{"id":1208,"date":"2017-08-17T00:38:24","date_gmt":"2017-08-17T00:38:24","guid":{"rendered":"http:\/\/emedsa.org.au\/CoreMed\/?p=1208"},"modified":"2017-08-17T00:56:26","modified_gmt":"2017-08-17T00:56:26","slug":"critical-communication","status":"publish","type":"post","link":"http:\/\/emedsa.org.au\/CoreMed\/2017\/08\/17\/critical-communication\/","title":{"rendered":"Critical Communication"},"content":{"rendered":"

Tweet<\/a><\/p>

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Inadequate communication is a potential cause for adverse incidents. \u00a0It is particularly important in the dynamic, emotionally charged and information dense environment\u00a0of the resuscitation room<\/p>\n

Elements of\u00a0good communication include being:<\/p>\n

Specific<\/strong><\/span><\/p>\n

Not\u00a0‘Please get the monitoring on’<\/em><\/p>\n

But ‘I want the Sats, BP and ECG monitor on. \u00a0And call out the first BP reading within 2 minutes’\u00a0<\/strong><\/p>\n

Not ‘Start compressions’<\/em><\/p>\n

But ‘Sam. \u00a0Start compressions. \u00a0Luke. \u00a0Be on standby to takeover in 5 minutes’<\/strong><\/p>\n

Unambiguous<\/strong><\/span><\/p>\n

Not ‘I think I can feel a pulse’<\/em><\/p>\n

But ‘I am not confident I can feel a pulse. \u00a0Can you check for me?’<\/strong><\/p>\n

Concise<\/strong><\/span><\/p>\n

Not ‘We are just finishing up a case in theatre and need to clean it down first before we are ready’<\/em><\/p>\n

But ‘The theatre will be ready in 15 minutes’<\/strong><\/p>\n

Future-planning<\/strong><\/span><\/p>\n

Not ‘I want you to do a FAST scan’<\/p>\n

But ‘Once the monitoring is on, lines are in, fluids connected, we will do the CXR and I will give you 5 minutes to\u00a0do an eFAST. \u00a0Everyone\u00a0gown up now. \u00a0After that we will finish the trauma series whilst continuing fluid resuscitation’<\/strong><\/p>\n

Not ‘At some point we are going to need a CT’<\/em><\/p>\n

But ‘I would like the patient ready for CT in 10 minutes. \u00a0Can you get ready for that’<\/strong><\/p>\n

Goal-directed<\/span><\/strong><\/p>\n

Not ‘Let’s give some blood’<\/em><\/p>\n

But ‘Give 2 units of blood and reassess the situation in 10 minutes. \u00a0I am targeting a SBP over 100’<\/strong><\/p>\n

Anticipate multiple contingencies<\/strong><\/span><\/p>\n

Not ‘Let’s give a bag of saline’<\/em><\/p>\n

But ‘If one litre of saline doesn’t bring the BP over 100 or the HR down then we will commence blood’<\/strong><\/p>\n

Not ‘we might go straight to theatre instead’\u00a0<\/em><\/p>\n

But ‘If he remains stable over the next 5 minutes we will go to CT. \u00a0Make preparations now’. \u00a0‘If he destabilises here or in CT we will abandon the procedure and go straight to theatre’<\/strong><\/p>\n

Pre-notifies all stakeholders<\/strong><\/span><\/p>\n

Not ‘He might be a candidate for embolisation’<\/em><\/p>\n

BUT ‘Can you put the interventional radiologist on standby now and inform he we have an haemodynamically unstable severe pelvic trauma who we are currently resuscitating’<\/strong><\/p>\n

Confirms understanding (read-back)<\/strong><\/span><\/p>\n

Not ‘OK. Team leader’<\/em><\/p>\n

But ‘Yes Team Leader. \u00a0We are getting the transport monitor and calling the PSA now’<\/strong><\/p>\n

 <\/p>\n

Reflect on how many ways in which you can sharpen up your communication both in critical and non-critical situations so that the message gets across and acted on in timely fashion<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"

Tweet   Inadequate communication is a potential cause for adverse incidents. \u00a0It is particularly important in the dynamic, emotionally charged and information dense environment\u00a0of the resuscitation room Elements of\u00a0good communication… Read more »<\/a><\/p>\n","protected":false},"author":1,"featured_media":1209,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","filesize_raw":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-1208","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/1208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/comments?post=1208"}],"version-history":[{"count":8,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/1208\/revisions"}],"predecessor-version":[{"id":1217,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/1208\/revisions\/1217"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/media\/1209"}],"wp:attachment":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/media?parent=1208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/categories?post=1208"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/tags?post=1208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}