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TEAMWORK IN EMERGENCY DEPARTMENT

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TEAMWORK IN EMERGENCY DEPARTMENT

  1. 1. TEAMWORK IN EMERGENCY DEPARTMENT MS. SHINY THOMAS N.I.S.
  2. 2. The Tortoise And The Hare Slow and steady wins the race.
  3. 3. TRANSFORMING HEALTHCARE ONE TEAM AT A TIME: WHAT MATTERS…
  4. 4. The story continues … Can we have another race? Ok. The hare challenged the tortoise to another race. The tortoise agreed.
  5. 5. This time, the hare went all out and ran without stopping from start to finish. He won by several miles. It's good to be slow and steady; but it's better to be fast and reliable.
  6. 6. But the story doesn't end here …
  7. 7. THE TEAMS The Leader Specialities Senior/Junior Residents Emergency Nurses/In charges Trauma Nurse Co-ordinator Nursing Informatics Radiology Technicians Lab
  8. 8. COMPETENCIES THAT MATTER
  9. 9. Cooperation…  Attitudes & Beliefs:  Team Orientation  Collective Efficacy  Mutual Trust  Value of Teamwork  Openness to Experience
  10. 10. Coordination…  Behavioral Mechanisms:  Mutual Performance Monitoring  Back-up Behavior/Supportive  Adaptability/ Flexibility  Task-related Assertiveness
  11. 11. Cognition…  Shared understanding  Knowledge requirements:  Roles & Responsibilities  Knowledge of team mission; Objectives, Norms & Resources  Familiarity with Teammates  Cue-strategy Associations
  12. 12. How can I can win the hare? Sure! Can we have another race? This time we’ll go through a different route.
  13. 13. What should I do? First identify your core competency and then change the playing field to suit your core competency. Working to your strengths will not only get you noticed, but will also create opportunities for growth and advancement.
  14. 14. The story still hasn't ended …
  15. 15. Communication…  Information Exchange Protocols:  Close-loop Communication  Precise  Timely  Appropriate Terminology  Clarity
  16. 16. Coaching…  Leadership:  Team Leadership  Promotes teamwork Cares about team members Sets ground rules  Shared Leadership
  17. 17. Conflict…  Conflict resolution strategies:  Interpersonal Skills  Mutual Trust  Psychological Safety  Assertiveness
  18. 18. Conditions…  Team norms - clear, appropriate & known  Supportive context  Good performance recognized & reinforced  Access to resources  Information needed available
  19. 19. Culture…  Ability to:  Reduce ethnocentrism  Create hybrid culture  Perspective Taking  Behavior Flexibility
  20. 20. What Effective ED Teams Do, Feel & Think  Optimize resources.  Clear roles and responsibilities.  A clear, engaging, valued, & shared vision.  Strong team leadership.  Engage in a cycle (a discipline) of pre-brief performance debrief.
  21. 21. What Effective ED Teams Do, Feel & Think  Develop a strong sense of the “collective” - trust, teamness, confidence.  “workload sponges”.  Set expectations well (and are managed).  Engage in “rhythms” of performance.  Manage & optimize performance outcomes.
  22. 22. Hi, buddy. How about doing our last race again? Great! I think we could do it much better, if we two help each other. Hi, buddy. How about doing our last race again?
  23. 23. They started off, and this time the hare carried the tortoise till the riverbank.
  24. 24. There, the tortoise took over and swam across with the hare on his back.
  25. 25. On the opposite bank, the hare again carried the tortoise and they reached the finishing line together. They both felt a greater sense of satisfaction than they'd felt earlier.
  26. 26. The moral of the story? It's good to be individually brilliant and to have strong core competencies; but unless you're able to work in a team and harness each other's core competencies, you'll always perform below par because there will always be situations at which you'll do poorly and someone else does well. Teamwork is mainly about situational leadership, letting the person with the relevant core competency for a situation take leadership.
  27. 27. Let’s go and build stronger teams!

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