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CLINICAL SKILLS Managed Educational Network Excellent skills for excellent care

CLINICAL SKILLS Managed Educational Network Excellent skills for excellent care. Multidisciplinary Simulation-based Adhoc Team Training. Aim. To develop a novel training intervention to: Improve leadership and teamworking within an adhoc multidisciplinary team

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CLINICAL SKILLS Managed Educational Network Excellent skills for excellent care

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  1. CLINICAL SKILLSManaged Educational NetworkExcellent skills for excellent care Multidisciplinary Simulation-based AdhocTeam Training

  2. Aim • To develop a novel training intervention to: • Improve leadership and teamworking within an adhoc multidisciplinary team • Improve the initial assessment/resuscitation of the acutely unwell patient

  3. Methods 1 • 60 min session • 6 participants (mix of nursing/foundation/medical/anaesthetic) • Integrated into working day • Short interactive presentation • Round table practice of communication skills • Simulated scenario & debrief

  4. Methods 2 • Results • Pre & post course questionnaire including modified ORMAQ questions pertaining to Confidence Assertion, Information Sharing, Teamwork, Leadership • Clinical time points measured during standardised scenario • Situation awareness tool at close of scenario

  5. What Does our Team Need? • All Members need to: • Know what the common goal is • Know what steps have been taken • Know what the next steps are Shared Mental Models We want a proactive team

  6. Leader 1 2 3 6 4 5 ?nurse ?FY1 ?ANP ?SHO ?ANP ?SHO ?AnaesReg ?you ?nurse ?FY1 ?Med Reg x X X We all need some leadership skills

  7. SBAR in Team Assembly • Situation • This lady was found collapsed in the bathroom, she was surrounded by vomit • Background (if we know it) • I don’t know any further history at the moment • Assessment so far • She is maintaining her airway and has crackles in her right chest • Recommendation (delegation) • Can you get iv access

  8. Individual Skills Assertiveness Toolkit • Think VOLUME! • Use names when delegating tasks: • ‘can someone get iv access’ • Don’t sugarcoat requests: • ‘I was wondering if you would mind…?’ • ‘would it be possible for you to…?’ • Develop a few phrases to get you out of sticking points • ‘Can I clarify…..?’ (goals, tasks required, plan) John

  9. Team skills • Introductions – name, grade, indication of competencies • Update arriving team members – short & snappy SBAR! • Discuss progress with the whole team – ABCDE, working diagnosis, management plan

  10. Leadership Skills Leadership can appear daunting… • Speaking up assertively goes a long way • Sharing the goal/tasks/plan is the major role Leader does not need to have all the answers – but needs to be able to draw them from the team

  11. The story so far… • 1st Pilot session completed • Further 6 refining sessions before August • Roll out with new intake medical staff in August Very open & unintimidating Theory prior to this session was useful Really good to work with the other people who answer the 2222

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