Question

Purpose To assess your ability to analyze the knowledge from this week’s readings to complete this assignment. Action It...

Purpose

To assess your ability to analyze the knowledge from this week’s readings to complete this assignment.

Action Items

Read the Emergency Resuscitation Requires Teamwork case.

Analyze the case in terms of the following collaboration team competencies from Chapter 7 and address the extent to which the team worked collaboratively (4 paragraphs) Compose your paper in MS Word.

Respect the other members of the team and those peripheral too the team

Work interdependently with other team members

Communicate (for operational purposes) effectively with other team members

Refrain from domineering or demeaning behavior that inhibits communication and the effective performance of others in the team

Answer these additional questions (2 paragraphs):

What circumstances may or may not have contributed to the team working in collaboration?

What changes would you recommend for these team members to improve collaboration?

Case Study: Emergency Resuscitation Requires Teamwork

Medical officer Simon was in the cafeteria eating a late lunch. Halfway through his meal, a cardiac arrest announcement was made over the public address system. He ran to get the lift up to the fifth floor ward where the emergency was. It was peak hour and the lifts were busy. By the time he reached the patient, a nurse had wheeled in the cardiac arrest trolley and another nurse had an oxygen mask on the patient.

“Blood pressure, pulse, heart rate?” yelled the doctor. A nurse grabbed a blood pressure cuff and began to inflate it. The nurse holding the oxygen mask tried to find a pulse on the patient’s wrist. The medical officer shouted for an ECG monitor to be placed on the patient and for the of the bed head to be lowered. The nurses tried to obey his orders; one stopped trying to get the blood pressure and lowered the bed. This made the oxygen mask fall off as the tubing gets caught in the side panels of the bed.

Simon became agitated. He had no idea of the heart rate or rhythm. The patient did not seem to be breathing. The heart monitor came on and showed ventricular fibrillation. “Pads and 50 joules,” called Simon. The nurses look at him and say, “What?” “Pads and 50 joules, stat!” Simon replied. “Call a doctor, any doctor, to come and assist me now!” he yelled. They could not revive the patient.

Reference

Case from the World Health Organization Patient Safety Curriculum Guide (2006), p. 131. Supplied by Ranjit De Alwis, International Medical University, Kuala Lumpur, Malaysia. Available from http://www.who.int/patientsafety/activities/technical/who_ps_curriculum.pdf

Submission Instructions

Complete and submit this assignment per your professor’s instructions.

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Answer #1

Health care team comprises of multidisciplinary task on account of its members but all should be in a uatesyatematic way using a common language. This involves a great need of adequate communication among the team members. All the members of the health care team should have a mutual understanding, common goal and readiness to cooperate and respect each other whether it is inside or outside the facility.

One person along cannot manage the entire health care services. It involves a vast link of communication and staffing from various department of various specialities making health care a multidisciplinary team.

The language used for exchange of information and its proper timely communication needs a common tool to be used. Usually in present hospital settings ISBAR technique is used for communication and escalation of information from one level to another.

Domineering should be avoided as it will effect the attitude of the staff working, their dedication towards work that will finally result in a poor work outcome.

In the above mentioned case scenario, the pathway that has to be followed during a code is absent. No systematic approach is made on the part of doctors and nurses. The nurses are not properly educated regarding managing a code. Poor staffing is seen and the lack of use of a common language for communication has developed confusion among them.

In this case,

  • the staffs should undergo the manadatory course for life support courses.
  • A proper code blue guidelines and protocol should be established.
  • All the staff should be aware about the used of SBAR technique for communication
  • Adequate staffing and a well developed code blue team is the must.
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