Team STEPPS Team Strategies and Tools to Enhance

Team. STEPPS • Team Strategies & Tools to Enhance Performance & Patient Safety Where

Phase One: Department Ready • Leaders: OB Hospitalist, Nurse Educator, Department Chair, Department Nursing

Our First STEPPS • Post Partum Hemorrhage – – Cart Staff Education Bakri Education

Phase Two: Formal Training and a Plan • Pre-Course work • Problem to Solve

Educate Our Team • Nursing and support staff • Physicians • OB Leadership Team

Mutual Support https: //youtu. be/7 -a 2 QBf. FQe. A

Second “STEPPS” • Sentinel Event- Acute Hypertension – – – – Multidisciplinary team established

Fire In the OR • • • Joint Commission Site Visit Need Education Plan

Phase Three STEPPS • Sustainment – Monitor – Improve – Maintain schedule – Maintain

Resources • Fahey, J. O. , & Mighty, H. E. (2008). Shoulder dystocia: Using

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Team. STEPPS Team Strategies and Tools to Enhance Performance & Patient Safety Lori Eckenrode BSN, RNC-OB Stacy Norton M. D. F. A. C. O. G October 3, 2018

Team. STEPPS • Team Strategies & Tools to Enhance Performance & Patient Safety Where did it come from? Why would you implement? https: //youtu. be/L_o. Xv. Xt. Ql. BA

Phase One: Department Ready • Leaders: OB Hospitalist, Nurse Educator, Department Chair, Department Nursing Management, OB Rapid Response Team • Location: Family Birth Center & Women’s Care Unit Simulation: High fidelity Low fidelity (in Situ simulation)

Our First STEPPS • Post Partum Hemorrhage – – Cart Staff Education Bakri Education Simulations

Phase Two: Formal Training and a Plan • Pre-Course work • Problem to Solve • Learn Tools To Use – – – – Performance Knowledge Attitudes Leadership Communication Situational Monitoring Mutual Respect

Educate Our Team • Nursing and support staff • Physicians • OB Leadership Team – Engage other departments • • • Pharmacy Blood Bank Rapid Response Anesthesia Trauma https: //youtu. be/VCc. LY 5 Lo. Cso

Team. STEPPS Framework and Competencies

Communication

Leadership

Situation Monitoring

Mutual Support

Mutual Support https: //youtu. be/7 -a 2 QBf. FQe. A

Second “STEPPS” • Sentinel Event- Acute Hypertension – – – – Multidisciplinary team established Adopt best practices/Evidence based Gain buy-in from physicians, nursing staff OB Rapid Response Team planning and role-out Formal Education/GNOSIS Simulations Debriefs and Process Improvements

Labetalol Protocol

Shoulder Dystocia

Fire In the OR • • • Joint Commission Site Visit Need Education Plan Simulations

Phase Three STEPPS • Sustainment – Monitor – Improve – Maintain schedule – Maintain metrics of quality improvement https: //youtu. be/X 7 X-uch. PHig

Resources • Fahey, J. O. , & Mighty, H. E. (2008). Shoulder dystocia: Using simulation to train providers and teams. Journal of Perinatal & Neonatal Nursing. 22(2), 114 -122. • Grobman, W. A. (2014). Shoulder dystocia: Simulation and a team-centered protocol. Seminars in Perinatology. 38(4) 205 -206 • Sorensen, A. , Poehlman, J. , Riggan, S. , Davis, S. , Miller, K. , Kahwati, L. (2015). Training for teamwork through in situ simulations. BMJ Innovations, 1(3), 144. • Team. STEPPS AHRQ website: http: //teamstepps. ahrq. gov