1. Foundations of Interprofessional Collaboration (FIPC): An Introduction to TeamSTEPPS® LEVEL 3 Focusing on Teamwork in the Clinical Environment Helping You Help Your Patients!

2. Teamwork Is All Around Us
Interprofessional Collaboration Takes:
Shared values and ethics for collaboration
Understanding and respect for the roles and responsibilities of all team members
Excellent communication skills
Enhanced teamwork skills
Reviews the IPEC competencies that the FIPC program is trying to achieve with the learners.

3. TeamSTEPPS® Key Principles
Team Structure
Identification of the components of a multi-team system that must work together effectively to ensure patient safety
Leadership
Ability to maximize the activities of team members by ensuring that team actions are understood, changes in information are shared, and team members have the necessary resources
Situation Monitoring
Process of actively scanning and assessing situational elements to gain information or understanding, or to maintain awareness to support team functioning
Mutual Support
Ability to anticipate and support team members’ needs through accurate knowledge about their responsibilities and workload
Review ofTeamSTEPPS program, key principles, and how this is foundational to function of interprofessional teams.
Communication
Structured process by which information is clearly and accurately exchanged among team members

4. Recipe for a High-Functioning Interprofessional Teamwork
Key Ingredients
Team Structure and Process
Huddle
Leadership and Followership
All Voices
Role and Task Delegation
Communication Skills
Closed-loop
SBAR
Team Dynamics
Psychological Safety
Open and inclusive

5. The Huddle
Huddles are quick team meetings to review patient information and decide on a plan of care approach.
A huddle helps the team be on the same page and adjust the plan based on changes.
The second is called a huddle.

6. When to Huddle Patient status changes Team members change
1. At the beginning of a patient encounter.
2. During a patient encounter when..
Patient status changes
Team members change
Treatment is not working or additional needs
In the first video. You will see that Dr. Waxman communicated and directed roles to specific people on the team.
In the second video, Dr. Waxman conferred with each team member and asked for their input and then confirmed their next steps.

7. The Huddle Call the huddle Identify a leader Summarize the situation
Get input from team members
Create a plan and confirm with the team
Delegate roles and tasks using closed-looped communication
What is a huddle. A quick team meeting

8. How long and how often should we Huddle?
Timing will vary
Patient Unstable (10-30 seconds)
Patient Critical but Stable (1-2 minutes)
Patient Stable (3-5 minutes)
Multiple Patient Huddles (10-20 minutes)
Typically think about huddling at least twice

9. Leadership and Followership
Teams need leadership
Team leaders set the tone and impact dynamics of the team
Critical for helping to facilitate teams and delegate tasks
Teams need followership
Engaged and empowered followers
Speak up and support team function
Situational leadership

10. Communication Skills Open environment where all voices are heard!
TeamSTEPPS® Communication Tools
Closed-loop communication
Call-outs and Check-backs

11. Features of Effective Closed Loop Communication
Be specific about WHO you are speaking to.
Use names, eye contact or point.
Be specific about WHAT you want them to do.
Request acknowledgement and notification when task is complete (CHECK-BACK).

12. What does Closed Loop Communication look like during role assignment?
Dr Jones, we’re ready to push 1 mg of Epi when you are.
Roger, I’ll let you know when the Epi is ready to push.
Erin, will you check the IV, pull up 1 mg of Epinephrine and let me know when you are ready to give?
Demonstrate

13. Team Dynamics
There is a major relational factor that impacts teamwork!
Emerging evidence suggests that the highest-functioning teams establish Psychological Safety for everyone on the team
Aware of potential hierarchy
Mutual respect
Open environment
Actively encourage and include all voices
Non-threatening and no disruptive behavior

14. Thank You for Listening!