EMS and School Nurses Perfect Together: Using the Medicine Wheel to Enhance Communication and Teamwork Everitt F. Binns Ph.D.

Name Tag Exercise If you were putting together an ideal team to work with, what four qualities would you look for?Why?

“Counterclockwise, Red Eagle! Always counterclockwise!”

Definitions What is a team?

TEAM Collection of people who must rely on group collaboration if each member is to experience the highest level of success and goal achievement.

Individual Exercise List some teams that you have been a member of. Place a “*” next to those who were successful Why were they successful ? How did you feel?

Healthcare Service Teams Not a new concept. Were they effective? Teams “where it’s at” Coaching teams creates a “passion” for learning as well as a positive “passion” for the work of your organization !!!

Effective Teams Provide better ways: to share critical information. to delight and dazzle others. to simplify and improve communication. to develop a sense of trust. to “empower” everyone.

Characteristics of Effective Teams {Handout}

Conditions that Present Challenges to Effectiveness {Handout}

Another View Sports teams Winning teams Everyone has a role Handle “ the star” Problem performers Team ethics Team leadership Make something happen Practice/Practice/Practice Evaluate

Sports Team (cont.) Rules and Boundaries “The Sacrifice Fly” Quarterback gives credit to whom? COACHING !!!!!!!!!!!!!!!!!!!!!!!!!!

Team Stages “Form” Awareness (Theme) Orientation (Task) Dependency (Relationship)

Team Stages “Storm” Conflict (Theme) Resistance (Task) Hostility (Relationship)

Team Stages “Norm” Cooperation (Theme) Communication (Task) Cohesion (Relationship)

Team Stages “Perform” Productivity (Theme) Problem Solving (Task) Cohesion (Relationship)

Team Stages “Adjourn/Reform” Separation (Theme) Closure (Task) Celebration (Relationship) Success breeds Success >> Snowball

Medicine Wheel NORTH BUFFALO WEST BEAR EAST EAGLE SOUTH MOUSE

Ten Common Group Problems Floundering Overbearing participants Dominating participants Reluctant participants Unquestioned acceptance of opinions as facts

Ten Common Group Problems Rush to accomplishment Attribution Discounts Digression and tangents Feuding members

Effective Coach - Traits Facilitators Enthusiastic/Zealous/Passionate Attitude adjusters Care and work for students and effectively serve teams Encourage/Conviction/Faith in others Involved Vision of what can be Comes in all shapes, sizes, gender’s, etc.;

EMS PAST, PRESENT & FUTURE Emergency Medical Services

Importance of history

Where we are now

Automatic External Defribrilators

Chest Compression Only CPR

Real-time feedback examples

AHA 2010 Guidelines C-A-B Uninterrupted chest compressions Waveform capnography Deemphasized: Intubation Drugs Mechanical CPR

Keys to Coaching EMS & School Nurse Teams Coordination Control Corrections Clarity Communication Conflict Management Competency Commitment

If you don’t know where you are going, how will you know when you get there?

Effective Methods for Working Together Create an Environment: Problem solving Innovation/preparedness Leadership/professionalism Self motivation Positive outcomes Increase quality of patient care Barriers are removed

CONTACT YOUR EMS AGENCY DISCUSS AREAS OF MUTUAL CONCERN IDENTIFY OPPORTUNITIES TO ASSIST ONE ANOTHER DEVELOP A PLAN Recommendations for Working with Your EMS Agency

Team Effectiveness Questionnaire “Handout”

Building Individual Strategies and Team Results “Handout”

Assignment Next 48 Hours Teach Someone “The Medicine Wheel” Contact Two Other Individuals to Begin Your Team Vision

Ending Loa Tsu Sailing Star Fish Namaste