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Interdiciplinary Care for bone marrow transplant patient

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REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER

Background Information Summary:

  •  Demographics
  •  History of present illness
  •  Relevant past medical and surgical history
  •  Admitting diagnosis (diagnoses)
  •  Course of current hospitalization to date
  •  Significant assessment findings during day(s) of care. Include vital signs, focused assessment,
    and data from monitoring devices. (This information can be presented in a table).
    Laboratory and Diagnostic Tests
    Identify and list a summary of relevant and significant lab values and diagnostic tests/procedures
    performed. Include the rationales for performing the tests and for any abnormal results. Provide
    an analysis of the relationships between/among the diagnostic tests and lab results with the
    critically‐ill individual’s current condition(s).

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

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Chamberlain College of Nursing NR341 Complex Adult Health

Medications

Identify and list a summary of relevant and significant medications. Indicate the trade name and
generic name, the medication classification, the therapeutic use, major adverse effects, timing,
dosage, route of administration, and the nursing implications. Also include the rationale(s) as to
why the medication is prescribed for treatment. For example, document the rationale for how the
treatment corrects the critically‐ill individual’s condition or a side effect of another drug that is
prescribed for treatment. *This information can be presented in a table.

Nursing Diagnoses

In order of priority, identify three (3) nursing diagnoses for the individualized plan of care for this
patient. Two of the nursing diagnoses must address actual problems, and one of the nursing
diagnoses must be a “Risk for” or “Potential Complication” (PC). For each nursing diagnosis,
include three (3) nursing outcomes, three (3) nursing interventions, and three (3) collaborative
interventions. *This section can be presented as a table or concept map.

Interventions ‐ ROUTINE NURSING MANAGEMENT

Describe independent nursing care you provided in the care of the critically‐ill individual.
Examples include, but are not limited to: activity level, position, ongoing monitoring, and
nutrition (prescribed diet, tube feedings/TPN, formula, rate, and calculation of basal energy
expenditure (BEE), patient education, wound care etc.). The rationale must be included for each
intervention.

Interdisciplinary (ID) Care
Collaborative Management

Identify the members of the interdisciplinary team caring for the critically‐ill individual. Provide
a brief description of their roles and responsibilities. Interdisciplinary team members include,
but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory
therapy, physical therapy, occupational therapy, speech therapy, social work/case
management, pastoral care, ethicist, etc.

Therapeutic Modalities

Describe the various therapeutic modalities used in the management of care for the critically‐ill
individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the
therapeutic modality in comparison to the responsibilities of the members of the
interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy
(mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2).
The rationale must be included for each modality.

Nursing Role Reflection

Provide a brief summary of how your role interacted with the members of the interdisciplinary
team. Include in your summary

  •  Analysis of communication style preferences among interdisciplinary team members and with
    the critically‐ill individual and family members. What is the impact of your own
    communication style on others?
  •  System barriers and facilitators. Did the organizational framework for interdisciplinary
    management of care facilitate or hindered the quality of care/outcomes for the critically‐ill
    individual? What recommendations can you make to the organizational system for enhancing

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

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Chamberlain College of Nursing NR341 Complex Adult Health

interdisciplinary collaboration? Provide at minimum two (2) evidence‐based literature sources

to support your recommendations.
 Professional Development. Based on your experience(s), write ideas for your own professional

self‐development plan to enhance your potential for becoming an effective member in an
interdisciplinary team.

PREPARING THE PAPER

Style and Format

The paper should be typed and presented in APA format, including an APA title page, use of headings,
and references with in‐text citations. Spelling and grammar will be evaluated with this assignment.

Page Limits

The body of the paper should be between 7‐10 pages, NOT including the Title and Reference pages.

  •  Background Summary
  •  Laboratory and Diagnostic Tests
  •  Medications
  •  Nursing Diagnoses
  •  Interventions
  •  Interdisciplinary Care
  •  Nursing Role Reflection
    GRADING CRITERIA

1 to 1.5 pages
1 to 1.5 pages
1 to 1.5 pages
1 to 1.5 pages
1 page

1 to 1.5 pages
1 to 1.5 pages

Assignment
Criteria

Points

%

Description

Background
Information

10

10%

Includes ALL the elements as described in the assignment guidelines:

  •  Demographics
  •  History of present illness
  •  Relevant past medical and surgical history
  •  Admitting diagnosis(es)
  •  Course of current hospitalization to date
  •  Significant assessment findings during day(s) of care. Include vital signs,

    focused assessment, and data from monitoring devices.

