LEC 8: Emergency Preparedness & Interprofessional Collaboration Flashcards
What was the CIHC National Interprofessional Competency Framework developed?
To provide health system users with improved health outcomes
What are the three considerations that underpined the frameworks for CIHC National Interprofessional Competency Framework ?
- Complexity
- Contextual issues
- Quality improvement
Complexity
The degree if IpC (interprofessional collaboration) will differ based on the complexity of the situation
Contextual Issues
The context will influence who is involved and the extend of team involvement and collaboration
Quality Improvement
Interprogessional teams have been shown to more effectively address quality issues
Role Clarification
- Tam members need to understand their own role and the roles of other professions
- Roles, knowledge, and skills need to be clearly articulated within the context of the work require
- Working to one’s full scope of practice requires the team to determine who has the knowledge and skills need to address the needs of the client
Team Functioning
- Team members understand the process and dynamics of group work to enable effective collaboration
- Collaboration requires trust, mutual respect, availability, open communication, and attentive listening
- Team members regularly reflect on their own practices when working in teams
Client-Centred Care
- Client can be a patient, family, or community
- The client is valued member of the team when designing and implementing care
- The client has the most knowledge about their own situation. They retain control over their own care and the interprofessional team is there to provide access to the knowledge and skills needed to develop a feasible plan of care
- View the client as the expert; they have the background knowledge of what is going on with them
- Need to value what the patient is saying and what they want out of the process
Collaborative Leadership
- Team members support the choice of leadership based on the context of the situation
- Team members assume a shared accountability for the process chosen to develop a plan of care
- Leadership is often based on the types of expertise the situation warrants
What are the two types of leadership that can arise based on the types of expertise a interprofessional situation warrants?
- Task-orientated leadership
2. Relationship oriented leadership
Task-Orientated Leadership
Leader helps keep members on track
Relationship-Oriented Leadership
Leader assists members to work more effectively together
Interprofessional Communication
- Communication across professions can be difficult
- Communication in an interprofessional environment is demonstrated both verbally and non-verbally
- Limit professional jargon
- Interactions incorporate full disclosure and transparency
What is it important to limit professional jargon?
Not everyone is familiar with terms that my be common to you
- Want to use plain language that everyone is going to understand, especially if the client is there
Non- Verbal Communication
Active listening, engagement
Verbal Communication
Negotiating, consulting, interacting, discussing, and/or debating
Interprofessional Conflict Resolution
Disagreements are constructively address as they arise
- The potential positive nature of conflict is valued
- A safe environment is established for team members to express their views
- Ensure all team members have an opportunity for their opinions to be heard
- Identify how the conflict arose; is it due to role ambiguity, power gradients, differences in goals?
Emergency Preparedness (EP)
- Emergency Preparedness refers to the preparations and plans needed to cope with emergencies, disasters, and major outbreak of illness
- May also be called “business Continuity” planning - Increasing emergency events occurring in Canada and internationally resulting in an increasing need for EP
- RNs need to know about EP and be actively involved in preparations; both professionally and personally
- May affect you workplace, may affect your family/home
What does EP involve?
- “All Hazards Approach” used
- Develop one plan that can be used for any emergency situation
- Talks into account: all hazards, all possible risks/impact - Multidisciplinary
- Beyond just health services
What services are needed for Emergency Preparedness (EP) ?
- Social Services
- Environment
- Highways
- Crown corps - Public safety
- Local fire
- Local police
- RCMP
- Military - Disaster Managment
- Civic help
- Provincial helo
- Federal help - NGOs
- Red Cross
- Local/ provincial/ national charities
What are five recent emergencies in Canada?
- SARS (Severe Acute Respiratory Syndrome) outbreak
- Toronto, 2003
- Over 250 people including health care workers infected - Fort McMurray Wildefire
- 2016
- Over 88,000 people evacuated from city
- $98 billion in damages - Ontario/ Quebec spring flooding
- 2017
- Over 5,000 homes flooded
- $5000 million in damages - Lac Megantic rail disaster
- 2013
- 47 people dies
- Explosion/ fire from Bakken oil field (ND)
What are emergencies that can happen in SK?
- Wildfires
- Flooding
- Severs storms (both summer and winter)
- Chemical spill
- Tornadoes
- Drought
- Epidemic
Nursing and EP: Local Examples
- Transport/ Vehicle Accidents
- 2016: 109 fatal collision (+2.8%)
- 40% of which involved a drunk driver
- Big 3: alcohol, speed, distracted driver - Environmental Disasters
- Oil/ chemical spill in July 2016- PA pursuing $ and apology - Weather Systems
- Summer storms and winter storms
- Rain, hail, drought, tornadoes, snow/ice ($ millions)
How do emergencies have links to social determinants of health?
More vulnerable often most affected by emergencies and may be least able to manage in terms of resources
- Income
- More income = better positition - Housing
- Location vs risk
- Globally: poor = worse location - Food Insecurity
- 72 hours of supplies (minimum) - Gender
- Women/ children may be more at risk-responses - Indigenous Status
- On-reserve services and travel distances - Disability
- Able to prepare and respond or need help?
