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As Salas et al (2003) states synchronization between skills is needed to provide seamless treatment of high quality, resulting in a reduction in stress to the patient and decreasing the recovery period. A view supported by both Duggan et al (2003) and Mumford et al (1982) who concluded that decreasing anxiety of patients’ aids in the recovery from operations. In real terms this will decrease the number of hospital admissions/appointment required, save money and maximise the use of the National Health Service’s resources enabling more patients to receive vital treatment (Department of Health 2001) .This seamless administration of effective multidisciplinary care will only be achievable if co-ordination between team members is monitored through effective leadership ensuring they are all working to the same goal. As Mickan and Rodger (2005) stated that effective leaders posses the ability to maintain the basis for reaching the goal whilst providing encouragement for all team members an attribute important in healthcare as the environment is stressful (Cornwell and Goodrich
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Once any treatment plan has been decided the nephrology nurse should be kept up to date. On review of John’s blood results his serum potassium was ≥ 7mmols/l indicating severe hyperkalaemia. Hyperkaleamia is medical condition in which the levels of potassium in the blood have risen to abnormally high levels and without treatment to lower the levels can lead to cardiac arrest (Oxford dictionary of Nursing 2008). Next step in the treatment was for the doctor to repeat the serum potassium and request the nephrology nurse to carry out an electrocardiogram in accordance with GAIN guidelines (2008). John’s ACE inhibitor (ramapril) was with held as this can further increase potassium levels. On further review of John’s blood results and presenting symptoms the doctor decided to insert a temporary line to administer haemodialysis (HDx). The doctor discussed the treatment option with John enabling informed consent (Department of Health 2009). John was feeling apprehensive about the need for dialysis as he perceived it as set back as John was managing conservatively until now so the doctor discussed with John if he would like to be referred to a
Once any treatment plan has been decided the nephrology nurse should be kept up to date. On review of John’s blood results his serum potassium was ≥ 7mmols/l indicating severe hyperkalaemia. Hyperkaleamia is medical condition in which the levels of potassium in the blood have risen to abnormally high levels and without treatment to lower the levels can lead to cardiac arrest (Oxford dictionary of Nursing 2008). Next step in the treatment was for the doctor to repeat the serum potassium and request the nephrology nurse to carry out an electrocardiogram in accordance with GAIN guidelines (2008). John’s ACE inhibitor (ramapril) was with held as this can further increase potassium levels. On further review of John’s blood results and presenting symptoms the doctor decided to insert a temporary line to administer haemodialysis (HDx). The doctor discussed the treatment option with John enabling informed consent (Department of Health 2009). John was feeling apprehensive about the need for dialysis as he perceived it as set back as John was managing conservatively until now so the doctor discussed with John if he would like to be referred to a