Laboratory
and
Diagnostic
Tests

10

10%

  •  Identifies and lists relevant and significant lab values and diagnostic
    tests/procedures performed.
  •  Includes the rationales for performing the tests and for any abnormal results.
  •  Provides an analysis of the relationships between/among the diagnostic tests
    and lab results with the critically‐ill individual’s current condition(s).

Medications

10

10%

  •  Identifies and lists relevant and significant medications.
  •  Indicates the trade name and generic name, the medication classification, the
    therapeutic use, major adverse effects, and nursing implications.
  •  Includes the rationale(s) as to why the medication is prescribed for treatment.

Nursing
Diagnoses

15

15%

  •  Identifies three (3) nursing diagnoses in order of priority: 2 actual problems
    and 1 risk for or potential complications for the plan of care.
  •  Includes 3 nursing outcomes, 3 nursing interventions, and 3 collaborative
    interventions for each nursing diagnosis.

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

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Chamberlain College of Nursing NR341 Complex Adult Health

Interventions:
Routine
Nursing
Management

10

10%

  •  Describes independent nursing care provided in the care of the critically‐ill
    individual.
  •  The rationales are included for each intervention.

ID Care:
Collaborative
Management

10

10%

  •  Provides a comprehensive list of the interdisciplinary team members caring
    for the critically‐ill individual.
  •  Provides a brief description of the roles and responsibilities of each respective
    interdisciplinary team members.

ID Care:
Therapeutic
Modalities

10

10%

  •  Describes the various therapeutic modalities used in the management of
    care for the critically‐ill individual.
  •  Discusses the extent of the nurse’s responsibilities and skills required to
    manage the therapeutic modality in comparison to the responsibilities of the
    members of the interdisciplinary team.
  •  The rationales are included for each respective modality.

Nursing Role
Reflection

20

20%

Summary includes:

  •  Analysis of communication style preferences among interdisciplinary team
    members and with the critically‐ill individual and family members;
  •  Analysis of the impact of own communication style on others
  •  Description of system barriers and facilitators in relation to the quality of
    care/outcomes for the critically‐ill individual
  •  Discussion of recommendations to the organizational system for enhancing
    interdisciplinary collaboration, which are supported by at least two (2)
    evidence‐based literature
  •  Description of ideas for own professional self‐development plan to enhance
    own potential for becoming an effective member in an interdisciplinary
    team.

APA Format,
Spelling,
Grammar,
and
Mechanics

5

5%

  •  Proper APA format for title page, headings, references and in‐text citations.
  •  No errors in spelling, grammar, and mechanics

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

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Chamberlain College of Nursing

NR340 Critical Care Nursing

GRADING RUBRIC

Assignment
Criteria

Outstanding or Highest Level
of Performance

Very Good or High Level of
Performance

Competent or Satisfactory
Level of Performance

Poor, Failing or Unsatisfactory
Level of Performance
F (0–75%)

Background
Information
(10 points)

Includes ALL the guideline
elements:
 Demographics
 History of present illness
 Relevant past medical and

Does not include 1‐2 elements:

Does not include 3 elements:

Does not include 4 or more
elements:

Laboratory and
Diagnostic Tests
(10 points)

10 points
 Identifies and lists relevant and

9 points
 Missed identifying 1‐2

8 points
 Missed identifying 3‐4 

0–7 points
Missed identifying ≥ 5

NR341 RUA Interdisciplinary Care.docx

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5

A (92–100%)

B (84–91%)

C (76–83%)

surgical history
 Admitting diagnosis(es)
 Course of current

surgical history
 Admitting diagnosis(es)
 Course of current

surgical history 
 Admitting diagnosis(es)
 Course of current 

hospitalization to date
 Significant assessment findings

hospitalization to date
 Significant assessment findings

hospitalization to date 
 Significant assessment findings

during day(s) of care. Includes
vital signs, focused assessment,
and data from monitoring
devices.

during day(s) of care. Includes
vital signs, focused assessment,
and data from monitoring
devices.

during day(s) of care. Includes
vital signs, focused assessment,
and data from monitoring
devices.

significant lab values and
diagnostic tests/procedures
performed.

relevant/significant lab values
and/or diagnostic tests/
procedures performed.

relevant/significant lab values
and/or diagnostic tests/
procedures performed.

relevant/significant lab values
and/or diagnostic tests/
procedures performed.
Adequately discusses the
rationales for performing the
tests and for any abnormal
results.

 Comprehensively discusses the
rationales for performing the
tests and for any abnormal
results.

 Adequately discusses the
rationales for performing the
tests and for any abnormal
results.

 Adequately discusses the 
rationales for performing the
tests and for any abnormal
results.

