Posts Tagged ‘teamwork’

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Superlatives: An Alternate List for Nurses Week

April 29, 2011

Photo from otisarchives4, via Flickr.

By Marcy Phipps, RN, whose essay, “The Soul on the Head of a Pin,” was published in the May 2010 issue of AJN. She’s a frequent writer  for this blog.

During Nurses Week (May 6–12), the hospital where I work gives out endearing little trophies as awards for “nursing superlatives.” Ballots are distributed with predetermined categories, and the categories are usually fun and relatively straightforward. They include: 

  • Best at Starting an IV
  • Most Likely to Crack a Raunchy Joke before Noon
  • Most Likely to Cry at Some Point during a Shift
  • Funniest Nurse
  • Most “Germ-a-Phobic” Nurse

The contests and catered meals, fun gifts, and light-hearted spirit of Nurses Week make it one of the nicest work weeks of the year, and we all come out of it feeling appreciated. But, in consideration of nursing superlatives, I’d like to propose some new categories. Although these titles won’t fit on the trophy plates, I think they’re worthy of recognition.

  • Most Likely to Notice, By the Tone of Another Nurse’s Voice, That Said Nurse Is Approaching a ‘Tilt’ Level of Stress, and Intervene Accordingly
  • Most Likely to Volunteer to Assist with Postmortem Care  (a job that nobody looks forward to, but that’s nonetheless important)
  • Most Likely to Accompanying Another Nurse on the Transport of an Unstable Patient to a Necessary Scan
  • Most Flexible; or Most Likely to Switch Shifts on Short Notice to Accommodate Another Nurse’s Unexpected Family Events

I’m often caught off guard by how perceptive my team is. The subtle interactions among us frequently surprise me, but they shouldn’t. We know each other’s strengths, weaknesses, and quirks very well. We make each other better and build each other up, and the security provided by that connectedness is priceless and vital.

I don’t mean to imply that we’re perfect. I’m not even sure we’re unique. But our engagements with each other make our team far stronger than the sum of its parts—and it shows in the care we provide.

This Nurses Week, if I were the one determining the categories, I’d award our team the title “The Most Amazing Nursing Team on the Planet.” A bit over-the-top, perhaps, but aptly so. In the spirit of nursing superlatives, I work with the smartest, most skilled, and kindest people in the world, and they’re worthy of the finest title I can imagine.

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Saving SimBaby – Teaching Nurses to Speak Up

November 11, 2009

AJNReportsNov09The baby’s condition is going downhill fast. A medical team surrounds the infant, tersely exchanging instructions. The gripping scenario has the participants’ hearts beating fast, but the baby on the table is SimBaby, a manikin with sophisticated robotics that’s used in health care simulation training.

As in a real situation, “there is adrenalin in a simulation,” explains Elaine Beardsley, MN, RN, clinical nurse specialist in the pediatric simulation program at Seattle Children’s Hospital. “Even though it is a simulated environment, people get nervous. People talk more.” However, Beardsley says, the structured communication training within the simulation “cuts the chatter.”

The November AJN Reports focuses on ways that SimBaby is helping teams of nurses and physicians at Seattle’s Children’s Hospital learn to avoid the kinds of communication breakdowns that, studies have shown, can lead to errors in stressful situations. The training includes creating a safe environment in which nurses and residents are encouraged to speak up to physicians “when they perceive mistakes being made.”

“Simulation, in my mind, is about getting us to communicate better,” says Jennifer Reid, MD, assistant professor of pediatric emergency medicine at the University of Washington School of Medicine and Seattle Children’s Hospital and codirector of the hospital’s ED simulation program. “Our training is such that physicians and nurses are usually educated, trained, and practice more or less in parallel. Simulation is an opportunity-a rare one-for us to learn and train together, working consciously on our communication skills. When else do I ask a nurse directly if she has any idea what I as the physician am thinking? When else do physicians and nurses actually sit face-to-face and talk about what it felt like to be a part of that team and the elements of communication that helped or frustrated them?”

Simulation training is increasingly big now in most nursing schools, as well as in some hospitals. Does it increase a team’s ability to work together and to make sure they are always on the same page? Can it help nurses become more confident about alerting a team to potential errors? And what, we wonder, will the future of simulation training look like just ten years from now?

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