One experience that I have had with miscommunication was that I had a very young and new medic in the army that was with one of our infantry platoons. We were about 6 months into a deployment and he had a soldier in his platoon that had talked to him a couple of times about the color of his urine and that he was concerned at how dark it was no matter how much water he was drinking. This young medic not knowing any better just told him he was dehydrated and that it would clear up as long as he kept drinking more water. The medic failed to bring this up to senior medics that were there or the PA. Finally this soldier came and talked to myself and the PA about what was going on with him and that he was having flank pain at this point pretty severe thinking that maybe he pulled a muscle in his lower back. We had him give a urine sample and did a dip test with it to find out that there was a large amount of blood in the urine and when looking at it looked like coca cola to be honest. The soldier was medevac’d out of country and treated for kidney failure. Provide an  RN strategy or team-focused strategy to prevent the type of communication breakdown that is discussed?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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One experience that I have had with miscommunication was that I had a very young and new medic in the army that was with one of our infantry platoons. We were about 6 months into a deployment and he had a soldier in his platoon that had talked to him a couple of times about the color of his urine and that he was concerned at how dark it was no matter how much water he was drinking. This young medic not knowing any better just told him he was dehydrated and that it would clear up as long as he kept drinking more water. The medic failed to bring this up to senior medics that were there or the PA. Finally this soldier came and talked to myself and the PA about what was going on with him and that he was having flank pain at this point pretty severe thinking that maybe he pulled a muscle in his lower back. We had him give a urine sample and did a dip test with it to find out that there was a large amount of blood in the urine and when looking at it looked like coca cola to be honest. The soldier was medevac’d out of country and treated for kidney failure.

Provide an  RN strategy or team-focused strategy to prevent the type of communication breakdown that is discussed?

 

 

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