TeamSTEPPS® Primary Care Module

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Slide 1

TeamSTEPPS® Primary Care Module

Images: A penguin nurse assists a penguin with a walker. A penguin with a medical chart stands beside another penguin lying in bed. A penguin in a pink shirt assists an elderly penguin in a wheelchair.

Slide 2

Why Long-Term Care?

• Long-term care environment is unique.
• "Patients" are called Residents.
• Care Teams: multi-disciplinary, include non-clinical staff.
• Approximately 16,000 nursing homes and 1.6M nursing home residents across the country.

Slide 3

Focus of Long-Term Care Version

Text and associated training materials made relevant to the long-term care environment.

• Language meaningful to long-term care.
• Exercises, scenarios, tests and videos center around chronic medical or rehabilitation circumstances.
• Graphics and pictures reflect nursing home staff, care and environment.

Slide 4

Long-Term Care Team

Image: Seven penguins are dressed in various shirts or jackets to represent team roles.

Slide 5

Image: The seven penguins on Slide 4 are shown again, but now each bears a caption describing its team role: Chef, Nurse Assistant, Rosie the Housekeeper, Social Worker, Therapeutic Recreation/Activity Staff, Nurse, Administrator.

Slide 6

Implementation

• Evidence tested with long-term care leadership and staff
  • Adjust for audience, including education level and English proficiency.
  • Share experiences and stories.
  • Supplement lectures with exercises.
  • Hold brief yet frequent learning sessions.
  • Focus on communication skills.

Slide 7

Long-Term Care Videos

• Two videos created
  • Long-term care—subtle decline in a resident over a 24 hour period.
  • Sub-acute care—possible Myocardial Infarction/Pulmonary Embolism in a resident receiving physical therapy.
• 14 of 15 TeamSTEPPS skills were highlighted
  • Time-Out is not a skill deemed necessary for most nursing homes.

Image: A photograph shows three staff members.

Slide 8

Conflict Resolution & Patient Safety

• Conflict between an Activities Staff and a Nurses Aide.
• TeamSTEPPS Skills Used:
  • Two-Challenge Rule.
  • DESC Script.

Slide 9

Two-Challenge Rule

• Invoked when an initial assertion is ignored...
• It is your responsibility to assertively voice your concern at least two times to ensure that it has been heard.
• The member being challenged must acknowledge.
• If the outcome is still not acceptable
  • Take a stronger course of action.
  • Use supervisor or chain of command.

Slide 10

Two-Challenge Rule in Action

Slide 11

Conflict Resolution: DESC Script

• A constructive approach for managing and resolving conflict.
• D—Describe the specific situation.
• E—Express your concerns about the action.
• S—Suggest other alternatives.
• C—Consequences should be stated.

Ultimately, consensus shall be reached.

Slide 12

Let’s "DESC-It!"

• Have timely discussion.
• Frame problem in terms of your own experience.
• Use "I" statements to minimize defensiveness.
• Avoid blaming statements.
• Critique is not criticism.
• Focus on what is right, not who is right.

Image: Two penguins argue with each other.

Slide 13

DESC Script in Action

Slide 14

New in Long-Term Care Version

• Videos and Discussions
  • Discussion questions about videos and use of skills.
• Exercises, Scenarios
  • Care planning group exercise.
  • Multi-disciplinary scenarios.
  • Non-clinical examples and scenarios.
  • Non-clinical application of TeamSTEPPS skills and techniques.

Slide 15

Contact Information

• Qualidigm:
  • Michelle Pandolfi
    • mpandolfi@qualidigm.org.
    • 860-632-3735.
  • Ann Spenard
    • aspenard@qualidigm.org.
• Abt Associates:
  • Donna Hurd
    • donna_hurd@abtassoc.com.