making things-happen

65
MAKING THINGS HAPPEN CLIFF REID

Upload: nswhems

Post on 21-Jan-2015

6.639 views

Category:

Documents


0 download

DESCRIPTION

 

TRANSCRIPT

Page 1: Making things-happen

MAKING THINGS HAPPEN

CLIFF REID

Page 2: Making things-happen
Page 3: Making things-happen

TEAM

ENVIRONMENT

SELF

PATIENT

+

+

+

Page 4: Making things-happen

LOSS OF CONTROL

CLUSTERF*CK

CHICKENBOMB

MUPPETSHOW

A SHAMBLES

BIT SHABBY

TEAM

ENVIRONMENT

SELF

PATIENT

+

+

+

Page 5: Making things-happen
Page 6: Making things-happen
Page 7: Making things-happen
Page 8: Making things-happen
Page 9: Making things-happen
Page 10: Making things-happen
Page 11: Making things-happen
Page 12: Making things-happen
Page 13: Making things-happen

Credibility, authority, and being LIKED are powerful persuasion tools

PRINCIPLE:

Page 14: Making things-happen
Page 15: Making things-happen
Page 16: Making things-happen

PRINCIPLE: get control -

ketamine is the most reliable way

Page 17: Making things-happen
Page 18: Making things-happen

128HR

NIBPSpO2RR

80/56--20

Page 19: Making things-happen

PRINCIPLE:

Don’t shortcut SAFETY

Page 20: Making things-happen
Page 21: Making things-happen

ROCKETamine

Page 22: Making things-happen

ROCKETamine

Page 23: Making things-happen
Page 24: Making things-happen
Page 25: Making things-happen

PROCESS-DRIVEN OUTCOME-DRIVEN

FLEXIBILITY

GET CONTROL

GET HIM INTUBATED

MASSIVE TRANSFUSION

TURN OFF THE TAP

OPEN THORACOSTOMY

THORACOTOMY IF ARRESTS

MAKE THESE THINGS HAPPEN USING

ADAPTABILITYINGENUITY

LEADERSHIP

“LET’S KEEP HIM ALIVE”“LET’S DO ATLS”

OXYGENABCDE2 WIDE BORE IV LINES

XRAYS

SECONDARY SURVEY

FINGERS & TUBES ETC

ECG, URINALYSIS, OTHER IMAGING

LAB TESTS

TRADITIONALLY PRACTICED IN SERIES SHOULD BE DONE IN PARALLEL

Page 26: Making things-happen
Page 27: Making things-happen

SUCCESSFUL SIM TEAM COMPLETED GREATER NUMBER OF CRITICAL TASKS

BUT DEVIATED MORE FROM PROTOCOL THAN UNSUCCESSFUL TEAM

DEMONSTRATING ‘GREATER SKILL IN THE INTERVENTION PROCESS’

THE COGNITIVE BASIS OF EFFECTIVE TEAM PERFORMANCE: FEATURES OF FAILURE AND SUCCESS IN

SIMULATED CARDIAC RESUSCITATION.AMIA 2009 SYMPOSIUM PROCEEDINGS:599-603

Page 28: Making things-happen
Page 29: Making things-happen
Page 30: Making things-happen
Page 31: Making things-happen
Page 32: Making things-happen

RESUSCITATION ROOM THERMODYNAMICS

IN ANY RESUSCITATION THERE IS A NATURAL PROGRESSION TOWARDS

DISORDER AND CHAOS WHICH REQUIRES SIGNIFICANT POSITIVE EFFORT TO PREVENT OR REVERSE

= RESUSCITATION ROOM ENTROPY

Page 33: Making things-happen
Page 34: Making things-happen
Page 35: Making things-happen
Page 36: Making things-happen

HOW YOU APPEAR

WHAT YOU DO

WHAT YOU SAY

HOW YOU SAY IT

Page 37: Making things-happen

BE NICE

Page 38: Making things-happen

BE AUTHORITATIVE

Page 39: Making things-happen

STAY PATIENT FOCUSED

Page 40: Making things-happen

ASK FOR HELP

Page 41: Making things-happen

USE THE GROUP

Page 42: Making things-happen
Page 43: Making things-happen

PUSH THE RIGHT BUTTONS

Page 44: Making things-happen
Page 45: Making things-happen

CRAFT YOUR LANGUAGE

Page 46: Making things-happen

BE NICEBE AUTHORITATIVE

STAY PATIENT FOCUSEDASK FOR HELP

USE THE GROUPPUSH THE RIGHT BUTTONSCRAFT YOUR LANGUAGE

Page 47: Making things-happen
Page 48: Making things-happen

TEAM

ENVIRONMENT

SELF

PATIENT

Page 49: Making things-happen
Page 50: Making things-happen
Page 51: Making things-happen
Page 52: Making things-happen
Page 53: Making things-happen

ROCKETamine

Page 54: Making things-happen

OUTCOME-DRIVEN

“LET’S KEEP HIM ALIVE”

SIMULTANEOUS ACTIVITY

Page 55: Making things-happen
Page 56: Making things-happen
Page 57: Making things-happen
Page 58: Making things-happen
Page 59: Making things-happen

RESUSCITATION ROOM THERMODYNAMICS

IN ANY RESUSCITATION THERE IS A NATURAL PROGRESSION TOWARDS

DISORDER AND CHAOS WHICH REQUIRES SIGNIFICANT POSITIVE EFFORT TO PREVENT OR REVERSE

= RESUSCITATION ROOM ENTROPY

Page 60: Making things-happen
Page 61: Making things-happen
Page 62: Making things-happen

HOW YOU APPEAR

WHAT YOU DO

WHAT YOU SAY

HOW YOU SAY IT

Page 63: Making things-happen

BE NICEBE AUTHORITATIVE

STAY PATIENT FOCUSEDASK FOR HELP

USE THE GROUPPUSH THE RIGHT BUTTONSCRAFT YOUR LANGUAGE

Page 64: Making things-happen

MAKEIT

HAPPEN

Page 65: Making things-happen

THANK YOUMONA VALE HOSPITAL

EMERGENCY DEPARTMENT