NR341 Complex Adult Health

Required Uniform Assignment: Interdisciplinary Care
PURPOSE
The purpose of this assignment is for the student to reflect on the nursing care of a critically-ill individual
from a clinical experience. The student will demonstrate clinical reasoning skills and will discuss
interdisciplinary care that had been incorporated and/or anticipated during the care of the critically-ill
individual.

COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on
theories and principles of nursing and related disciplines.
CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and
emergent care settings.
CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to
patients and families in critical-care and emergent care settings.
CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical,
and professional standards and principles when caring for patients and families in critical care and
emergent care settings.
CO 5: Implement a plan of for continued personal, professional, and educational development related to
nursing practice within critical-care and emergent care settings.
CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical
questions related to nursing care of patients in critical care and emergent care settings.

DUE DATE: See Course Calendar. This assignment falls within the college’s Late Assignment Policy.
TOTAL POINTS POSSIBLE: 100 POINTS

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).

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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
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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

1 to 1.5 pages
? Laboratory and Diagnostic Tests
1 to 1.5 pages
? Medications

1 to 1.5 pages
? Nursing Diagnoses

1 to 1.5 pages
? Interventions

1 page
? Interdisciplinary Care

1 to 1.5 pages
? Nursing Role Reflection

1 to 1.5 pages

GRADING CRITERIA
Assignment Points
Criteria

%

Description
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.
? 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).
? 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.
? 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.

Background
Information

10

10%

Laboratory
and
Diagnostic
Tests

10

10%

Medications

10

10%

Nursing
Diagnoses

15

15%

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Chamberlain College of Nursing

Interventions:
Routine
Nursing
Management

ID Care:
Collaborative
Management

10

10%

? Describes independent nursing care provided in the care of the critically-ill
individual.
? The rationales are included for each intervention.

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%

?

Nursing Role
Reflection

20

20%

APA Format,
Spelling,
Grammar,
and
Mechanics

5

5%

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.
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.
? Proper APA format for title page, headings, references and in-text citations.
? No errors in spelling, grammar, and mechanics

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NR341 Complex Adult Health

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NR340 Critical Care Nursing

GRADING RUBRIC
Assignment
Criteria

Outstanding or Highest Level
of Performance

A (92–100%)

Very Good or High Level of
Performance

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

B (84–91%)

Competent or Satisfactory
Level of Performance

C (76–83%)

Does not include 1-2 elements:
? 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.

9 points

Does not include 3 elements:
? 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.

8 points

Does not include 4 or more
elements:
? 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.
0–7 points

Background
Information
(10 points)

Includes ALL the guideline
elements:
? 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.
10 points

Laboratory and
Diagnostic Tests
(10 points)

? Identifies and lists relevant and ? Missed identifying 1-2
significant lab values and
relevant/significant lab values
diagnostic tests/procedures
and/or diagnostic tests/
performed.
procedures performed.
? Comprehensively discusses the ? Adequately discusses the
rationales for performing the
rationales for performing the
tests and for any abnormal
tests and for any abnormal
results.
results.
? Comprehensively provides an
? Adequately provides an
analysis of the relationships
analysis of the relationships
between/among the diagnostic
between/among the diagnostic
tests and lab results with the
tests and lab results with the
critically-ill individual’s current
critically-ill individual’s current
condition(s).
condition(s).
10 points
9 points

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

? Missed identifying 3-4
?
relevant/significant lab values
and/or diagnostic tests/
procedures performed.
? Adequately discusses the
?
rationales for performing the
tests and for any abnormal
results.
? Adequately provides an
?
analysis of the relationships
between/among the diagnostic
tests and lab results with the
critically-ill individual’s current
condition(s).
8 points

Missed identifying = 5
relevant/significant lab values
and/or diagnostic tests/
procedures performed.
Adequately discusses the
rationales for performing the
tests and for any abnormal
results.
Adequately provides an
analysis of the relationships
between/among the diagnostic
tests and lab results with the
critically-ill individual’s current
condition(s).
0–7 points

5

Chamberlain College of Nursing
Assignment
Criteria

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

B (84–91%)

Competent or Satisfactory
Level of Performance

C (76–83%)

? Identifies and lists relevant and
significant medications.
? 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.
10 points

? Missed identifying 1-2 relevant
and significant medications.
? For medications listed:
identifies trade name and
generic name, the medication
classification, the therapeutic
use, major adverse effects, and
nursing implications.
? Adequately discusses the
rationale(s) as to why the
medication is prescribed for
treatment.
9 points

? Missed identifying 3-4 relevant
and significant medications.
? For medications listed:
identifies trade name and
generic name, the medication
classification, the therapeutic
use, major adverse effects, and
nursing implications.
? Adequately discusses the
rationale(s) as to why the
medication is prescribed for
treatment.
8 points

? Missed identifying = 5 relevant
and significant medications.
? For medications listed:
identifies trade name and
generic name, the medication
classification, the therapeutic
use, major adverse effects, and
nursing implications.
? Inadequately discusses the
rationale(s) as to why the
medication is prescribed for
treatment.
0–7 points

Nursing Diagnoses
(15 points)

Identifies 3 nursing diagnoses – 2
actual problems and 1 risk for or
potential complication; All the
diagnoses are considered
priorities for the critically-ill
individual.

