Coordinating care
Kilimanjaro Christian Medical Center,
Moshi
Name: Inge Demmer
Stundentnumber:
School: Hanze University of applied sciences
Study: Bachelor of nursing
Supervisor school:
Supervisor KCMC:
Organisation: Kilimanjaro Christian Medical Centre
Internship period: 12/02/24 – 05/02/24
Date: March 25, 2024
Course code: HVVB18MRVZ
1
,Table of contents
Introduction ................................................................................................................................. 4
Chapter 1; Patient ...................................................................................................................... 5
1.1 Case ......................................................................................................................................... 5
1.1.2 Situation ............................................................................................................................. 5
1.1.3 background ........................................................................................................................ 5
1.1.4 Assessment ........................................................................................................................ 5
1.1.5 Recommendation ............................................................................................................... 5
1.2 Complexity of the case ............................................................................................................. 6
Chapter 2; Involved disciplines ................................................................................................... 7
2.1 The Nurse................................................................................................................................. 7
2.2 Emergency physician ................................................................................................................ 8
2.3 Pediatrican, co-assistants ......................................................................................................... 8
2.4 The dietist ................................................................................................................................. 9
2.5 De physiotherapist .................................................................................................................... 9
2.6 Occupational therapist .............................................................................................................. 9
2.7 MDC with multiple disciplines.................................................................................................... 9
2.8 Opinion on nursing role and multidisciplinary care..................................................................... 9
2.9 Opinion about nursing care given.............................................................................................10
Chapter 3; Report ....................................................................................................................... 11
3.1 Reporting moments .................................................................................................................11
3.2 Reporting method ....................................................................................................................11
3.2.1 Emergency department .................................................................................................... 11
3.2.2 Emergency department to Pediatric ward ......................................................................... 12
3.2.3 Pediatric department ........................................................................................................ 12
3.2.4 Electronic Health Record .................................................................................................. 12
3.3 Opinion on Report method .......................................................................................................12
Chapter 4; Shared Decision making .............................................................................................. 14
4.1 What is shared decision making...............................................................................................14
4.2 Shared Decision within the hospital .........................................................................................14
4.3 Culturally sensitive care ...........................................................................................................15
4.4 Example from practice .............................................................................................................16
Chapter 5; Nursing care in multidisciplinary context ................................................................. 17
5.1 Gathering information ..............................................................................................................17
5.1.1 Vaccination program children ........................................................................................... 17
5.2 Establishing and planning care activities ..................................................................................17
Chapter 6; Critical review of the care process ........................................................................... 19
6.1 Preclinical phase .....................................................................................................................19
6.2 Clinical phase ..........................................................................................................................19
2
, 6.3 Post clinical phase ...................................................................................................................20
Chapter 7; Improvement proposal.............................................................................................. 21
7.1 Problem analysis .....................................................................................................................21
7.2 Advantages standard reporting method....................................................................................21
7.3 Focus areas.............................................................................................................................21
7.4 Involved disciplines ..................................................................................................................22
7.5 Choosen method .....................................................................................................................22
7.6 Practical implementation ..........................................................................................................22
7.7 Rol van de verpleegkundige in opleiding ............................... Fout! Bladwijzer niet gedefinieerd.
Chapter 8; Laws and regulations ............................................................................................... 24
8.1 National Health Insurance Act ..................................................................................................24
8.2 Long-Term care act ..................................................................................................................24
8.3 Youth act .................................................................................................................................24
8.4 Wet BIG ...................................................................................................................................24
8.5 Tanzania Data protection Act ...................................................................................................25
References ................................................................................................................................. 26
Appendix .................................................................................................................................... 29
Appendix 1: Anti-plagiarism statement ...........................................................................................29
3
Kilimanjaro Christian Medical Center,
Moshi
Name: Inge Demmer
Stundentnumber:
School: Hanze University of applied sciences
Study: Bachelor of nursing
Supervisor school:
Supervisor KCMC:
Organisation: Kilimanjaro Christian Medical Centre
Internship period: 12/02/24 – 05/02/24
Date: March 25, 2024
Course code: HVVB18MRVZ
1
,Table of contents
Introduction ................................................................................................................................. 4
Chapter 1; Patient ...................................................................................................................... 5
1.1 Case ......................................................................................................................................... 5
1.1.2 Situation ............................................................................................................................. 5
1.1.3 background ........................................................................................................................ 5
1.1.4 Assessment ........................................................................................................................ 5
1.1.5 Recommendation ............................................................................................................... 5
1.2 Complexity of the case ............................................................................................................. 6
Chapter 2; Involved disciplines ................................................................................................... 7
2.1 The Nurse................................................................................................................................. 7
2.2 Emergency physician ................................................................................................................ 8
2.3 Pediatrican, co-assistants ......................................................................................................... 8
2.4 The dietist ................................................................................................................................. 9
2.5 De physiotherapist .................................................................................................................... 9
2.6 Occupational therapist .............................................................................................................. 9
2.7 MDC with multiple disciplines.................................................................................................... 9
2.8 Opinion on nursing role and multidisciplinary care..................................................................... 9
2.9 Opinion about nursing care given.............................................................................................10
Chapter 3; Report ....................................................................................................................... 11
3.1 Reporting moments .................................................................................................................11
3.2 Reporting method ....................................................................................................................11
3.2.1 Emergency department .................................................................................................... 11
3.2.2 Emergency department to Pediatric ward ......................................................................... 12
3.2.3 Pediatric department ........................................................................................................ 12
3.2.4 Electronic Health Record .................................................................................................. 12
3.3 Opinion on Report method .......................................................................................................12
Chapter 4; Shared Decision making .............................................................................................. 14
4.1 What is shared decision making...............................................................................................14
4.2 Shared Decision within the hospital .........................................................................................14
4.3 Culturally sensitive care ...........................................................................................................15
4.4 Example from practice .............................................................................................................16
Chapter 5; Nursing care in multidisciplinary context ................................................................. 17
5.1 Gathering information ..............................................................................................................17
5.1.1 Vaccination program children ........................................................................................... 17
5.2 Establishing and planning care activities ..................................................................................17
Chapter 6; Critical review of the care process ........................................................................... 19
6.1 Preclinical phase .....................................................................................................................19
6.2 Clinical phase ..........................................................................................................................19
2
, 6.3 Post clinical phase ...................................................................................................................20
Chapter 7; Improvement proposal.............................................................................................. 21
7.1 Problem analysis .....................................................................................................................21
7.2 Advantages standard reporting method....................................................................................21
7.3 Focus areas.............................................................................................................................21
7.4 Involved disciplines ..................................................................................................................22
7.5 Choosen method .....................................................................................................................22
7.6 Practical implementation ..........................................................................................................22
7.7 Rol van de verpleegkundige in opleiding ............................... Fout! Bladwijzer niet gedefinieerd.
Chapter 8; Laws and regulations ............................................................................................... 24
8.1 National Health Insurance Act ..................................................................................................24
8.2 Long-Term care act ..................................................................................................................24
8.3 Youth act .................................................................................................................................24
8.4 Wet BIG ...................................................................................................................................24
8.5 Tanzania Data protection Act ...................................................................................................25
References ................................................................................................................................. 26
Appendix .................................................................................................................................... 29
Appendix 1: Anti-plagiarism statement ...........................................................................................29
3
