Nurse as the leader of the team huddle. An unfolding oncology case study.

Submitter Information

Author: Kimberly Silver Dunker, DNP, RN
Title: Assoicate Professor of Nursing
Institution: Worcester State University
Email: kdunker@worcester.edu

Competency Category(s)
Evidence-Based Practice, Patient-Centered Care, Quality Improvement, Safety, Teamwork and Collaboration

Learner Level(s)
New Graduates/Transition to Practice, Pre-Licensure ADN/Diploma, Pre-Licensure BSN

Learner Setting(s)
Classroom, Clinical Setting

Strategy Type
Case Studies

Learning Objectives

Learning Objectives

This unfolding case study was designed to 
provide an opportunity for nursing students to learn about caring for a patient who has pancreatic cancer.
It will focus on the following KSAs

Patient Centered Care

Students will identify how a nurse can advocate during the team huddle (Knowledge, Skills)

Teamwork and Collaboration

Discuss the role of the nurse in advocating for a patient during a team huddle (Knowledge)

Students will discuss how a team huddle can promote patient centered care. (Knowledge)

Learn to collaborate with the medical team to maintain quality in delivering care to oncology patients. (Knowledge, Skill)

Safety
Students will identify potential medication errors and value the importance of the medication reconciliation process during admission. (Knowledge, Attitudes)

Students will value own role in identifying potential medication side effects of clients they care for. (Attitude)

Define HIPPA and opportunities to protect patient’s private information (Knowledge, Skills)

Evidence Based Practice
Students will identify current evidence based practice when identifying treatment options for their patients. (Knowledge)

Students will learn how the nurse can incorporate evidence based practice into the clients clinical decision making.

Quality Improvement
Students will learn then discuss the role of the hospital unit council or ethics committee in maintaining patient centered care. (Knowledge)

Strategy Overview

Strategy Overview
The strategy is an unfolding case study
 involving a man diagnosed with pancreatic cancer The case will teach the student to discover attitudes, beliefs, and values of the professional nurse when caring for cancer patients and managing diagnosis, treatment options including chemotherapy, radiation, and surgery.

It begins with his initial diagnosis at 48 years old. He was brought to the emergency room because of severe itching and jaundice. His laboratory and diagnostics are discussed in the case. He had high bilirubin levels and a mas on the head of his pancreas. He also has positive CA-19-9 level, which is discussed in detail.
He underwent an ERCP and then was scheduled to have chemo and radiation as well as preparation for a pancreatico-duodenectomy (whipple) procedure.
This case discusses pre and post op care and complications this patient experienced.

Submitted Materials

Gall-Pancreas_TeamWork_QSEN-a-1-revised.ppt

Additional Materials

This unfolding case includes actual video’s, which are embedded in the power point presentation included. The videos are taken 4 months before the patient died from pancreatic cancer and after he had received chemotherapy, radiation, and surgery for his cancer.
Pancreatic Cancer Diagnosis https://youtu.be/oXVJsjyGjdk
ERCP & Surgical Plan for Pancreatic CA https://youtu.be/qj8zay2ECjg
CA-19-9 Pancreatic Cancer https://youtu.be/N8l3IgSXqkA
Chemo and Radiation Pancreatic Cancer https://youtu.be/omu3S2glqJY
Preparation for a Whipple Procedure https://youtu.be/VhuqEkOlVeg
Post Whipple Complications https://youtu.be/qqL32IdxRuI
Post Op Whipple Paralytic Ileus Complications https://youtu.be/zAZHaaBsqNw

Evaluation Description

This unfolding case study is presented in the classroom to pre-licensure level nursing students enrolled in a medical-surgical nursing. 
The students are encouraged to participate by answering questions and collaborating regarding their answers. This lecture is powerful because it not only discusses the topic of pancreatic cancer but also enables the students to explore the role of the nurse involved in care of a patient who has undergone a surgical oncology procedure. This case clearly ties in EBP, Patient Centered Care, Safety, and Teamwork & Collaboration.
Following this presentation, the students will complete a writing reflection to relate how this unfolding case study enhanced their knowledge, skills and and attitudes as related to patient-centered care and team huddles.