is knowledgeable and competent in all aspects of delivery of
care
Is a role model for colleagues
Uses participatory approach in decision making
Shows appreciation for a job well done
Delegates work appropriately
Sets objectives and guides colleagues
Displays caring, understanding, and empathy for others
Motivates and empowers others
Your response is correct!
The staff nurse, as leader of the nursing care team, requires the same leadership skills and
characteristics as the nurse leader managing the entire unit. The nuances and depth of skill
,required differ, as does the experience that most nursing leaders bring with them to their role and
their team.
Nurse
Leadership Characteristic Staff
Leader Nurse
Is an effective communicator
X X
Is consistent in managing
X X
conflict
Is knowledgeable and
competent in all aspects of X X
delivery of care
Is a role model for
X X
colleagues
Uses participatory approach
X X
in decision making
Shows appreciation for a job
well done X X
Delegates work
X X
appropriately
Sets objectives and guides
X X
colleagues
Displays caring,
understanding, and empathy X X
for others
Motivates and empowers
X X
others
Is proactive and flexible X X
Focuses on team
X X
development
Value of Clinical Decisions
The nurse uses clinical decision making to keep THE HEALTH CARE TEAM
focused on ACTIONS THAT MOVE THE CLIENT TOWARD HEALTH.
Your response is correct!
Accurate clinical decision making keeps the entire health care team focused on the proper course
of action, thus increasing the chance that clients will have optimal health outcomes.
If the nursing plan of care is based on inaccurate data and poor clinical decisions about a client,
undesirable outcomes are more likely to occur. This results in the client’s level of health be
less
, than its full potential. For this reason, it is critical that the nurse develop an organized approach
for applying the nursing process. As you learn, take the time to attend and listen to the client,
look for the cues (obvious or subtle) that point to a pattern of findings, and direct the assessment
to explore that pattern further.
Client’s Valuables
When admitting a client to an acute care facility (hospital), the nurse addresses safe keeping of
the client’s belongings. Place the actions in the order in which the nurse completes them, starting
with the first.
• Ask the client what belongings they brought with them.
• List the belongings in the electronic health record (EHR), with as much detail as possible
for accuracy.
• Advise the client that all items of value should be sent home for safe keeping.
• Note the disposition of items on the inventory within the EHR.
• Document that the client was informed of valuables policy and elected to dispose of items
as noted on the Valuables Inventory.
• Your response is correct!
• Most acute care facilities recommend clients leave all valuables at home. At the time
of admission, the nurse should ask about any valuables they have with them, note them
in
the EHR, review the facility policy, and encourage the individual to send items of great
value home with a loved one. For each valuable, note if the item remains in the client’s
possession or is given to another person for safe keeping. In the narrative admission note,
document that the valuables policy was reviewed with the client.
Clinical Care Coordination
Many of the skills required by the nurse to coordinate and deliver care to patients are the same as
those used by the student nurse to balance their learning with the rest of their life: making
decisions, setting priorities, staying organized, managing resources, making the most of the time
available, and evaluating how things are going to see if changes need to be made.
• Key Factors
• Clinical Decisions
• Priority Setting
• Organizational Skills
• Use of Resources
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