Effective Leadership Skills

Effective Leadership Skills

Key Objectives:

1. Establish a clear leader
2. Collaborate and share information

Rapid Response to RM S408.

Sign-out says “81M, SVT now stable”

HR 160, MAP 85→70. Lightheaded

What is this rhythm, and what would you do?

Next Steps?

What’s your schema for this situation?

What key data informs your treatment?

How do you convey your thinking to the room?

You share your assessment

and plan to administer IV metoprolol with the team, then…

• 3 individuals (DOCTOR badges) you don’t know enter the room and don’t introduce themselves.

• You discuss the situation with the family outside the room - many questions.

• RN asks clarification: what metoprolol dose?

Then, RN: “patient’s not responding”

• New EKG

Postscript

• DOCTORS are primary CV team, who are unaware it’s a rapid.

• Primary team had also told the RN to give Metop, leading to multiple doses.

• Patient required transcutaneous pacing - who decides?

What went wrong?

Step 1: Establish a clear leader:

Are you running this RRT or not?

“I’m __, resident on the code team. Is anyone running this rapid?”

• “Ok, I’m running this rapid”, or

• “Can I take Over”, or

• “OK, how can I help?”

Step 1: Establish a clear leader:

Be the point person

Step 2: Collaborate, Share Info:

Invite suggestions with a constructive tone

Try:

• Think out loud: “Wide QRS, but rhythm is irregular”

• Summarize: “MAP is OK, I think this is AFib, so…”

• Encourage: “Good thought, yes…”

Why? The team has a lot of context-specific experience

What would you do differently?

What would you do differently?

• Primary team identified; confirmed they want you to run response

• Standing at the head of the bed, delegating all other tasks.

• You verbalize your rhythm interpretation schema.

• Ideas from the entire team

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