Communicating With Pharmacy, RT, OT, PT

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Outline

Overview

  1. Multidisciplinary healthcare teams are key to managing patients with complex health needs.
  2. Nurses are often at the center of this team and responsible for coordinating care.
  3. This requires effective communication and teamwork.

Nursing Points

General

  1. General principles
    1. Work to establish a team culture
    2. Understand and respect their role
    3. Involve other professions in patient handover if possible
    4. Training together has huge benefits
    5. When schedules clash try to be flexible, if it’s a constant problem consider re-scheduling medications or treatments
  2. Communicating with the MDT (multidisciplinary team)
    1. Pharmacy
      1. Get to know them!
      2. Recognize they are an amazing resource
      3. Call if you are unsure about…
        1. Doses
        2. Concentrations
        3. Routes and rates
        4. Contraindications
        5. Compatability
      4. Please and thank you’s go a long way
        1. and may get you your meds faster!! 🙂
    2. RT
      1. Include them in your daily planning
      2. If they are around, talk to them about your patients after handover
      3. Let them know if you are worried about a patient
      4. Be willing to work around their medication administration times they are the same as yours.
    3. PT/OT
      1. Value their input…
        1. Movement is crucial for decreasing complications associated with hospitalization
        2. Fewer complications = healthier patients = happier nurses

Nursing Concepts

  1. Communication
    1. Nurses are central to coordinating multidciplinary patient care and this requires excellent communication skills.
  2. Professionalism
    1. Nurses and other healthcare providers demonstrate their professionalism by valuing collaboration and teamwork.
  3. Teamwork & Collaboration
    1. The most important benefit of working collaboritively with other healthcare professionals is improved patient outcomes.

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Transcript

Hey guys, today I’m going to talk about communicating with other healthcare professionals- specifically, Pharmacy, Respiratory therapy, occupational therapy and physical therapy.

So MDT’s are the norm now for patient care. Patients benefit from having a team of professionals looking after them, this is especially true for patients with complex and chronic illnesses.  Most of the time nurses end up being right at the center of this team so we, more often than not, end up making sure things are integrated and coordinated properly.

Okay so here are some general tips to keep in mind.  First, try to prioritize fostering a team culture. This is usually best done by working to respect and understand the roles and professions of the other team members.

Keep the communication doors open so that you are talking with the other teams often.  Frequent communication will keep things running smoothly. 

Occasionally, it can feel like the various goals and objectives of these professionals clash, or they are all needing to happen at the same time.  Try to be flexible so that the patient can get all the input they need.

The pharmacy team is an incredible resource, so take some time and get to know them!  They may just seem like this voice on the other side of the phone but they are a wealth of knowledge and part of the team!

Call them when you have questions about anything medication related- they are almost always more than happy to help.  

Sometimes a little bit of bad blood can seem to develop between nurses and pharmacy because we might be requesting meds and feeling frustrated when they are late.  Just keep in mind that politeness goes a long way- and I swear my meds are delivered faster when I am nice on the phone!  

So, where pharmacy may seem like they are a voice on the phone, RT will be on the floor with you, in your patient’s rooms with you, in the med rooms with you.  So again, get to know them and include them in your daily plans. They are a great resource and are a huge help if you are worried about a patient’s respiratory status. I mentioned this earlier – but learn to be flexible and work around each other’s to-do lists.

When working with PT and OT always keep in mind that getting patients moving is one of the best ways to prevent complications.  So their efforts are a crucial step in getting patients ready to go home!  

They are a great resource when you have concerns about patient’s mobility or are unsure of how to safely move a patient.  And they can really help when providing patient education- especially when it comes time to discharge, so make sure you give them the chance to get involved there!

So, your key points for this lesson are to always keep in mind that no matter how complicated they may seem, Multidisciplinary teams provide the best outcomes for patients.  Nurses play a key role in helping coordinate these teams.

One of the best ways to ensure good communication is to include these various professionals in handover or rounds.  These fosters teamwork and makes sure everyone is on the same page. Lastly, try to be flexible. Schedules and priorities may clash but the more you can work together the better off for everyone!

We love you guys! Go out and be your best self today! And as always, Happy Nursing!


