Incoming Presidential Address - c.ymcdn.com · synergia συνέργια from synergos, ......

American Pediatric Surgical Nurses Association 111 Deer Lake Rd., Suite 100● Deerfield, IL 60015 ● http://www.apsna.org

23rd Annual Scientific Conference | May 26-29, 2014 | Phoenix, AZ

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Incoming Presidential Address

Kindling Synergy: Building Effective Teams

Chris McKenna, MSN, CRNP Children’s Hospital of Pittsburgh of UPMC

Disclosure Information Speaker: Chris McKenna

I have no disclosures.

Accreditation Statement APSNA is an approved provider of continuing nursing education by NAPNAP. The NAPNAP contact hours is accepted by ANCC.

Objectives

Upon completion of this presentation, participants will be able to: •  Define teams and teamwork •  Describe essential roles of team members •  Discuss characteristics of high-functioning

teams



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“The greater our knowledge increases the more our ignorance unfolds”

-John F. Kennedy

How many of you think John F. Kennedy was a good president?

How long did it take to replace him?

Wednesday, April 9, 2014 8:05 AM

•  Trauma pager: Level 1, 15 yo male, stabbed in chest and abdomen at school, difficulty breathing, coming by STAT, ETA 12 minutes



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Wednesday, April 9, 2014 8:12 AM

•  Trauma pager: Level 1, 16 yo male, stabbed in chest at school, difficulty breathing, coming by STAT, ETA 10 minutes

Synergy (Wikipedia)

Synergy is the interaction of multiple elements in a system to produce an effect

different from or greater than the sum of their individual effects.

The term synergy comes from the Greek word synergia συνέργια from synergos, συνεργός,

meaning "working together".

Definitions of Team

Wikipedia: A team comprises a group of people or animals linked in a common purpose. Teams are especially appropriate for conducting tasks that are high in complexity and have many interdependent subtasks.

Merriam Webster Dictionary: 1team noun \ˈtēm\

•  a group of people who compete in a sport, game, etc., against another group

•  a group of people who work together •  a group of two or more animals used to pull a wagon, cart,

etc.

Group Team



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Definition of Teamwork

From The Business Dictionary: “The process of working collaboratively with a group of people in order to achieve a goal.”

“Teamwork has its own arithmetic. Combine two or more people with a

common goal and suddenly one-plus-one is more than two.”

-Dan Zadra

Examples of Teams



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Cincinnati

Undergrad

Cincinnati



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Mike Hirsh, MD

Massachusetts

Mike Hirsh, MD

Massachusetts



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Pittsburgh

Pittsburgh

Barb Gaines, MD

Pittsburgh



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Trauma Program

Why Are Teams Important?

Command Physician- Surgical Fellow or

Senior Surgical Resident

Airway Management Physician-

CCM Fellow

Assisting Surgeon Right-

Junior Surgical Resident

Respiratory Therapy

Trauma Physician Left -ED Resident

Trauma RN Right

Trauma RN Left

Airway Management Physician Backup-

Anesthesia / CCM Attending

Assists Command Physician with assessment and stabilization of

injuries

Responsible for medical/surgical intervention as

directed by Command Physician

Provision of patient care at the direction of the

Command Physician

Assumes overall responsibility for

trauma resuscitation, team function, and

code evaluation. Assigns area(s) of management to individual team

members

Provision of patient care at

the direction of the Command

Physician

Trauma PCT Left

Stabilization and management of

airway with C-spine precautions at the direction of the

Command Physician

Assists with stabilization and management of

airway at the direction of the

Command Physician

Management of ventilatory support at the direction of

the Airway Management Physician or

Command Physician

Medication RN

Responsible for all resuscitation medications, and provision of patient care at the direction of

the Command Physician and Airway Management

Physician

Documentation RN

Ensures accurate and complete Trauma

Flow Sheet documentation

Trauma Surgical Attending Physician

Oversees trauma

resuscitation

ED RN Clinical Leader

Ensures appropriate staffing for trauma

resuscitation

Emergency Department Attending Physician

Oversees trauma

resuscitation

Emergency Department Fellow or Resident

Physician

Role TBD



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Back to our story…

•  At Children’s – 1 patient emergently to OR – 1patient with chest tube in trauma bay – 3 treated and released

Franklin Regional

•  22 patients •  Four helicopters (with two more on

stand-by), 11 ambulance companies – Closest trauma center- 8 patients – 3 other trauma centers- 1 patient each – Children’s- 5 patients – Non-trauma center- 10 patients (some

transferred)

Current Status



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Examples of Teams

•  Sports •  Healthcare •  Industry •  APSNA

Roles of Team Members

•  Leader •  Content Expert •  Devil’s Advocate •  Detective •  Cheerleader

•  Doer •  Problem-solver •  Other roles

•  What makes a good day?



