Teamwork Non Technical Skills Catherine Jones October 2017

Teamwork & Non. Technical Skills Catherine Jones October 2017

Teamwork “ … set of interrelated behaviours, actions, cognitions & attitudes that facilitate the required task work that must be completed. . ” Sevdalis (2013) Non-technical skills & the future of teamwork in healthcare settings. Patientsafety. health. org. uk

An expert team?

A Team of experts? 4

ANTS model

Co-ordinating Activities Team-working Exchanging Information Using authority & assertiveness Assessing capabilities

Planning & Preparing Task Management Prioritising Providing & maintaining standards Identifying & utilising resources

Situational Awareness is the perception of the elements in the environment within a volume of time and space, the comprehension of their meaning, and the projection of their status in the near future. Situational Awareness Or… Know what’s going on around you…. . 3 Good Questions: What's happened? What's happening? What might happen?

Decision Making 1. Identify Options 2. Balance Risks & Select Options 3. Re-evaluate

Consider these aspects of team work whilst watching the following film Martin Bromley ‘Just a Routine Operation’ You Tube Running Time – 13 min 56 secs https: //www. youtube. com/watch? v=Jzlvgt. PIof 4

Final Thought

SBAR ØA tool to improve verbal communication between healthcare professionals in a variety of circumstance – escalating concerns, handove. ØConsists of standardised prompt questions to provide a structured framework

SBAR Situation – What is happening? “The patient’s Sp. O 2 & Tidal Volumes have dropped” Background – What is the background? “The patient has just woke up & coughed. The patient had lots of pluggy secretions prior to transfer” Assessment – What do I think the problem is? “I think the patient has plugged off and this is affecting their ventilation” Recommendation – What would I recommend? “I think we should pre-oxygenate & suction”

GRADED ASSERTIVENESS P A C E

Probe “ Do you know that the patient’s Sp. O 2 & Tidal Volumes have dropped” Alert “ Can we reassess this situation? I think the patient has plugged off and this is affecting their ventilation ” Challenge “Please stop what you are doing – I will get someone to help you” Emergency “Stop what you are doing it isn’t safe. ”

Non – Technical Skills Cognitive Decision Making Situational Awareness Social Leadership Communication Personal Resources Management & awareness of stress & fatigue Sevdalis (2013) Non-technical skills & the future of teamwork in healthcare settings. Patientsafety. health. org. uk