crri – as first line communicator

CRRI – As First Line Communicator

Dr.G.RAMANUJAM MD (Psy)Associate Professor

Psychiatry Dept

GOOD THING IS

Dr.SURESH SANA Dr.SETHULAKSHMI Dr.KAILASH BAGALE

Dr.Sures Sana – SR in Ortho Brutally Hit Delay in Xray Nov 2013

Dr.Sethulakshmi Anesthesiologist Killed by relatives JAN 2012

Dr.Kailash Bagale Cardiologist Hit by Mob Eardrum perforated June 2012

Feb 2014-Kanpur – Police attacks Med college

Raichur – Nursing home was burnt March 2014- Prof of Med Shot in

Imphal Drunken RTA victims assaulted a

hospital in Hassan

90 % of the cases it is the Junior Doctors Available Approachable Spend most time at Hospital.

EXPECTATIONS OF PATIENT/RELATIVES EMOTIONS OF PATIENT/RELATIVES UNDERSTAND RESOURCES EXPLAIN

COMMUNICATION

Expectation Vs reality

WHAT PEOPLE THINK OF SURGERY

GIVE ATTENTION

GIVE ATTENTION

CLEAR INSTRUCTIONS

Local slang Interval Gare Avoid unnecessary technical “He is electroencephalographically

inactive”-Brain Dead

LANGUAGE

AS FOR AS POSSIBLE- LEGIBLE

IU – Insulin 15IU- 151 units or 15 Int.Units?Inj Phen. = Phenergan or Phenytoin

From Ass. II MU

To Ass IISU

DON’T EXPOSE YOUR IGNORANCE

OR LIKE THIS

AVOID UNNECESSARY TROUBLE

BE GENTLE

UNDERSTAND INSTRUCTIONS

DON’T GIVE FALSE HOPES DON’T BE AMBIGUOS GOK TIG NEVER BLAME YOUR COLLEGUES

NEVER BREAK TRUST

UNDESTAND PATIENT’S EXPECTATIONS

ACCEPT APOLOGISE

WHEN YOU DID A MISTAKE

NAGGING PARANOID OBSESSIVE HYPER-OBEDIENT HYPOCHONDRIACAL THE GOOGLER DENYING PATIENT MALINGERING

TYPES OF PATIENT

SLEEP - IMPORTANT

PREVENTION-PREPARE

BREAKING BAD NEWS

KUBLER ROSSPHASES OF GRIEF

DENIAL ANGER BARGAINING DEPRESSION ACCEPTANCE

PHASES OF GRIEF

TEN COMMANDMENTS FOR BREAKING A BAD NEWS-

1.NEVER SURPRISE2.NEVER DELAY

3.NEVER HIDE4.ALWAYS PUT IN WRITING

5.TELL SOME POSITIVE ASPECTS- (PATIENT DIED PEACEFULLY ETC)6.GIVE SOLUTIONS - (AMBULANCE ETC)

7.NEVER EXPRESS FEAR OR GUILT 8.JUSTIFY YOUR EFFORTS CALMLY 

9.NEVER ARGUE10.EMPATHIZE