Teamwork

Crew Resource Management Teamwork: Let’s Do This Together Randal Severson EMTP Education Coordinator ND EMS Association rseverson@ndemsa.org

Pit Crew CPR Empowers a team of responders to work together Two responders to the chest Third responder manages the airway

Crew Resource Management Set of training procedures four use in environments where human error can have devastating effects. Situational Awareness Authority may be respectively challenged Communication (verbal, nonverbal, visual)

Crew Resource Management The foundation of CRM rests on the collective power of the team. Rather than a “collection” of people. Collective is more powerful where all team members form a whole single unit designed to work at maximum efficiency. Everyone understands the mission.

Crew Resource Management 1978 United Airlines Flight 173. Original flight started in New York, Denver, Portland 189 people were on board from Denver to Portland Encountered landed gear issues and circled Portland for an hour

Crew Resource Management The Journal of Patient Safety study of deaths in a hospital setting. 2008-2013 Deaths due to medical errors was the 3rd highest reason Cardiac events and cancer were 1-2

Crew Resource Management Team members appreciate each of the following: The nature of the problem The skills, strengths, weaknesses and experience of their fellow team members What is likely to happen based on taking no action What is likely to happen if the team chooses a specific action. Desired outcome Strategy used by whom and when Any team member can respectively question the strategy

Crew Resource Management Respectively questioning the strategy: Assertive statement Using an opening statement that addresses the person by name Stating a concern as an owned emotion (I think we are heading for a problem) Stating the problem Offering a solution Obtain an agreement

Crew Resource Management Ability to identify and track errors mistakes Education and training in conflict resolution Develop a culture of learning from our mistakes Honestly admitting our mistakes and/or weakness COMMUNICATION AND OPEN MINDED

Situational Awareness Paying attention to what is going on around you. Ability to scan the environment and sense danger, challenges and opportunities, while maintaining the ability to conduct normal activites. Pay attention to your surroundings while not appearing to pay attention.

Crew Resource Management Post Incident Analysis (PIA) When things go right vs when things go wrong. Is there a need to discuss an event if all goes well? Motives: improving communications, performance, behavior and correcting inefficiencies. PIA for normal events-where’s the stress? Tailboard debriefing.

Crew Resource Management Techniques to conducting a “formal” PIA Gather data and facts while they are still hot. Select the correct moderator. Choose a time and place, Involve all relative participants Reconstruct the event. Deal with deficiencies.

Crew Resource Management Operate with an open and curious mind. Be respectful of team members and customers. Communicate well. Think before speaking. Honestly admit weaknesses or mistakes. Strive for high reliability through continued learning. Don’t be complacent.

Crew Resource Management Practice events. Competition maybe? Car wreck, active shooter, water rescue, HAZMAT, nursing home, tornado, school bus, plane, MCI, CPR, meth lab.

Questions