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Concepts Covered:

  • Factors Influencing Community Health
  • Preoperative Nursing
  • Concepts of Population Health
  • Studying
  • Community Health Overview
  • Developmental Considerations
  • Microbiology
  • Intraoperative Nursing
  • Perioperative Nursing Roles
  • Understanding Society
  • Adult
  • Medication Administration
  • Basic
  • Neonatal
  • Pediatric
  • Prefixes
  • Suffixes
  • Fetal Development
  • Terminology
  • Proteins
  • Statistics
  • Med Term Basic
  • Med Term Whole
  • Communication
  • Legal and Ethical Issues
  • Delegation
  • Documentation and Communication
  • Integumentary Disorders
  • Basics of NCLEX
  • Prenatal Concepts
  • Prioritization
  • Postoperative Nursing
  • Fundamentals of Emergency Nursing
  • Emergency Care of the Cardiac Patient
  • Concepts of Mental Health
  • Neurological Emergencies
  • Test Taking Strategies

Study Plan Lessons

Access to Care
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Care for Asian-Indian Patient Populations
Care for Hispanic Patient Populations
Care for Native American Patient Populations
Care of Vulnerable Populations
Caring for African Patient Populations
Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)
Communicable Diseases
Community Aggregates
Community Health Course Introduction
Community Health Education
Community Health Nursing Theories
Community Health Tool Nursing Mnemonic (MAP-IT)
Continuity of Care
Cultural Care
Cultural Considerations (Interpretive Services, Privacy, Decision Making) for Certified Emergency Nursing (CEN)
Disasters & Bioterrorism
Disposal of Medical Waste
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Environmental Health
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Epidemiology
Fire Safety 1 Nursing Mnemonic (PASS)
Fire Safety 2 Nursing Mnemonic (RACE)
Health Promotion & Disease Prevention
Health Promotion Assessments
Health Promotion Model
High Risk Behavior Nursing Mnemonic (HEADSS)
High-Risk Behaviors
Intro to Community Health
Levels of Prevention
Malnutrition (Failure to Thrive, Malabsorption Disorders) for Progressive Care Certified Nurse (PCCN)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Practice Settings
Program Planning
Technology & Informatics
ACLS (Advanced cardiac life support) Drugs
Advanced Cardiovascular Life Support (ACLS)
Brief CPR (Cardiopulmonary Resuscitation) Overview
CPR-BLS (Basic Life Support)
Life Support Review Course Introduction
Neonatal Resuscitation Program (NRP)
Pediatric Advanced Life Support (PALS)
54 Common Medication Prefixes and Suffixes
Alpha-fetoprotein (AFP) Lab Values
Carboxyhemoglobin Lab Values
Cardiac Terminology
Diagnostic Testing Course Introduction
Diagnostics Terminology
Digestive Terminology
Gamma Glutamyl Transferase (GGT) Lab Values
Growth Hormone (GH) Lab Values
Hematology Oncology & Immunology Terminology
Integumentary (Skin) Terminology
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Medical Terminology Course Introduction
MedTerm Basic Word Structure
MedTerm Body as a Whole
MedTerm Prefixes
MedTerm Suffixes
Metabolic & Endocrine Terminology
Methemoglobin (MHGB) Lab Values
Musculoskeletal Terminology
Myoglobin (MB) Lab Values
Neuro Terminology
Pharmacology Terminology
Prealbumin (PAB) Lab Values
Procedural Terminology
Psychiatry Terminology
Reproductive Terminology
Respiratory Terminology
Sensory Terminology
Urinary Terminology
Day in the Life of a Community Health Nurse
Facilitation of Learning for Progressive Care Certified Nurse (PCCN)
Fire and Electrical Safety
Giving the Best Patient Education
Patient Education
Radiation Safety for Nurses
Response to Diversity for Progressive Care Certified Nurse (PCCN)
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Admissions, Discharges, and Transfers
Advance Directives
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Advocacy & Moral Judgement for Progressive Care Certified Nurse (PCCN)
Advocating For Your Patient
Applying for Jobs
Barriers to Health Assessment
Bed Bath
Being Successful in Orientation
Career Planning & Job Selection Course Introduction
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Certified Nurse Midwife
Charge Nurse
Climbing the Clinical Ladder
Collaboration for Progressive Care Certified Nurse (PCCN)
