The very small team


While writing a scenario for cervical shock during IUD placement, I reflected on that very small team – the patient, doctor and one nurse.  This is often present during smaller procedures compared to the larger team for something like a procedural sedation.  Thinking then about the objectives for the scenario often being around early recognition of an event and BLS – in this case pallor, sweating, bradycardia, only those two people present benefit from the problem recognition phase.  Hopefully then the button is pressed, help arrives and other useful lessons are used – shared mental model, team leader selection, clear communication.  Is there a role for having the other participants in the room for that first recognition of collapse so they can imagine what they would do next?  This is used with the Tag Team Patient Safety Simulation for CQ University. Or is it better to reflect daily practice and have your other adhoc members off in their own rooms, awaiting the emergency call?


Author: gpsimulation

urban general practitioner in Melbourne, Australia

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