Case: During an interprofessional ward round, the physiotherapist recommends early mobilisation for a patient recovering from surgery. The registered nurse knows the patient experienced significant postural hypotension and dizziness forty minutes earlier. Which response best supports collaborative practice?

Question

BlackTom AI · Accepted Answer

Sharing the recent haemodynamic assessment findings with the interprofessional team so that the mobilisation plan can be reviewed collaboratively and adjusted accordingly.

1. Relevant knowledge points and concepts
- Interprofessional practice: effective teamwork requires timely, relevant information sharing to ensure patient safety and coordinated care.  
- Patient safety and clinical risk: postural (orthostatic) hypotension and dizziness increase fall and syncope risk during mobilisation.  
- Scope of practice and professional responsibility: nurses must communicate assessments and advocate for patient safety; decisions about care plans are ideally made collaboratively, not unilaterally.  
- Structured communication (e.g., SBAR): concise handover of Situation, Background, Assessment, Recommendation supports decision-making.

2. Step-by-step reasoning process
- Observation: The nurse recorded significant postural hypotension and dizziness 40 minutes earlier — an objective safety concern.  
- Immediate implication: Early mobilisation can precipitate falls, syncope, or cardiovascular compromise in someone with recent orthostatic symptoms.  
- Best action: Inform the team (physiotherapist, medical officer, and others) so the mobilisation plan can be reconsidered with all relevant data.  
- Possible collaborative adjustments: postpone mobilisation until reassessment, perform orthostatic BP checks, use assisted/bed-to-chair transfers, provide fluid or medication review, or proceed with a modified, supervised plan.

3. Intermediate assessment steps (clinical checks)
- Re-measure supine and standing BP and heart rate to confirm ongoing orthostatic changes.  
- Check medications and recent fluid losses that could contribute.  
- Communicate findings and recommendations to the physiotherapist and medical officer for a joint decision.

4. Why this answer is correct
- It balances patient safety with the benefits of early mobilisation by ensuring decisions are evidence-based and team-led. It fulfills the nurse’s duty to report clinical concerns and promotes shared decision-making, which is core to collaborative practice.

5. Why the other options are incorrect
- Remaining silent: Avoids responsibility, risks patient harm, and undermines teamwork.  
- Waiting for the medical officer to identify the concern: Introduces dangerous delay and neglects nursing responsibility to escalate findings.  
- Cancelling mobilisation entirely: Overly prescriptive and may deny beneficial therapy; a collaborative review is more appropriate than unilateral cancellation.

6. Conclusion
- The best response is to share the recent haemodynamic assessment so the team can review and adjust the mobilisation plan. This matches the provided correct answer.

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