1. Admission Avoidance Improving Resident Safety through Care & Compassion
Communication

2. Non-technical skills headlines
Cognitive or mental skills:
Decision making
Planning
Situation awareness
Triage/prioritization
Efficient management of multiple residents
Care & Compassion
Social skills:
Team-working
Leadership
Communication
Effective coping with disruptions/distractions
Care & Compassion
Just give overview
© SaIL 2015

3. The acutely deteriorating resident - Non-technical skills
Teamwork
Leadership
Communication
Followership
Knowing your environment
Situational Awareness
Prioritization
Take an active role as the leader - Teams need a leader to take the command, gather the information and distribute the tasks.
This co-ordinating and planning role with good clear communication is far more important than knowing more than everyone else, doing everything alone or putting other people down.
Followership – concentrate on what is right NOT who is right – don’t follow blindly - & Challenge
Followership is equally important – it means being a good and important team member – listening to the leader and others around you, doing what is necessary for the patient
Communicate effectively “ Saying something is only communication if the message is received” “Address people directly.”
“ Acknowledge what you heard and confirm when you have completed a task.”
Know your environment - Things to know include
Who to ask for help?
Who is available at different times of the day? - days, nights, weekends
How to find the helpers quickly
How long will it take before that help arrives
Equipment – what do you have and where is it?
Also – how do you use it?
If you use something in frequently but may need it in a ‘crisis’ – check it regularly – review how to use it.
Situational awareness: Big picture – little picture – alternate Make sure you concentrate on the most important information. Situational awareness allows you prioritise information. ABCDE_ you wont miss an important detail Allocate your attention actively. Have others check certain aspects while you are doing other tasks”
© SaIL 2015

4. Communication
© SaIL 2015

5. What is Meant is not what is said What is Said is not what is heard
Communication
What is Meant is not what is said
What is Said is not what is heard
What is Heard is not what is understood
What is Understood is not what is done
It was never said, they meant to tell you but never said it
You don’t recall hearing it
You heard it but thought it was something else or for someone else
You can remember hearing it now but didn't do it because too many tasks given to one person / didn’t relay task list / paraphrase
© SaIL 2015

6. Effective communication
“ Saying something is only communication if the message is received”
“Address people directly.”
“ Acknowledge what you heard and confirm when you have completed a task.”
Active listening
Good team work relies on great communication – allowing everyone to be in the picture of what is going on, what has been done already and what is still waiting to be completed.
© SaIL 2015

7. Calling for help early
“Calling for help early is not a sign of low self-confidence;
it shows your respect and sense of responsibility for your patients safety.”
“Heroes’ are dangerous.”
© SaIL 2015

8. Sharing the mental model
Good team work relies on great communication –
allowing everyone to be in the picture of what is going on, what has been done already and what is still waiting to be completed
© SaIL 2015

9. Teamwork Summary Leadership Communication Followership
Knowing your environment
Situational Awareness
Prioritization
© SaIL 2015