Clinical Integration: Prioritization, Delegation, Health Care Team, Provision and Coordination of Care, Time Management and Delegation

Running head: CLINICAL INTEGRATION 1
Clinical Integration
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CLINICAL INTEGRATION 2
Prioritization and Delegation
Prioritization in the healthcare profession refers to the act of healthcare provider
attending critical and very serious cases first in order to save lives, preserve and facilitate
stability. Delegation simply refers to the process in which the healthcare team leader assigns
his/her equals, seniors or juniors’ duties to do in a health care set up. In the issues provided, I
shall give first priority to the elderly female patient who collapsed to the floor and lost her
consciousness and sustained facial injury. I will personally attend her and perform the first
aid after placing her at recovery position and other crucial assessments. I will loosen any tight
clothing. I will check for the Dr. ABC in order to ensure that the airway openings are in a
good state to allow for fluids to flow out (Aitken, Chaboyer, & Elliot, 2012). Shall check on
her breathing system and her circulatory system to determine whether there is any blockage.
Lastly, will examine her to check whether she sustained any serious injuries that might lead
to disability. For Mr. Smith’s visitor issue, I will delegate the duties to the AIN. AIN should
put the patient on a recovery position. It will make the patient feel comfortable, allow any
fluids to flow out since all airway openings will be wide open. Also, in that position, the AIN
will be able to examine and carry out ABCD and assist the patient (Benner, Tanner, &
Chelsa, 2009). The AIN should test the response stimuli of the patient through calling out her
name if no response then should try to inflict some pain on sensitive areas of the patient.
I will assign the ward clerk the issue of Mr. Esposito. The ward clerk will make the
patient’s medical history available in a well-documented file and have it forwarded to the
preoperative medical professional. The medical professional shall be responsible for
administering the pre-operative medication on Mr. Esposito. I will assign the staff toilets
issue to the AIN, who will immediately prepare a write-up and stick it on the door “Out of
Service.” AIN will contact relevant people such as plumbers to come over and rectify the
problem fully (Elliot & Coventry, 2012). Cleaners to have the waste removed. For Mrs.
Chew’s issue, I will assign the EN who will assess the patient’s condition and fix the IV
cannula as she/he compensates for the antibiotics. I handle to hold a discussion with the
surgical consultant to determine how everything unfolded and what the possible side effects
might have been and what should be done to counter future errors happening again.
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CLINICAL INTEGRATION 3
Factors Considered in Composing a Health Care Team
Several factors are put into consideration in selecting the type of health care
professionals who should form a crew of medical experts. Firstly, the patient’s health status,
in cases where the patient is in a dangerous state, a team comprising of emergency doctor and
other rescuers should be formed. The more the serious the patient’s situation, the more
complex team of healthcare professionals is constituted and vice versa. Secondly, the kind of
treatment to be received by the patient. in circumstances where for instance a mother is
giving birth through caesarian surgery, a surgeon, maternal nurses, radiologists, and other
experts should be included in the team (Leyett-Jones, 2013). The third factor is that
considering the location of the health facility and the patient. you get that patients in remote
or rural areas are mostly attended to by a small team of health professional unlike where
patients are visiting hospitals in urban areas where serious cases are mostly attended to by a
complex team of healthcare providers. The availability of medical experts, in developed
hospitals where there are adequate professionals a more and strong team is composed
including all specialists in different fields in medicine unlike in rural dispensaries where very
few specialists exist. In these health centers, a team is composed of very few professionals
who even end up giving referring their patients to urban or developed hospitals (Health,
2010).
The fourth factor considered is that of how rich or poor a patient is. For rich patients,
a more detailed healthcare team is composed to offer services unlike in situations where poor
patients are to be treated. This is because the rich family is at a position to pay for services in
well set up and high standard hospitals for their lovers, unlike the poor families whose
patients suffer in public hospitals begging for free government services. The fifth factor is the
age bracket and gender. Young people tend to be attended by a well-composed team since
life-saving for them will economically benefit the nation. Every country does fight for the
survival of youths since they are the future source of human labor and carer of the aged
(Australia, 2014). Gender also is a key factor to be considered while composing a team, the
team should not compose only of ladies or men if there is adequate staff with a balanced
gender. A healthcare team is usually headed or chaired by a medical doctor since most
patients feel more comfortable to be attended by a team led by a doctor. In a healthcare team,
the patient happens to be the most member since the team gets composed because of him/her.
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