teamwork and collaboration

conflict managment

• the result of opposing thoughts, ideas, feelings, preceptions, behaviors, values, opinions, or actions between individuals

• inevitable part of professional, social, and personal life

• may have constructive or destructive results

• lack of conflict can create organizational stasis

• Excessive conflict may be demoralizing, anxiety-producing, and contribute to burnout

intaperosnal conflict

occurs within the person and can involve internal struggle related to contradictory values or wants

interpersonal conflict

occurs between two or more people with differing values, goals, or beliefs

• includes bullying and incivillity

• contributes to burnout and work-related stress

intergroup conflict

occurs between two or more groups of individuals, departments, or organizations and can be caused by a new policy or procedure, a change inleadership, or a change in organizational structure

latent stage 1

actual conflict has not yet developed

• Factors with a high likelihood of causing conflict are present

perceived stage 2

• a party presumes that a problem is present, though an actual conflict might not actually exist

felt stage 3

• those involved begin to feel an emotional response to the conflict

manifest stage 4

• parties involved are aware of the conflict is taken

• actions can be positive and strive toward resolution, or action may be negative and include debnating, competing , or withdrawing.

sftermath stage 5

• completion of the conflict process

• can be positive or negative

open communication

• action to promote communication

• use “I” statments

• focus on the problem, not personal differences

• listen carefully and try to understand other perspective

• move escalating conflict to private area or postpone to allow control of emotions

• share ground rules with participants

assertive communication

• honest and nonthreatning communication style that acknowledges and deals with conflict, recognizes others as equals, and provides direct statement of feelings

problem-solving process

• identify the problem

• discuss possible solutions

• analyze identified solutions

• select a solution

• implement the solution

• evaluate the solution's ability to resolve the original problem

negotiaton

• resolve onging conflict

• agree on step to take

• bargain to protect individual or collective interest

• pursue outcomes that benefit mutual interest

avoiding and withdrawing

both parties know there is conflict but refuse to face or work towards resolution

smoothing

one party attempts to smooth another party by trying to satify them

competing/concerning

one party pursues a desired situation at the expense of others

cooperating/accomidating

one party sacrifices something, allowing the other party to get what it wants

comprimising/negotiating

each party gives up something

collaboration

both parties set aside their original individual goal and work together to achieve a new common goal

operating room team

• a group of professionals working together for the welfare and safety of the surgical patient

• entire team must work efficiently as a functioning single unit

• members should have a high moral, mutural understanding, trust, cooperation, and consideration for other team member

sterile team members

• intraoperative caregivers who provide direct care within the starile field

• wear sterile attire and surgical scrub to arms and hands

• surgeion and assistant and scrub

non-sterile team members

• intraoperative caregivers who provide direct care from the periphery of the sterile field

• do not wear sterile attire

• circulating RN, anethesia provider

role of circulating RN

• directs and coordinates activities of the intraoperative environment during the surgical procedure

• ensures patient safety

• patient assessment

• planning

• critical thinking skills

• patient advocacy

• patient and family teaching

• maintain asepsis

• assist anesthesia provider and scrub technician

• assist the sterilized team

• documentation

role of scrub nurse or surgical technician

• set up and arrange instruments

• provides surgeon with required sterile instruments and supplies participates in and responds to the needs of the surgeon

• Assist the circulating RN in preparing operating room

• establishes baseline counts of stitches, needles, and instruments with the circulating nurse and confirms count after procedure

• validates medication with circulating nurse

• communicates with the circulating RN regarding mmedication irrigation, and supplies/instruments used for documentation

• assists surgeon and first assistant with re-gloving

role of anethesia provider

• may be a physician or a certified nurse anesthetist

• provides anesthesia during surgical procedure

• intubation

• central line placement

• monitors patient condition and vital signs

• position patients with circulating RN

• adjust medications as needed

• manages care in the PACU after surgery

role of the surgeon

• physician responsible for performing the surgical procedure and managing care psot surgery

role of the first assistant

• may be another physician, a RN certified as a first assistant.

• helps maintain visibility of the surgical site, control bleeding, close wounds, and apply dressing

post-anesthesia care unit

• after surgery is completed, the patient is transported to the pacu

• Anesthesiologist, or CRNA, manages care of patient during this short recovery period

• circulating nurse gives handoff report to PACU nurse

PACU RN role

• ensures and maintains airway patency

• frequent assessments and vital signs

• manage pain andprevent complications

• scoring tool used to determin care status as patients recover from anesthesia

  • alderte score

• SBAR for transport