Pediatric emergency medicine trisk 0104 0104
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team members share the responsibility of monitoring the patient and raising
concerns about response to treatment, delays in care or potential harm.
Who Is on a Team?
Members of the large ED team include physicians, advanced practice nurses
and physician assistants, nurses, physicians in training, nurse assistants,
technicians, patient care associates, child life specialists, social workers,
respiratory therapists, and numerous consultants. It also includes
representatives from services lines such as pharmacy, radiology, laboratory
medicine, nutrition, supplies, and environmental services. The patient and
family are also important team members. Including them in decision
making leads to improved patient/family experiences as well as reported
outcomes.
During an ED visit, the patient and family interact directly with at least
seven members of the team. If testing, consultation and admission are
required, this number can easily grow to >50 individuals. For example,
patients with acute, severe headache interact with many ED team members
and consultants; but they may require emergent MRI imaging. This often
requires transport of the patient to a location outside of the ED, preparation
for safe MRI imaging, and interpretation by a neuroradiologist in a timely
way. Systems such as these must be organized and coordinated across areas
and assure that focus remains on the patient experience aiming to minimize
discomfort, delays, and errors.
Team Core Competencies
Five important core components described by Salas et al. include team
leadership, mutual performance monitoring, backup behavior, adaptability,
and team orientation. Team members need competencies in cognition
including clinical decision making and procedures; social behaviors are also
required. These social skills include communication and personal behavior
skills that support high quality, safe, effective and efficient interprofessional
care within the complex healthcare system. Five core values of team
members include honesty, discipline, creativity, humility, and curiosity.
Team Leadership