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•  What makes a good day? – Got lots checked off my to do list – Left (relatively) on time – Adrenalin rush

Principles of Team-based Health Care

•  Shared Goals •  Clear Roles •  Mutual Trust •  Effective Communications •  Measurable Processes and Outcomes

Characteristics of High Functioning Teams

•  Cooperation •  Equality •  Coordination •  Engagement



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APSNA

•  Mission: To promote excellence in pediatric surgical nursing practice through educational offerings, nursing research, professional collaboration, and peer support.

•  Vision: All pediatric surgical patients will receive the highest quality nursing care that is patient and family centered.

APSNA

•  Values: quality, compassion, family-centered, respect for diversity

•  Goals & Objectives: – To promote the subspecialty of pediatric

surgical nursing – To serve as a resource for and provider of

pediatric surgical nursing education and research

– To provide a networking structure – To maintain communication systems

Why Are Teams Important?

•  Patient Safety •  Patient and Family Centered Care/The

Patient Experience •  Patient Satisfaction



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How To Build Effective Teams

•  Formal Program – Crew Resource Management – Team STEPPS

•  Plan •  Practice – Simulation

•  Debrief •  Communicate, communicate,

communicate

Communication is Everything!!!

Five Processes to Improve High-Risk Team Effectiveness

1) Maintain Situational Awareness 2) Talk to the Room 3) Explicit Reasoning 4) Speaking Up 5) Closed-loop Communication



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•  Vision for your life? •  Vision for your career? •  Vision for APSNA?

•  My commitment to you… APSNA membership and fellow board members…

The Breakfast Club



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“Understanding and accepting diversity

enables us to see that each of us is needed. It also enables us to begin to think about

being abandoned to the strengths of others, of admitting that we cannot know

or do everything.” -Max DePree

“ We Save Lives”

High Functioning Teams APSNA

Challenge: How do we harness all of the talent, energy, and enthusiasm in this room and this organization?



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Opportunities

•  Share your expertise – Poster – Oral Abstract – Presenter – Teaching Sheet – Journal author

Opportunities

•  Share your ideas and enthusiasm – Committee – SIG – Board

Opportunities

•  Share your opinion – Complete your evaluation!!! – Send me an email: [email protected] – Call me! 412-692-6503 – Text me! 412-605-8184



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If you want to travel fast, go alone. If you want to

travel far, go together. (African Proverb)



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"Alone we can do so little; together we can do so much.“ -Helen Keller

CHP Team



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“Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the

only thing that ever has.” -Margaret Mead

References

Clark, R. & Greenawald, M. (2013). Nurse-physician leadership: Insights into interprofessional collaboration. Journal of Nursing Administration, 43, 653-658.

Putnam, J., Ikeler, S., Raup, G., & Cantu, K. (2014). There’s no “I” in team: Evaluating nurse-physician collaboration. Nursing Management, January, 10-14.

Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb., C., … Von Kohorn, I. (2012). Core principles & values of effective team-based health care. Discussion Paper, Institute of Medicine. Washington, DC. www.iom.edu/tbc.

Zadra, D. (2006). Together we can: Celebrating the power of a team and a dream. Seattle: Compendium, Inc.

Salas, E., Tannenbaum, S., Cohen, D., & Latham, G. (2013). Developing and enhancing teamwork in organizations: Evidence-based best practices and guidelines. Danvers, MA: Jossey-Bass.

Children’s Hospital Association. (2013). Building Effective Teams. Retrieved from chex.omnisocialpc.mzinga.com

Incoming Presidential Address - c.ymcdn.com · synergia συνέργια from synergos, ......

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