practice has not been delivered to the necessary departments to accurately care for the patient. Another limitation I seek is having to transfer patients from our facility to another facility that offer a service we currently do not offer. I recently had a patient who went into Acute Respiratory Distress Syndrome (ARDS), the patient was immediately put on roto-prone, however the patient condition did not progress causing her to need Extracorporeal Membrane Oxygenation (ECMO); due to the facility not being specialized in this service we were forced to 4
Running Head: YOUR FACILITY NAME transport the patient when she became hemodynamically stable to a facility who was able to provided the needed care. CARE DELIVERY SYSTEM Appropriate delivery systems are needed throughout organizations to help with the flow and the director of organization. At Methodist Dallas, I have witnessed were all forms of delegation has been utilized; over, under, and reverse delegation. Over delegation in the sense of causing management to become overwhelmed with attempting to meet deadlines of rolling out different process to procedures and not having the ability to meet those responsibilities. Under delegation occurs offer with nurses, I am guilty of this, by not trusting the process or the delegatee to preform the needed task and taking on the additional responsibility. I am learning day by day on how to slowly delegate and allow the person to complete the needed task before I jump in and take total control. Reverse is also seen daily, as we have physician and nurse practitioners who are not at the bedside regularly, however, the patient may become hemodynamically unstable, and they are called and told what the patient needs instead of suggesting what is needed or what they prefer. It also becomes times when it is required for all hands-on deck are needed and task are delegated to the practitioners for good reasons. In my opinion, I think reverse is sometimes required as upper management are not aware of changes patients make throughout the day, nurses who see some of the same diagnoses are prone to treatment plans and are able to react faster by asking for certain treatments or requiring medical attention than waiting.
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- Spring '17
- Nursing, Acute respiratory distress syndrome, Intensive care medicine, Foley catheter, Methodist Dallas