Which characteristics contribute to an effective, high-performance pals team?

When roles are unclear, team performance suffers. Signs of unclear roles include

Inhaltsverzeichnis Show

What are the elements of high performance team dynamics?
What is the advantage of effective teamwork in PALS?
What are examples of effective team dynamics in CPR?
What element of team dynamics describes when a team member needs to correct actions pals?

Performing the same task more than once
Missing essential tasks
Team members having multiple roles even if there are enough providers

To avoid inefficiencies, the team leader must clearly delegate tasks. Team members should communicate when and if they can handle additional responsibilities. The team leader should encourage team members to participate in leadership and not simply follow directions blindly.

Do
Team leader	Clearly define all team member roles in the clinical setting
Team members	Seek out and perform clearly defined tasks appropriate to your level of competence Ask for a new task or role if you are unable to perform your assigned task because it is beyond your level of experience or competence

Don’t
Team leader	Neglect to assign tasks to all available team members Assign tasks to team members who are unsure of their responsibilities Distribute assignments unevenly, leaving some with too much to do and others with too little
Team members	Avoid taking assignments Take assignments beyond your level of competence or expertise

Knowing Your Limitations

Not only should everyone on the team know his or her own limitations and capabilities, but the team leader should also be aware of them. This allows the team leader to evaluate team resources and call for backup of team members when assistance is needed. High-performance team members should anticipate situations in which they might require assistance and inform the team leader.

During the stress of an attempted resuscitation, do not practice or explore a new skill. If you need extra help, request it early. It is not a sign of weakness or incompetence to ask for help; it is better to have more help than needed rather than not enough help, which might negatively affect patient outcome.

Do
Team leader and team members	Call for assistance early rather than waiting until the patient deteriorates to the point that help is critical Seek advice from more experienced personnel when the patient’s condition worsens despite primary treatment

Don’t

Team leader and team members

Reject offers from others to carry out an assigned task you are unable to complete, especially if task completion is essential to treatment

Team members

Use or start an unfamiliar treatment or therapy without seeking advice from more experienced personnel
Take on too many assignments at a time when assistance is readily available

Constructive Interventions

During a resuscitation attempt, the leader or a member of a high-performance team may need to intervene if an action that is about to occur may be inappropriate at the time. Although constructive intervention is necessary, it should be tactful. Team leaders should avoid confrontation with team members. Instead, conduct a debriefing afterward if constructive criticism is needed.

Do
Team leader	Ask that a different intervention be started if it has a higher priority
Team members	Suggest an alternative drug or dose in a confident manner Question a colleague who is about to make a mistake

Don’t
Team leader	Fail to reassign a team member who is trying to function beyond his or her level of skill
Team members	Ignore a team member who is about to administer a drug incorrectly

What to Communicate

Knowledge Sharing

Sharing information is a critical component of effective team performance. Team leaders may become trapped in a specific treatment or diagnostic approach; this common human error is called a fixation error. Examples of 3 common types of fixation errors are

“Everything is OK.”

“This and only this is the correct path.”

“Do anything but this.”

When resuscitative efforts are ineffective, go back to the basics and talk as a team, with conversations like, “Well, we’ve observed the following on the Primary Assessment… Have we missed something?”

Members of a high-performance team should inform the team leader of any changes in the patient’s condition to ensure that decisions are made with all available information.

Do
Team leader	Encourage an environment of information sharing and ask for suggestions if uncertain of the next best interventions Ask for good ideas for differential diagnoses Ask if anything has been overlooked (eg, intravenous access should have been obtained or drugs should have been administered)
Team members	Share information with other team members

Don’t
Team leader	Ignore others’ suggestions for treatment Overlook or fail to examine clinical signs that are relevant to the treatment
Team members	Ignore important information to improve your role

Summarizing and Reevaluating

An essential role of the team leader is monitoring and reevaluating

The patient’s status
Interventions that have been performed
Assessment findings

A good practice is for the team leader to summarize this information out loud in a periodic update to the team. Review the status of the resuscitation attempt and announce the plan for the next few steps. Remember that the patient’s condition can change. Remain flexible to changing treatment plans and revisiting the initial differential diagnosis. Ask for information and summaries from the timer/recorder as well.

