Question

Case Study: Emergency Resuscitation Requires Teamwork
Medical officer Simon was in the cafeteria eating a late lunch. Halfway through his meal, a cardiac arrest announcement was made over the public address system. He ran to get the lift up to the fifth floor ward where the emergency was. It was peak hour and the lifts were busy. By the time he reached the patient, a nurse had wheeled in the cardiac arrest trolley and another nurse had an oxygen mask on the patient.

“Blood pressure, pulse, heart rate?” yelled the doctor. A nurse grabbed a blood pressure cuff and began to inflate it. The nurse holding the oxygen mask tried to find a pulse on the patient’s wrist. The medical officer shouted for an ECG monitor to be placed on the patient and for the of the bed head to be lowered. The nurses tried to obey his orders; one stopped trying to get the blood pressure and lowered the bed. This made the oxygen mask fall off as the tubing gets caught in the side panels of the bed.

Simon became agitated. He had no idea of the heart rate or rhythm. The patient did not seem to be breathing. The heart monitor came on and showed ventricular fibrillation. “Pads and 50 joules,” called Simon. The nurses look at him and say, “What?” “Pads and 50 joules, stat!” Simon replied. “Call a doctor, any doctor, to come and assist me now!” he yelled. They could not revive the patient.

QUESTION

Read the Emergency Resuscitation Requires Teamwork case.
Analyze the case in terms of the following collaboration team competencies and address the extent to which the team worked collaboratively
Respect the other members of the team and those peripheral too the team
Work interdependently with other team members
Communicate (for operational purposes) effectively with other team members
Refrain from domineering or demeaning behavior that inhibits communication and the effective performance of others in the team
Answer these additional questions:
What circumstances may or may not have contributed to the team working in collaboration?
What changes would you recommend for these team members to improve collaboration?

Answer 1

Analyze the case in terms of the following collaboration team competencies and address the extent to which the team worked collaboratively

Cooperation change endeavors require an observational learning of collaboration qualities and supporting highlights that assistance or obstruct its change. The present proof needs such learning, particularly in injury EDs. Collaboration practice might be distinctive in different consideration settings, so examines in various societies and settings of medicinal services framework are imperative. Considering the significance of cooperation in enhancing the nature of consideration, the way that the absence of collaboration might be ascribed to some unfavorable events, and the individual experience of the creators in EDs, the present investigation was led to investigate inter professional collaboration and its change techniques in EDs of a recently settled injury crisis focus.

Respect the other members of the team and those peripheral too the team

The members were selected utilizing purposive examining among attendants and bosses who had something like 1 year involvement in injury ED. Information were produced from two center gathering interviews with 11 medical attendants and 5 chiefs, independently, and six top to bottom individual meetings with 4 attendants and 2 administrators, two preceding and four after the center gatherings to elucidate the past center gatherings' information. Meetings started with a general inquiry, for example, "Would you clarify a circumstance in which you encountered cooperation in injury ED?" and continued with testing inquiries to elucidate the data and give rich information. Each meeting kept going around 20-108 min. Information age proceeded until the point that information were soaked.

Work interdependently with other team members

Thus, the codes, classes, and topics were developed. Reliability of validity and constancy was guaranteed by delayed commitment with members and data(researchers having background in injury crises and around 1 year nearness in the examination setting preceding and amid information gathering, and information inundation), part checking by five members, triangulation of center gathering and individual meetings, and companion checking by two experienced subjective specialists.

Morals panel endorsement and authorization from healing center's executive and experts were acquired. The members were additionally given a clarification of the investigation and were educated that their cooperation was willful and that they could pull back from the examination whenever. Educated assent was acquired from the members; secrecy and information insurance were guaranteed.

Communicate (for operational purposes) effectively with other team members

An essential impediment to collaboration in injury ED was improper proportion of workforce to remaining burden and some colleagues' nonappearance every so often because of assortment of undertakings. Precedents are doctors occupied in the working room, or medical caretakers engaged with the consideration of other fundamentally patients or going with different patients to radiology. Disappointment of the two attendants in the first ward and medical caretakers from different wards was likewise detailed. Getting ready particular medical attendants to help ED nurture in swarmed times, expanding the quantity of medical caretakers, envisioning events of nonattendance of colleagues and making a move in like manner, and characterizing attainable undertakings and outstanding burden were the other recommended arrangements.

Different properties and systems that enhance the viability of the group are identified with colleagues' capability (counting competency, responsibility, duty, and still, small voice), compelling administration, feeling of self-governance, and correspondence style.

Refrain from domineering or demeaning behavior that inhibits communication and the effective performance of others in the team

Successful initiative is identified with pioneer's traits, job execution, and nearness. Pioneer's traits were depicted as power, specialized and administrative abilities, and being compelling. The primary recognized pioneer jobs were to decide, organize, arrange, direct, and pursue the patient administration. Likewise, coordination was viewed as an imperative part of collaboration. Be that as it may, examples of irregularity in prioritization of activities and composing orders among claims to fame were accounted for. Quieting the atmosphere was viewed as imperative in basic state of injury EDs. Attendants whined that a few doctors drive them to rush, which incites pressure, upgrades the rate of their damage (needle sticks, and so on.), run exasperates cooperation.

Answer these additional questions:

What circumstances may or may not have contributed to the team working in collaboration?

Absence of regard, compassion, and compatibility was additionally deciphered as block to cooperation. A few medical caretakers griped about the doctors' and chiefs' absence of understanding their remaining burden. One objection was that a few doctors anticipate that they will do various activities without capturing the way that doing is more troublesome and tedious than requesting. They trusted that a few doctors belittle their printed material and some think a medical caretaker who is sitting in the nursing station is latent, and so forth.

Measures, for example, enlistment of able colleagues, nonstop preparing, empowering transaction and accord on the arrangement of consideration, association and directing, coherence in the pioneer's essence, and getting ready pioneers for their jobs were suggested.

What changes would you recommend for these team members to improve collaboration?

A few measures are coordinated to oversee basic states of injury EDs, incorporating plans to manage basic state of injury EDs and work environment security. A few conditions had been experienced as often as possible in injury EDs. These incorporate upsetting atmosphere, vacillation in remaining task at hand as indicated by daytime or season, high turnover, high number of patients in EDs and post-ED wards, concurrent entry of different patients that may avert far reaching care, and so on. Arrangement for these conditions through wanting to oversee injury EDs in swarmed times and something else, characterizing standard planning of activities particularly in revival room, and advancement of test goals and elective designs were extricated from the members' announcements.