ELEMENTS OF EFFECTIVE TEAM DYNAMICS
The elements of team dynamics can be grouped into 3 categories:
Roles during a resuscitation attempt
What to communicate
How to communicate
TOPIC-Roles During a Resuscitation attempt
Clear Roles and Responsibilities
During a resuscitation attempt,clear roles and responsibilities should be defined as soon as possible. the team leader's role is to clearly define and delegate tasks according to each team member's skill level. when all team members know their jobs and responsibilities, the team functions more smoothly .
Knowing Your Limitation
Every member on the team should know his or her limitations, and the team leader should be aware of them. each team members should ask for assistance and advice early, not when the situation start to get worse.
Constructive intervention
Sometimes a team member or team leader may need to correct actions that are incorrect or inappropriate. it's important to be tactful, especially if you have to correct someone who is about to make a mistake, whether it's drug, dose,or intervention. any person on the team should stop someone else from making a mistake, regardless or that person's role on the team.
TOPIC- What to Communicate
Knowledge sharing
Knowledge sharing is important for effective team performance. team leader should ask frequently for observations and feedback. this include good ideas for management and observations about possible oversights.
Summarizing and Reevaluating
Summarizing information out loud is helpful during a resuscitation attempt for the following reasons:
provides an ongoing record of treatment
Acts as a way to reevaluate the victim's status, the interventions performed, and the team's progress within the algorithm of care.
Helps team members respond to the victim's changing condition.
TOPIC-How To Communicate
Closed- Loop Communication
closed-loop communication is important for both the team leader and team members. to participate closed-loop communication, the team leader and team members should do the following;
TEAM LEADER -
Call each team member by name and make eye contact when giving an instruction.
Don't assign additional tasks until you are sure that the team member understands the instruction.
TEAM MEMBER-
Confirm that you understand each task to which you are assigned by verbally acknowledging the task.
Tell the team leader when you have finished a task.
Clear Messages
Team leaders and team members should give clear messages. using concise, clear language helps prevent misunderstandings. speaking in a tone of voice that is loud enough to hear, but is also calm and confident, helps keep all team members focused.
Mutual Respect
All the members should display mutual respect and a professional attitude to other team members, regardless of their skill level or training. emotions can run high during a resuscitation attempt. so it's especially important for the team leader to speak in a friendly, controlled voice and avoid shouting or aggression.
TOPIC- Debriefing
Debriefing is an important part of every resuscitation attempt, both during and after the attempt. debriefing is the opportunity for team members to identify why certain actions were taken. debriefing has been shown to
Help individual team members perform better.
Aid in identification of system strengths and deficiencies.
implantation of debriefing programs may even improve patient survival after cardiac arrest.