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CRITICAL INCIDENT STRESS DEBRIEFING IT COULD SAVE YOUR CAREER

CRITICAL INCIDENT STRESS DEBRIEFING IT COULD SAVE YOUR CAREER. Nancy Craven, MD, CCFP, FAAFP 2006 AMA-CMA Conference on Physician Health. In presenting this workshop, I have no relevant financial relationships to disclose. OBJECTIVES You will be able to:. Define “critical incident”

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CRITICAL INCIDENT STRESS DEBRIEFING IT COULD SAVE YOUR CAREER

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  1. CRITICAL INCIDENT STRESS DEBRIEFINGIT COULD SAVE YOUR CAREER Nancy Craven, MD, CCFP, FAAFP 2006 AMA-CMA Conference on Physician Health

  2. In presenting this workshop, I have no relevant financial relationships to disclose.

  3. OBJECTIVESYou will be able to: • Define “critical incident” • Explain the potential impact of a critical incident • Describe the steps in critical incident debriefing

  4. WHAT IS A CRITICAL INCIDENT? It is an event (or a cascade of events) that overwhelms normal coping mechanisms and can interfere with one’s usual ability to function. Note: Not every stressful event is a critical incident.

  5. CRITICAL INCIDENT EXAMPLES • An unexpected death of a patient (especially a child) • Suicide of a patient or colleague • Major trauma case where a doctor has inadequate back-up • Workplace violence • Natural disaster

  6. SYMPTOMS FOLLOWING A CRITICAL INCIDENT • Sleep disturbance • Inability to concentrate • Inability to make decisions • Loss of confidence • Extreme fear of making a mistake • Preoccupation with the incident • Social withdrawal

  7. WHY ARE DOCTORS AT RISK? • Image of perfection • Need to be in control • Secrecy about mistakes • Myth of being invincible

  8. COMMON UNHEALTHYCOPING STRATEGIES • Self-medication (alcohol, samples, self-prescribing) • Isolation • Blaming & anger • Over-compensation at work

  9. What is Critical Incident Debriefing? • Defusing Fact phase Thought phase • Debriefing Reaction phase Symptoms phase Teaching phase Wrap-up

  10. WHO CAN FACILITATE SESSIONS? • A respected member of staff • Willing to take CISD training • Willing to volunteer time and be available on short notice • Not involved in the incident they help others to debrief

  11. SESSION GROUNDRULES • Anyone involved may attend • Anyone not involved cannot attend • The group will keep confidential what is said in the debriefing • Purpose of debriefing is not to criticize or blame • Each participant’s view is valid

  12. USEFUL RESOURCES International Critical Incident Stress Foundation: http://www.icisf.org/ Seattle CISD website: http://www.metrokc.gov/health/ems/cism/index.htm CISD training (Vancouver): http://www.cisresponse.com/courses.htm

  13. DEMONSTRATION OF A DEBRIEFING SESSION

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