 Comprehensively provides an
analysis of the relationships
between/among the diagnostic
tests and lab results with the
critically‐ill individual’s current
condition(s).

 Adequately provides an
analysis of the relationships
between/among the diagnostic
tests and lab results with the
critically‐ill individual’s current
condition(s).

 Adequately provides an 
analysis of the relationships
between/among the diagnostic
tests and lab results with the
critically‐ill individual’s current
condition(s).

Adequately provides an
analysis of the relationships
between/among the diagnostic
tests and lab results with the
critically‐ill individual’s current
condition(s).

10 points

9 points

8 points

0–7 points

 Demographics
 History of present illness
 Relevant past medical and

 Demographics
 History of present illness 
 Relevant past medical and 

Demographics
History of present illness
Relevant past medical and
surgical history
Admitting diagnosis(es)
Course of current
hospitalization to date
Significant assessment findings
during day(s) of care. Includes
vital signs, focused assessment,
and data from monitoring
devices.

Chamberlain College of Nursing

NR340 Critical Care Nursing

Assignment
Criteria

Outstanding or Highest Level
of Performance

Very Good or High Level of
Performance

Competent or Satisfactory
Level of Performance

Poor, Failing or Unsatisfactory
Level of Performance
F (0–75%)

Medications

 Identifies and lists relevant and
significant medications.

 Missed identifying 1‐2 relevant
and significant medications.

 Missed identifying 3‐4 relevant
and significant medications.

 Missed identifying ≥ 5 relevant
and significant medications.

(10 points)

Nursing Diagnoses

Identifies nursing diagnoses ‐
actual and/or risk for or potential
complications that are not
relevant OR are not priority for
the critically‐ill individual.

(15 points)

actual problems and 1 risk for or
potential complication; All the
diagnoses are considered
priorities for the critically‐ill
individual.

actual problems and 1 risk for or
potential complication; Two of the
diagnoses are considered
priorities for the critically‐ill
individual.

actual and/or risk for or potential
complication; Both of the
diagnoses are considered
priorities for the critically‐ill
individual.

Interventions:
Routine Nursing
Management
(10 points)

independent nursing care
provided in the care of the
critically‐ill individual.

independent nursing care
provided in the care of the
critically‐ill individual.

independent nursing care
provided in the care of the
critically‐ill individual.

Minimally describes independent
nursing care provided in the care
of the critically‐ill individual.

A (92–100%)

B (84–91%)

C (76–83%)

 For medications listed:
identifies trade name and
generic name, the medication
classification, the therapeutic
use, major adverse effects, and
nursing implications.

 For medications listed:
identifies trade name and
generic name, the medication
classification, the therapeutic
use, major adverse effects, and
nursing implications.

 For medications listed:
identifies trade name and
generic name, the medication
classification, the therapeutic
use, major adverse effects, and
nursing implications.

 For medications listed:
identifies trade name and
generic name, the medication
classification, the therapeutic
use, major adverse effects, and
nursing implications.

 Comprehensively discusses the
rationale(s) as to why the
medication is prescribed for
treatment.

 Adequately discusses the
rationale(s) as to why the
medication is prescribed for
treatment.

 Adequately discusses the
rationale(s) as to why the
medication is prescribed for
treatment.

 Inadequately discusses the
rationale(s) as to why the
medication is prescribed for
treatment.

10 points
Identifies 3 nursing diagnoses – 2

9 points
Identifies 3 nursing diagnoses – 2

8 points
Identifies 2 nursing diagnoses –

0–7 points

For each nursing diagnosis, the
plan of care includes:

For each nursing diagnosis, the
plan of care includes:

For each nursing diagnosis, the
plan of care includes:

For each nursing diagnosis, the
plan of care includes:

 3 nursing outcomes,
 3 nursing interventions
 3 collaborative interventions.

 3 nursing outcomes,
 3 nursing interventions
 3 collaborative interventions.

 2‐3 nursing outcomes,
 2‐3 nursing interventions
 2‐3 collaborative

 0‐1 nursing outcome, and/or
 0‐1 nursing interventions,

14‐15 points
Comprehensively describes

13 points
Adequately describes

12 points
Adequately describes

0–11 points

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

6

interventions.

and/or
 0‐1 collaborative intervention.

