4. Introduction
▪ Successful resuscitation attempts often requires healthcare
providers to simultaneously perform a variety of intervention.
Effective teamwork divides the tasks while multiplying the
chances of successful outcome.
▪ Successful high performance team not only have medical
expertise and mastery of resuscitation skills, but they also
demonstrate effective communication and team dynamics.
▪ As part of the team you should understand not only your role but
the roles of other members.
5. Team dynamics are the unconscious,
psychological forces that influence the
direction of a team’s behavior and
performance.
6.
7.
8. Roles of the Leader and Member of a High
Performance Team
10. ▪ It is important to know your own clinical limitations. Resuscitation is the
time for implementing acquired skills, not trying new ones. Only take on tasks
you can perform successfully. Clearly state when you need help and call for
help early in the care of the individual.
▪ Resuscitation demands mutual respect, knowledge sharing, constructive
criticism, and follow-up discussion (debriefing) after the event.
11. Elements of Effective High Performance Team
Dynamics
1. Clear Roles and Responsibilities
2. Knowing your Limitations
3. Constructive Intervention
4. Knowledge Sharing
5. Summarizing and Reevaluation
6. Closed Loop Communications
7. Clear Messages
8. Mutual Respect
13. When roles are unclear, team performance
suffers. Signs of unclear roles includes;
▪ Performing the same tasks more than once
▪ Missing essential tasks
▪ Team members having multiple roles even if there are enough
providers.
14.
15. Knowing your Limitations
▪ Not only should everyone
on the team know his or her
limitations and capabilities
but the team leader should
also be aware of them.
16. Constructive Intervention
▪ During a resuscitation
attempt, the leader or a
member of a high
performance team may
need to intervene if an
action that is about to
occur may be
inappropriate at the time.
17. Knowledge Sharing
▪ Sharing information is a
critical component of
effective team
performance. Team leader
may be trapped to specific
treatment or diagnostic
approach; this common
human error is called a
fixation error.
20. Clear Messages
▪ Clear messages consist of concise communication spoken with distinctive
speech in a controlled tone of voice.
▪ Deliver orders in a calm and direct manner without yelling or shouting
▪ Yelling or shouting can impair effective high performance team interaction.
21. Mutual Respect
▪ To have a high performance team, everyone must abandon ego and respect
each other during the resuscitations attempt.
22. Summary
▪ To improve patient outcomes, it’s imperative that the code team
demonstrates effective communication and teamwork.
▪ Clear roles and responsibilities must be defined to promote
organization during a code.
▪ Code team members must maintain their knowledge and
psychomotor skills.
▪ Access to simulation or mock code drills can enhance
confidence and competence when responding to code situations
Editor's Notes
Team COMPOSITION and DYNAMICS are critical during resuscitation attempt WHY??
Because it can affect the outcome of the situation.
Thought the team has their own distinct ROLE during a resuscitation scenario it doesn’t mean that you can work FULLY independently on the certain role. Your role should compliment the ROLE of other team members to effectively achieve a positive patient outcome.
WHAT MAKES THIS TEAM EFFECTIVE?
To understand more about the diverse team leader and member’s role.
Lets watch the video and dissect the role of a TL and the TM.
Resuscitation is a complex process that requires coordination of team members.
TD therefore determine the success and failure of the TEAM. (Elements?)….
“Interact, Communicate and Cooperate with one another”
n the community (outside a health care facility), the first rescuer on the scene may be performing CPR alone. However, a Code Blue in a hospital may bring dozens of responders/providers to a patient’s room. It is important to quickly and efficiently organize team members to effectively participate in ACLS. The ILCOR suggests a team structure with each provider assuming a specific role during the resuscitation; this consists of a team leader and several team members
If there is no role definition there will be role overlapping.
More heads are better than one….asking for assistance during a stressful situation is not a sign of incompetence or weakness…it is better to have more help than needed rather than having not enough which will off course negatively affect patient outcomes.
This is yet an important role of the TL; to monitor and reevaluate the patients status; interventions that have been performed and assessment findings.