Larkin and Burton’s abstract preamble the Joint Commission’s directive for effective communication among caregivers during handoff to make certain patient security (Larkin & Burton, 2008, p. 360). The case examine reviews having less handoff practice and its effect on continuum of care presented to “Ms. C, a 64-year-old woman, presented towards the ambulatory surgical procedure center to get an open cholecystectomy (p. 390), and the subsequent workshop using Bloom’s Taxonomy of Education Objectives to teach and change scientific practice among the list of staff members.
From this reader’s vantage Ms. C’s respiratory de-compensation was obviously a result of the nurses’ inability to connect patients health background and crucial findings during unit-to-unit copy and shift report, not enough nurse to patient proportion along with incomplete charting, failure to recognize early signs of respiratory compromise, and lack of critical thinking skills. Evidenced by the case study’s assertions, Ms. C necessary oxygen in the post ease care device (PACU) unfortunately he transferred without it.
Second, the PACU nurse would not communicate for the patient’s dependence on oxygen towards the receiving doctor during handoff report.
It is ambiguous if the doctor wrote essential sign variables and pulmonary toilet requests, or in the event there were regular protocols for this post operative unit. Ms. C’s unfinished graphic record indicate the girl was added to four liters of o2 within two hours of her appearance to the device at 1630; however , are not able to adequately pattern abnormal essential signs including low class temperature and tachycardia (Larkin & Burton, 2008, g. 392).
The record will not document any nurse-initiated interventions or call to the doctor requesting a chest xray or recommending a respiratory therapy talk to for inhaling and exhaling treatment and incentive spirometer. On post-op day two Ms. C’s respiratory position declined requiring a non-rebreather mask, quick response team consult, and a transfer to the rigorous care unit for a associated with respiratory distress (p. 392). There were increase factors that contributed to the above scenario; Larkin and Burton writes that “after this near-miss, inability to recovery incident (p. 94) a job force including management, specialized medical nurse consultant (CNS) and unit instructor convened to go over the event. The task force concluded that the breastfeeding staff members had been ineffectual in critically assessing the person’s signs and symptoms. The CNS decided on a framework that utilized “Bloom’s Taxonomy of Educational Objectives, that provided measurable outcomes to the educational activity and enabled the nursing crew to optimize their important skill levels. A workshop to aid staff to navigate through the situation study within a realistic way was executed (Larkin & Burton, 08, p. 95). The cognitive domain includes six intellectual skills that measure: expertise, comprehension, application, analysis, activity, and evaluation of information received. The efficient domain consists of five emotional factors: getting, responding, valuing, organizing, likewise conceptualizing and characterizing by value idea. It is during this phase that each buy-in happens or not. Finally, the psychomotor domain contains five motor expertise functions of imitation, manipulation, precision, connection, and naturalization.
The individual figure out how to adapt his / her movements intuitively to a provided situation (Larkin & Burton, 2008, l. 395). The main element component of extended nursing education is to enhance and apply evidenced based practice in the bedside. The application of Bloom’s Taxonomy of Educational Objectives since the construction promote the transfer of evidence based information, in a setting that allow the doctor educators to gauge and measure the learner’s: cognitive, affective and psychomotor techniques. It enables the spanish student (nurse) to evaluate his or her degree of application within just each site.
Both the educator and the nurse can strengthen successes and target learning opportunities to regions of inefficiency. Sources Blais, T. K., & Hayes, L. S. (2011). Professional Breastfeeding Practice Concepts and Point of view (6th education. ). Upper Saddle River, NJ: Pearson. Bouchard, G. J. (2011, November). Fully Bloom: Supporting Students Expand Using the Taxonomy of Educational Objectives. The Journal of Physican Assistance Education, 22(4), 44-46. Larkin, B. G., & Burton, K. M. (2008, September). Evaluating a Case Study Employing Blooms Taxonomy of Education. AORN, 88(3), 390-402.