Chamberlain College of Nursing

NR340 Critical Care Nursing

Assignment
Criteria

Outstanding or Highest Level
of Performance

Very Good or High Level of
Performance

Competent or Satisfactory
Level of Performance

Poor, Failing or Unsatisfactory
Level of Performance
F (0–75%)

ID Care:
Collaborative
Management
(10 points)

10 points
Comprehensively identifies ALL

9 points
Missed identifying 1

8 points
Missed identifying 2

0–7 points
Missed identifying ≥ 3

ID Care:
Therapeutic
Modalities
(10 points)

10 points
Comprehensive and accurate

9 points
Adequate and accurate

8 points
Brief, yet accurate description of

0–7 points
Minimal and/or inaccurate

Nursing Role
Reflection
(20 points)

For ALL 4 Criteria, summary
provides comprehensive and
insightful reflection on the nursing

comprehensive and insightful
reflection on the nursing role

comprehensive and insightful
reflection on the nursing role

provides comprehensive and
insightful reflection on the nursing

A (92–100%)

B (84–91%)

C (76–83%)

ALL interventions are referenced,
with use of evidence‐based
literature.

1‐2 interventions are not
referenced, yet display use of
evidence‐based literature.

3‐4 interventions are not
referenced, and show minimal use
of evidence‐based literature.

≥ 5 interventions are not
referenced, with minimal/no use
of evidence‐based

interdisciplinary team members
involved in the care of the
critically‐ill individual.
Comprehensively describes the
roles and responsibilities of each
interdisciplinary team member.

interdisciplinary team member
who was involved in the care of
the critically‐ill individual.
Adequately describes the roles
and responsibilities of each
interdisciplinary team member.

interdisciplinary team members
who were involved in the care of
the critically‐ill individual.
Minimally describes the roles and
responsibilities of each
interdisciplinary team member.

interdisciplinary team members
who were involved in the care of
the critically‐ill individual.
Inadequately describes the roles
and responsibilities of each
interdisciplinary team member.

description of therapeutic
modalities.
Comprehensive discussion of
nursing responsibilities/skills
required to manage therapeutic
modalities in comparison to the
responsibilities of the
interdisciplinary team.
Comprehensive and properly
referenced description of
rationales included for each
respective modality.

description of therapeutic
modalities.
Adequate discussion of nursing
responsibilities/skills required to
manage therapeutic modalities in
comparison to the responsibilities
of the interdisciplinary team.

therapeutic modalities.

description of therapeutic
modalities.
Minimal or inadequate discussion
of nursing responsibilities/skills
required to manage therapeutic
modalities in comparison to the
responsibilities of the
interdisciplinary team.

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

7

10 points

9 points
For 3 Criteria, summary provides

8 points
For 2 Criteria, summary provides

0–7 points
For 0‐1 Criteria, summary

Adequate and properly
referenced description of
rationales included for each
respective modality.

Brief, yet properly referenced

Minimal and/or improperly
referenced description of
rationales included for each
respective modality.

Adequate discussion of nursing
responsibilities/skills required to
manage therapeutic modalities in
comparison to the responsibilities
of the interdisciplinary team.

description of rationales included
for each respective modality.

Chamberlain College of Nursing

NR340 Critical Care Nursing

Assignment
Criteria

Outstanding or Highest Level
of Performance

Very Good or High Level of
Performance

Competent or Satisfactory
Level of Performance

Poor, Failing or Unsatisfactory
Level of Performance
F (0–75%)

APA Format,
Spelling,
Grammar, and
Mechanics

formatting, spelling, grammar, and
mechanics.

formatting, spelling, grammar, and
mechanics.

formatting, spelling, grammar, and
mechanics.

Contains ≥ 5 errors in APA
formatting, spelling, grammar, and
mechanics.

(5 points)

NR341 RUA Interdisciplinary Care.docx

Revised 06/2016

8

A (92–100%)

B (84–91%)

C (76–83%)

role within the interdisciplinary
team, which addresses
 communication style and

within the interdisciplinary team,
which addresses
 communication style and

within the interdisciplinary team,
which addresses
 communication style and

role within the interdisciplinary
team, which addresses
 communication style and

preferences
 system barriers and

preferences
 system barriers and

preferences
 system barriers and

preferences
 system barriers and

facilitators
 practical, evidence‐based

facilitators
 practical, evidence‐based

facilitators
 practical, evidence‐based

facilitators
 practical, evidence‐based

recommendations for system

recommendations for system

recommendations for system

recommendations for system

enhancements
 practical, relevant

enhancements
 practical, relevant

enhancements
 practical, relevant

enhancements
 practical, relevant

professional self‐
development plan

professional self‐
development plan

professional self‐
development plan

professional self‐
development plan

19–20 points
Contains no errors in APA

17‐18 points
Contains 1‐2 errors in APA

16 points
Contains 3‐4 errors in APA

0– 15 points

5 points

4.5 p

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