You are caring for Mr Grey in the PACU, who has undergone a transurethral resection of the prostate. He is bleeding more than usual for this type of procedure and you are concerned. When you contact the surgeon, Dr Michaels, and outline the details of Mr Grey's condition, she does not offer to review him. Using the STEP advocacy model, how will you respond to Dr Michaels?
What will be an ideal response?
Answer:
State your concern: ‘Dr Michaels, I believe Mr Grey is bleeding more than expected.'
State the problem as you see it: ‘I believe his condition will deteriorate without intervention.'
State a solution: ‘I believe he will require a review, possibly bladder irrigation and a blood transfusion.'
Obtain an agreement: ‘I will have equipment for a bladder irrigation available for when you arrive. Can I expect you in the next 30 minutes?'
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