Which option represents the highest level of collaboration? 1. ...

[Deast7027]

Which option represents the highest level of collaboration?
 
  1. The nurse, physician, and dietician have communicated individually with the client.
  2. The nurse, physician, and dietician have all written an individual plan of care and included it in the client's medical record.
  3. The nurse and physician have discussed the nutritional needs of the client and have referred the patient to the dietician for a nutritional plan and teaching.
  4. The physician wrote a medical order for the nurse to contact dietary for a consult.

Question 2

The charge nurse is beginning rounds after attending morning report. Which clients should the nurse be concerned for developing a never event? (Select all that apply.)
 
  1. Client with hemophilia receiving Factor replacement transfusions
  2. Client recovering from a stroke with foul-smelling urine in a catheter drainage bag
  3. Client recovering from total knee replacement surgery complaining of right calf pain
  4. Client with heart failure being fitted for a C-pap mask for use at home for sleep apnea
  5. Client with renal failure with a newly diagnosed stage III pressure ulcer on the left heel

[Madisongo23]

Answer to Question 1

Correct Answer: 3

The highest level of collaboration is co-management and referral, whereby providers retain responsibility and accountability for their own aspects of care, and clients are directed to other providers when the problem is beyond the current caregiver's expertise. In this scenario, the option about the nurse and physician discussing the client's nutritional needs and referring nutritional care to the dietician reflects that level of collaboration. Communicating independently with the client, having separate plans of care, and the unilateral decision making (medical order) options reflect parallel communication and function, which are lower levels of collaboration.

Answer to Question 2

Correct Answer: 2, 3, 5

The Centers for Medicare and Medicaid Services (CMS) issued a ruling to deny reimbursement of federal funds to pay for services by physicians and hospitals for treatment of never events, which are preventable errors, injuries, and infections. These events include urinary tract infections, deep vein thrombosis, and pressure ulcers. The client with hemophilia and the client being fitted for a device to prevent sleep apnea are less at risk for developing a never event.