Communicating with Family Members
Communicating with Other Departments
Communicating with Other Nurses
Communicating With Other nurses
Communicating with Patients
Communicating With Pharmacy, RT, OT, PT
Communicating with Providers
Communicating With Providers
Communicating with UAPs
Communication Course Introduction
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Confidence Building as a New Grad Nurse
Confidence in Communication
Confidence in Communication – Live Tutoring Archive
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
CRNA
Daily Charting
Day in the Life of a Community Health Nurse
Day in the Life of a Labor Nurse
Day in the Life of a Med-surg Nurse
Day in the Life of a Mental Health Nurse
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Day in the Life of a Postpartum Nurse
Day in the Life of an ICU (Intensive Care Unit) Nurse
Day in the Life of an Operating Room Nurse
Delegation
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
Documentation Basics
Documentation Course Introduction
Documentation Pro Tips
Documenting Escalation (Chain of Command)
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Facilitation of Learning for Progressive Care Certified Nurse (PCCN)
Fall and Injury Prevention
Finding Your First Nursing Job as a New Grad
Fire and Electrical Safety
First Year in Nursing Course Introduction
Flight Nurse
Forensic Nurse
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Fundamentals Course Introduction
Giving Handoff Report
Giving the Best Patient Education
Handling Job Rejection
Handoff Report
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
HIPAA
How to Give a Perfect Nursing Report (plus report sheet)
How to Take Nursing Report
How to Write A Nursing Progress Note
ICU Nurse Report to Floor Nurses
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Interviewing with Behavioral Questions
Interviewing with Nurse Manager
Introduction to the Electronic Medical Record (EMR)
Invoicing Process
Joint Commission
Legal Aspects of Documentation
Legal Considerations
Legalities of Charting
License Maintenance
Linen Change
Live Bedside Report OB and PACU
Live Bedside Report Medsurg (Medical surgical)
MSN (Masters) vs. DNP (Doctorate)
Networking 101
NRSNG Live | From Student to Real Nurse
NRSNG Live | Avoiding Legal Issues as a Nurse
NRSNG Live | So You Want to be a Surgical Nurse?
NRSNG Live | The Successful State of Mind
Nurse Educator
Nurse-Patient Relationship
Nursing Care Delivery Models
Nursing Interviews & Resumes Course Introduction
Nursing Report & Communication Course Introduction
Nursing Skills (Clinical) Safety Video
Nursing Skills Course Introduction
OB (Labor) Nurse Report to OB (Postpartum) Nurses
Oncology nurse
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Education
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Patient Satisfaction for Certified Emergency Nursing (CEN)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patients with Communication Difficulties
Portfolio
Precepting a New Nurse
Precepting a Student
Prioritization
Prioritization
Prioritizing Assessments
Professional Organization Participation for Certified Perioperative Nurse (CNOR)
Provider Phone Calls
Radiation Safety for Nurses
Remaining Calm
Report For Transferring To a Higher Level of Care
Research Nurse
Response to Diversity for Progressive Care Certified Nurse (PCCN)
Resume and Cover Letter
Risk Management for Certified Emergency Nursing (CEN)
RN to MSN
Safety Checks
SBAR and How to Give Handoff Report like a BOSS – Live Tutoring Archive
SBAR Communication
SBAR Communication Nursing Mnemonic (SBAR)
SBAR Practice Scenarios
Shift change and Patient handoff
The Customer Voice
The Medical Team
The Nurse Routine
The Top 5 Things You Need To Know About Documentation 1 – Live Tutoring Archive
The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Therapeutic Communication
Time Management
Transfer of Care Documentation for Certified Perioperative Nurse (CNOR)
Transition To Practice
Transition to Practice Course Introduction
Trusting your Gut
Verbal Order Read-Back for Certified Perioperative Nurse (CNOR)
Visitor Supervision for Certified Perioperative Nurse (CNOR)
What Guides Nurses Practice
Why CEs (Continuing education) matter
Working night shift
Working with a Preceptor