For each nursing diagnosis, the
plan of care includes:
? 3 nursing outcomes,
? 3 nursing interventions
? 3 collaborative interventions.

14-15 points

Identifies 3 nursing diagnoses – 2
actual problems and 1 risk for or
potential complication; Two of the
diagnoses are considered
priorities for the critically-ill
individual.

For each nursing diagnosis, the
plan of care includes:
? 3 nursing outcomes,
? 3 nursing interventions
? 3 collaborative interventions.

13 points

Identifies 2 nursing diagnoses –
actual and/or risk for or potential
complication; Both of the
diagnoses are considered
priorities for the critically-ill
individual.

For each nursing diagnosis, the
plan of care includes:
? 2-3 nursing outcomes,
? 2-3 nursing interventions
? 2-3 collaborative
interventions.
12 points

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

For each nursing diagnosis, the
plan of care includes:
? 0-1 nursing outcome, and/or
? 0-1 nursing interventions,
and/or
? 0-1 collaborative intervention.
0–11 points

Interventions:
Routine Nursing
Management
(10 points)

Comprehensively describes
independent nursing care
provided in the care of the
critically-ill individual.

Adequately describes
independent nursing care
provided in the care of the
critically-ill individual.

Adequately describes
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.

Medications
(10 points)

Outstanding or Highest Level
of Performance

A (92–100%)

NR340 Critical Care Nursing
Very Good or High Level of
Performance

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Chamberlain College of Nursing
Assignment
Criteria

Outstanding or Highest Level
of Performance

A (92–100%)

NR340 Critical Care Nursing
Very Good or High Level of
Performance

B (84–91%)

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

ALL interventions are referenced,
with use of evidence-based
literature.
10 points

1-2 interventions are not
referenced, yet display use of
evidence-based literature.
9 points

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

= 5 interventions are not
referenced, with minimal/no use
of evidence-based

0–7 points

ID Care:
Collaborative
Management
(10 points)

Comprehensively identifies ALL
interdisciplinary team members
involved in the care of the
critically-ill individual.
Comprehensively describes the
roles and responsibilities of each
interdisciplinary team member.
10 points

Missed identifying 1
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.
9 points

Missed identifying 2
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.
8 points

Missed identifying = 3
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.
0–7 points

ID Care:
Therapeutic
Modalities
(10 points)

Comprehensive and accurate
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.
10 points

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

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

Brief, yet accurate description of
therapeutic modalities.

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

Brief, yet properly referenced
description of rationales included
for each respective modality.

8 points

Minimal and/or inaccurate
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.
Minimal and/or improperly
referenced description of
rationales included for each
respective modality.
0–7 points

Nursing Role
Reflection
(20 points)

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

For 3 Criteria, summary provides
comprehensive and insightful
reflection on the nursing role

For 2 Criteria, summary provides
comprehensive and insightful
reflection on the nursing role

For 0-1 Criteria, summary
provides comprehensive and
insightful reflection on the nursing

NR341 RUA Interdisciplinary Care.docx Revised 06/2016

Competent or Satisfactory
Level of Performance

C (76–83%)

7

Chamberlain College of Nursing
Assignment
Criteria

Outstanding or Highest Level
of Performance

A (92–100%)
role within the interdisciplinary
team, which addresses
? communication style and
preferences
? system barriers and
facilitators
? practical, evidence-based
recommendations for system
enhancements
? practical, relevant
professional self-
development plan
19–20 points

APA Format,
Spelling,
Grammar, and
Mechanics
(5 points)

NR340 Critical Care Nursing
Very Good or High Level of
Performance

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

B (84–91%)

Competent or Satisfactory
Level of Performance

C (76–83%)

within the interdisciplinary team,
which addresses
? communication style and
preferences
? system barriers and
facilitators
? practical, evidence-based
recommendations for system
enhancements
? practical, relevant
professional self-
development plan
17-18 points

within the interdisciplinary team,
which addresses
? communication style and
preferences
? system barriers and
facilitators
? practical, evidence-based
recommendations for system
enhancements
? practical, relevant
professional self-
development plan
16 points

role within the interdisciplinary
team, which addresses
? communication style and
preferences
? system barriers and
facilitators
? practical, evidence-based
recommendations for system
enhancements
? practical, relevant
professional self-
development plan
0– 15 points

Contains no errors in APA
Contains 1-2 errors in APA
Contains 3-4 errors in APA
Contains = 5 errors in APA
formatting, spelling, grammar, and formatting, spelling, grammar, and formatting, spelling, grammar, and formatting, spelling, grammar, and
mechanics.
mechanics.
mechanics.
mechanics.
0-3 points
5 points
4.5 points
4 points

Total Points Possible = 100 points