teamstepps in long-term care. t eam stepps 05.2 mod 1 05.2 page 2 teamstepps why long-term care?...
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TeamSTEPPS in Long-Term Care
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TeamSTEPPS
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
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TeamSTEPPS
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
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TeamSTEPPS
Long-Term Care Team
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TeamSTEPPS
Nurse Assistant
Chef
Rosie the Housekeeper
Social Worker
Therapeutic Recreation/Activity
Staff
Nurse
Administrator
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TeamSTEPPS
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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
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TeamSTEPPS
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
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TeamSTEPPS
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Conflict Resolution & Patient Safety
Conflict between an Activities Staff and a Nurses Aide
TeamSTEPPS Skills Used: Two-Challenge Rule DESC Script
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TeamSTEPPS
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
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Two-Challenge Rule in Action
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TeamSTEPPS
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.
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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
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TeamSTEPPS
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DESC Script in Action
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TeamSTEPPS
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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
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TeamSTEPPS
Contact Information
Qualidigm: Michelle Pandolfi
[email protected] 860-632-3735
Ann Spenard [email protected]
Abt Associates: Donna Hurd