As an ICU attending, I’ve led hundreds of codes, & as a sim instructor, I designed a sim focused on the intangibles.
Here are 10 essential elements of code & rapid response leadership (in no particular order) that are not taught enough yet help control the chaos.
🧵 1/ Be a calm & clear leader
ACLS 101.
This isn’t about ego. It’s about your patient.
Don’t be mean or yell.
Calmly stand at foot of the bed, raise your hand, & say, “I’m going to run this.”
Reset the room.
Attendings, support your trainees, “I’m right here. You got this.”
Sep 3, 2022 • 5 tweets • 2 min read
After an intense ICU event (eg. emotional family meeting or code), especially with trainees, take time to debrief with your whole team. Pause to acknowledge & process emotions & give a safe space to have them. Don’t just go back to the grind as we do. That stacks up #unwellness.
2/ These can be & are extremely traumatic events for HCWs, & yet I see trainees, nurses, fellow colleagues going to the next patient, chart, or procedure sometimes wiping tears from their eyes. I don’t know if we built this system up that way, but it shouldn’t be.
