Ep024: Follow Up on Unresolved Patient Issues

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        • Issues arise frequently that require the nurse to address them and ensure the problem has been resolved
        • Examples
          • Lab problems: unable to get serum sample, sample obtained hemolyzed, came to draw lab and patient at another test
          • Nutrition issues: patient received wrong food, need appropriate enteral feeding formula, food not received, diet order not in place
        • Various patient requests: medication changes/concerns, internet connections, missing items, communicating to loved ones
        • Prioritize by level of urgency
        • Let patients know about progress in resolution if not yet complete
          • Example
            • Patient’s husband upset that his wife has not had food in 2 days.  Speech therapy saw patient 2 days ago and said she was not safe for oral intake.  MD wanted to give her a few days before inserting a feeding tube.  At the beginning of the shift, he is very angry that staff has not fed her yet.  
            • Immediately let him know you will address this issue and touch base with speech therapy because they arrive at 0830 and then begin rounding.  Re-educate him that it is not safe to give her food until they clear her.  (Many times it is helpful to bring things back to the bottom line: safety.)
            • Let him know when you called them and what they said
            • Let him know roughly when to expect speech therapy to round
            • After they have evaluated patient and addressed need, touch base with him again to make sure he understood what they said and expectations going forward
        • Always follow up, close loops and make sure all concerns and needs have been addressed

What are you struggling with in nursing school?

NRSNG supplements nursing school and helps fill in the gaps.  Search for a lesson inside NRSNG Academy below.

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