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Strategy Submission

Nurse as the leader of the team huddle. An unfolding oncology case study.


Kimberly Silver Dunker



Assoicate Professor of Nursing



Worcester State University


Competency Categories:

Evidence-Based Practice, Patient-Centered Care, Quality Improvement, Safety, Teamwork and Collaboration

Learner Level(s):

New Graduates/Transition to Practice, Pre-Licensure ADN/Diploma, Pre-Licensure BSN

Learner Setting(s):

Classroom, Clinical Setting

Strategy Type:

Case Studies

Learning Objectives:

Learning Objectives This unfolding case study was designed to 
provide an opportunity for nursing students to learn about caring for a patient who has pancreatic cancer. It will focus on the following KSAs Patient Centered Care Students will identify how a nurse can advocate during the team huddle (Knowledge, Skills) Teamwork and Collaboration Discuss the role of the nurse in advocating for a patient during a team huddle (Knowledge) Students will discuss how a team huddle can promote patient centered care. (Knowledge) Learn to collaborate with the medical team to maintain quality in delivering care to oncology patients. (Knowledge, Skill) Safety Students will identify potential medication errors and value the importance of the medication reconciliation process during admission. (Knowledge, Attitudes) Students will value own role in identifying potential medication side effects of clients they care for. (Attitude) Define HIPPA and opportunities to protect patient’s private information (Knowledge, Skills) Evidence Based Practice Students will identify current evidence based practice when identifying treatment options for their patients. (Knowledge) Students will learn how the nurse can incorporate evidence based practice into the clients clinical decision making. Quality Improvement Students will learn then discuss the role of the hospital unit council or ethics committee in maintaining patient centered care. (Knowledge)

Strategy Overview:

Strategy Overview The strategy is an unfolding case study
 involving a man diagnosed with pancreatic cancer The case will teach the student to discover attitudes, beliefs, and values of the professional nurse when caring for cancer patients and managing diagnosis, treatment options including chemotherapy, radiation, and surgery. It begins with his initial diagnosis at 48 years old. He was brought to the emergency room because of severe itching and jaundice. His laboratory and diagnostics are discussed in the case. He had high bilirubin levels and a mas on the head of his pancreas. He also has positive CA-19-9 level, which is discussed in detail. He underwent an ERCP and then was scheduled to have chemo and radiation as well as preparation for a pancreatico-duodenectomy (whipple) procedure. This case discusses pre and post op care and complications this patient experienced.

Submitted Materials:

Additional Materials:

This unfolding case includes actual video’s, which are embedded in the power point presentation included. The videos are taken 4 months before the patient died from pancreatic cancer and after he had received chemotherapy, radiation, and surgery for his cancer.
Pancreatic Cancer Diagnosis
ERCP & Surgical Plan for Pancreatic CA
CA-19-9 Pancreatic Cancer
Chemo and Radiation Pancreatic Cancer
Preparation for a Whipple Procedure
Post Whipple Complications
Post Op Whipple Paralytic Ileus Complications

Evaluation Description:

This unfolding case study is presented in the classroom to pre-licensure level nursing students enrolled in a medical-surgical nursing. 
The students are encouraged to participate by answering questions and collaborating regarding their answers. This lecture is powerful because it not only discusses the topic of pancreatic cancer but also enables the students to explore the role of the nurse involved in care of a patient who has undergone a surgical oncology procedure. This case clearly ties in EBP, Patient Centered Care, Safety, and Teamwork & Collaboration. Following this presentation, the students will complete a writing reflection to relate how this unfolding case study enhanced their knowledge, skills and and attitudes as related to patient-centered care and team huddles.
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