when it comes to code status. The knowledge that was needed in this situation was that a family meeting can be arranged in case there is disagreement and concerns about patient care and choices. I can relate this situation to many previous experience where many patients remain a full code due to their family wishes and later on, when patient is intubated, they are unable to make their decision. In those cases, those family members have the uncertainty and guilt when they had to make decision for the patient later on. I reflected on nursing knowledge and previous experiences, and transformed that into action. This experience advance my competence, and I am more proactive and confidence to discuss matter such as code status.
The five core competencies can be demonstrated in this situation ( Lenberg, 1999).
The assessment skills were used when a through assessment was completed. The communication skills were used to have a direct communication between the nurses, physician, patient and the family. The critical thinking skill was used to look at the overall situation and to integrate data into the making of decision ( Lenberg, 1999). The human caring and relationship skills were used during the discussion of sensitive topics such as code status and hospice care. The leadership skills were used to initiate the family meeting, and the teaching skills were used to ensure that the patient and all family members understood the situation and all their questions were answered. With the help of the different skills, nursing knowledge, and experience, we can really make difference in our patient’s life and provide care in a safe and efficient
manner.