Team leader

Draw continuous attention to decisions about differential diagnoses
Review or maintain an ongoing record of drugs and treatments administered and the patient’s response

Team leader and team members

Clearly draw attention to significant changes in the patient’s clinical condition
Increase monitoring (eg, frequency of respirations and blood pressure) when the patient’s condition deteriorates

Don’t
Team leader	Fail to change a treatment strategy when new information supports such a change Fail to inform arriving personnel of the current status and plans for further action

How to Communicate

Closed-Loop Communications

When communicating with high-performance team members, the team leader should use closed-loop communication by taking these steps:

The team leader gives a message, order, or assignment to a team member.
By receiving a clear response and eye contact, the team leader confirms that the team member heard and understood the message.
The team leader listens for confirmation of task performance from the team member before assigning another task.

Do
Team leader	Assign another task after receiving oral confirmation that a task has been completed, such as, “Now that the IV is in, give 1 mg of epinephrine”
Team members	Close the loop: Inform the team leader when a task begins or ends, such as, “The IV is in”

Don’t
Team leader	Give more tasks to a team member without asking or receiving confirmation of a completed assignment
Team members	Give drugs without verbally confirming the order with the team leader Forget to inform the team leader after giving the drug or performing the procedure

Clear Messages

Clear messages consist of concise communication spoken with distinctive speech in a controlled tone of voice. All healthcare providers should deliver messages and orders in a calm and direct manner without yelling or shouting. Unclear communication can lead to unnecessary delays in treatment or to medication errors.

Yelling or shouting can impair effective high-performance team interaction. Only one person should talk at any time.

Do
Team leader	Encourage team members to speak clearly
Team leader	Repeat the medication order Question an order if the slightest doubt exists

Don’t
Team leader	Mumble or speak in incomplete sentences Give unclear messages and drug/medication orders Yell, scream, or shout
Team members	Feel patronized by distinct and concise messages

Mutual Respect

The best high-performance teams are composed of members who share a mutual respect for each other and work together in a collegial, supportive manner. To have a high-performance team, everyone must abandon ego and respect each other during the resuscitation attempt, regardless of any additional training or experience that the team leader or specific team members may have.

Do
Team leader and team members	Speak in a friendly, controlled tone of voice Avoid shouting or displaying aggression if you are not understood initially
Team leader	Acknowledge correctly completed assignments by saying, “Thanks—good job!”

Don’t
Team leader and team members	Shout or yell at team members—when one person raises his voice, others will respond similarly Behave aggressively or confuse directive behavior with aggression Be uninterested in others

What are the elements of high performance team dynamics?

High-performance team members should anticipate situations in which they might require assistance and inform the team leader. ... Elements of Effective High-Performance Team Dynamics..

What is the advantage of effective teamwork in PALS?

When you know the roles and responsibilities of each team member, you can anticipate what's coming next, which will increase the ability of the team to communicate, improve the efficiency and performance of the resuscitation, and the chances for the patient to have a positive outcome.

What are examples of effective team dynamics in CPR?

They are: being clear of what their roles and responsibilities are, knowing their limitations, how to perform constructive interventions, how to communicate “knowledge sharing,” how to summarize and reevaluate during a resuscitation, how to perform “closed-loop” communications, how to use “clear messages” and how to ...

What element of team dynamics describes when a team member needs to correct actions pals?

Constructive Intervention in ACLS This may mean a new or lower level team member speaking up to question or correct a team leader if they feel an action that is about to occur may be inappropriate or incorrect. Of course, while constructive intervention is important, it should be done with tact.