The Performance Of A Dysfunctional Team

Communication: Today I had the pleasure of being in both the pre-operative and post-operative units. Communication within the members of both the teams were very efficient. I noticed the nurses work much more independently and focus more on one on one patient care. However, the nurses in pre-op did communicate a great deal with members of the surgical team. The nurses would call and inform the surgical team when a patient was prepared to enter surgery. Also, the surgical team would contact the pre-op nurses regularly to give them an update on how procedures were going in the OR. For example, if a surgeon was ahead of schedule they would contact the pre-op nurses to inform them that they could begin preparing the next patient ahead of time. Or vice versa, in cases that the surgeon was behind schedule. On the other hand, in post-op the nurse was also very independent. She would wait for a phone call from the PACU nurse, to receive a quick SBAR report of the patient just a few minutes before the patient was transferred. Via the telephone, the PACU nurse would inform the post-op nurse of current vitals, along with the types of anesthetics the patient received and outcomes of the procedure. Mainly, the nurses communicated with the patient and their family. Along with performing full body assessments, the pre-op nurses spent most of their time asking patients detailed questions regarding their health history, current health status, and use of medications. In addition, the pre-op

Poor communication puts patients in danger because it can lead to medical errors and adverse events. For example, a medication error can occur if a physician’s orders are not updated in time or if the outgoing nurse does not provide the correct time in which a dose was administered last. Thus it is crucial to communicate any recent treatment that has been implemented. In this way, nurses and physicians can facilitate the prevention of errors. Another consequence of ineffective communication is that it can decrease morale and increase work-related stress among members of the healthcare team. If nurses and physicians are not understanding each other’s actions, conflict ensues. It can cause toxic interpersonal relationships. This, in turn, will affect the level of patient care because it is difficult to focus amidst emotional strain and

In preparation of a review from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nightingale Community Hospital will focus on improving its communication process in the operating room. The purpose of communication in the healthcare setting is to disseminate information in such a way as to create shared understanding about the patient and about what needs to be done for a positive outcome. (synergia.com) A patient is at his most vulnerable state during procedures that require sedation or anesthesia. The patient is releasing his decision making ability and safety into the control and care of the healthcare team. Therefore, effective communication on behalf of the patient is

Interdisciplinary work teams includes staff from different level of clinical professionals such as nurses, nursing assistant, surgical technicians, anesthesiologists, physical therapist, occupational therapist, attending physicians who goal is to work and communicate together to improve patient quality care and safety. Working together as a team, will improve patient care and also help to delivered unique patient care quality and reduce medical errors. The use of interdisciplinary teamwork improved communication between different levels of healthcare workers, and limited adverse events, improved outcomes, decreased the length of stay and yield greater patient satisfaction ( Epstein, 2014). In healthcare setting or environment, patient safety

The Five Dysfunctions of a Team by Patrick Lencioni is a leadership fable centered on a fictitious up and coming technology firm called DecisionTech. DecisionTech located outside of Silicon Valley. Patrick Lencioni used this fictitious technology firm and its executive team, also known as “The Staff,” with very diverse characteristics to explain his five dysfunctions of a team. In addition to how each of the dysfunctions can hurt not only the team but also the company.

On reflection I realise that the incident which happened to Mrs D could have been avoided and prevented if proper communication and multidisciplinary team work had been implemented (Mellanby, Podmore and McNarry, 2014; DOH, 2012; NMC, 2015). The outcome of an airway crisis can be influenced by the anaesthetic nurse as the anaesthetist does not work in isolation and therefore discussion of the potential alternatives should difficulty arise is vital (Mellanby, Podmore and McNarry, 2014). As with all aspects of healthcare, structured communication within the team is central to preparing for critical incidents (DOH, 2012). Furthermore, in this situation it is possible that the anaesthetic nurse was not experienced or confident enough to deal with

Interdepartmental communication and medical errors have both been proven as causes of harm to patients in health care settings. When there are gaps in communications between nurses changing shifts or patient transitions from one department to another, medical errors can occur and cause harm to patients. Even though there has been improvement in recognition of these problems and actions taken to reduce communication gaps and medical errors, there still needs to be more work, especially in individual facilities.

