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Team Building

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Team Building. NPN 215. Composition of the Health Care Team. Physicians. Paramedics/EMT's ... Team Building. Members of the team may be from all different directions ... – PowerPoint PPT presentation

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Title: Team Building


1
Team Building
  • NPN 215

2
Composition of the Health Care Team
  • Physicians
  • Paramedics/EMTs
  • RN/LPN/NA/Unit clerk
  • X-ray/Lab
  • Respiratory/PT/OT/Speech
  • Surgical Techs
  • Transporters/Medical records
  • Pharmacist
  • Minister/Social worker
  • Dietitian/Housekeeper
  • Outpatient

3
Nursing Role in the Team
  • Nursing Staff
  • Unit managers
  • RNs (3 million in US)
  • AND, Diploma, BSN, MSN, Advanced Practice RN,
    DR.
  • LPNs (700,000)
  • Student nurses
  • NAs
  • Unit secretary

4
5 Nursing Roles
  • Professional
  • Provider of care
  • Manager of care
  • Teacher
  • Researcher

5
What is a Team
  • People who come together to fulfill a specific
    purpose
  • Teams may be ongoing or formed for a specific
    purpose
  • They are a small number of people with
    complementary skills who are committed to a
    common purpose and hold themselves responsible
  • Teams are both more or less efficient than
    individuals

6
Team Building
  • Members of the team may be from all different
    directions
  • Teams are not perfect when first put together
  • Michael Jordan and Arnold Palmer on a soccer
    team
  • Teams must be put together carefully and caringly

7
Characteristics of a Team
  • Must have a clear goal
  • Must have a result driven structure
  • Must have competent members
  • Must have unified commitment
  • Must be a collaborative climate
  • Must have a standard of excellence
  • Must have external support and recognition
  • Must have a leader with standards of excellence

8
Team Work
  • The health care environment does not allow us to
    work independently
  • Patients have multiple and complex needs
  • Teamwork is essential to quality, timely and cost
    efficient care

9
Time Management
  • Defined as a set of related common-sense skills
    that helps you use your time in the most
    effective and productive way possible
  • Or it allows us to achieve more with the
    available time we have

10
Time Management
  • Requires a shift from being busy to getting
    things done
  • Pareto principle 80 of unfocused effort
    results in 20 of the results or 20 of focused
    efforts results in 80 of the outcomes

11
Use of Time
  • 25 of the nurses time is spent charting and
    reporting
  • 30-35 is spent on direct patient care
  • The rest is spent on admission and discharge,
    professional communication, personal time, and
    providing care that could be provided by
    unlicensed personnel, such as transportation and
    housekeeping.

12
How to Use Time Effectively
  • Know the big picture
  • Priority setting is the most critical skill
  • Constant assessment and re-prioritization of
    patient needs occurs
  • Must decide what needs immediate attention and
    what can wait, based on the patients condition
    and responses to care

13
Priority Traps
  • Do whatever hits first trap
  • Taking the path of least resistance trap
  • Responding to the squeaky wheel trap
  • Completing tasks by default
  • Relying on misguided inspiration

14
Setting Priorities
  • Use Maslows Hierarchy of Needs
  • Not every patient can be first (ER sees critical
    urgent can wait to be seen)
  • Always protect patients and maintain safety of
    patient and staff first

15
Priorities
  • ABCs and equipment used to support these
    systems
  • Vitals, LOC, pain, IV access, cardiac rhythm, O2,
    suction, UOP, etc.
  • Urgent patients
  • Safety and security
  • Non- urgent patients
  • Love and belonging, self-esteem, self
    actualization

16
First Look Approach
  • Overall
  • Airway sounds
  • Nasal flaring
  • Eye contact
  • Speech
  • Interactions
  • Posture
  • Pain
  • LOC

17
First Look Approach
  • Circulation
  • Color
  • Flushed
  • Cyanotic
  • Presence of IV or oxygen
  • Drainage
  • Urine
  • Blood
  • Gastric
  • Stool
  • sputum
  • Breathing
  • Rate, symmetry, depth
  • Positioning
  • retractions

18
Patient Care Rounds
  • May be done after information is given to you in
    shift report
  • Perform rapid assessments
  • May need to reorganize the plan for the shift
    based on patient needs
  • Physician orders may change prn
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