The intention is not about gaining independence and rejects patient care provider’s hierarchy, but rather to develop a collegial and shared patient advocacy. Clearing the blurred lines and respecting boundaries cultivates confidence and unanimity that would resonates into an exceptional performance from the surgical technologist and the perioperative nurses

On many occasions, I have seen situations in which effective communication involving the professional healthcare team played a vital role in the positive outcome of patient care. On the other hand, there have been miscommunication between the healthcare team resulting in situations that could have been tragic to the patient.

This reflective essay is based on my experience as a health care assistant in the operative theatre working as a circulating nurse for a vascular access list. It will also highlight the important aspect of communication within the theatre practitioners when working with patients who are under local or general anaesthetic. I will explore a critical incident and also reflect on my own personal experience. I aim to use this experience to bring out the different forms of communication, the potential barriers of communication and its consequences in the clinical setting. Gibbs Reflective model (1988) is what I have chosen to guide my reflective process, as it incorporates the stages of

Communication skills throughout the simulation were advantageous. This included communication with other participants, other medical staff such as Dr. Black and communication with the patient. Specifically, when communicting with the patient, if this communication is poor it can increase the patients feelings of stress and fear, thus overall leading to increased anxiety and a loss of confidence in the medical team (Razera & Braga, 2011, p. 635). This leads the to mistrust of the medical staff from both patients and their families, possibly resulting in a decline of the patients condition. Therefore it is vital, especially in a post-operative situation that the patient is spoken to clearly and throughly whilst answeing any questions or

running one group for six months or longer seems quite exorbitant! The theme of this book was based on an organizational approach to effective team building skills. The fable began by giving a brief background of the cooperation, DecisionTech, Inc. which was what this story was centered around. There was a new CEO, of the corporation, Kathryn, and her main task was to create effective teamwork among her staff who were the key leaders of this company. After observing the interaction and dialogue of all team members for several weeks, she finally decided to call an off-site meeting and invited her staff members to attend. The meeting was to take place just far enough to where

Open communication is essential part to a successful healthcare team that directly impacts patient’s lives. In the video “Just a Routine Operation, ” by Laedal Medical Human Factors in Patient Safety, physicians and nurses demonstrates how different human factors contribute to the overall outcome of the patient. Elaine, the patient in the video came into the hospital for a reconstruction surgery. However, during the surgery Elaine had a complication and because the lack of communication, assertiveness, self-awareness, decision-making, teamwork, and prioritization, Elaine did not survive the surgery. This situation shows how important these characteristics are when dealing with emergency care. Even the health care professional with the years

Teamwork and communication are very important in providing good quality care, especially in the healthcare field. A team is described as a group of people that works together and cooperatively, between each member of the group to reach a common goal (Sullivan, 2013). For a team to function, communication is essential. A report by McKay and Crippen (2008), as stated by Alfaro-LeFevre, (2013) showed that when collaboration is in place, hospitals can decrease their mortality rate by 41%. When mortality rate is lower, hospitals does not only decreased cost, but it also means that patients are receiving good quality care.

In a healthcare setting being able to work in a team is an essential part of providing the best care possible for a patient (Mickan & Rodger 2000). Being in a team means all of the people are involved in achieving a common goal and in this particular case it’s looking after the patient’s needs and their safety (Mickan & Rodger 2000). It is commonly observed that there are two types of errors involved and these areas are the ‘planning’ and ‘performing’ phases and improper execution can lead to problematic and distressing situations for both the patient and staff (Byers & White 2004). In order to avoid this, it is crucial that health practitioners are able to work in a team and individually in order to successfully meet certain standards in delivering patient care. This report will explore the different roles (i.e Radiographer, Receptionist, Nurse, Porter) that are involved in in providing care for the patient in the imaging department and how they work together to achieve this.