Use of TeamSTEPPS in IPE at Western University of Health

Sciences

John Tegzes, BSN, MA, VMD

Jasmine Wong Yumori, OD

David Dickter, PhD

Sheri Kling

Katy Avila

Vincent Finocchio

Western University of Health Sciences

Pomona, California

Introductions

Interprofessional Practice & Education (IPE)

at WesternU

WesternU IPE Core Competency Domains

1. Communication

2. Collaboration

3. Teams and teamwork in health care

4. Scope of practice

5. One health

**Tegzes J, Callard P. WesternU IPE 5000 Syllabus. Fall 2014.

WesternU IPE Phase 1

Unique cases for each professional program

Consultation request

Consultation reply & feedback

**Tegzes J, Yumori J. WesternU IPE 6000 Syllabus. Fall 2014.

WesternU IPE Phase 2

Case conference Standardized patient

WesternU IPE Phase 3

Professions

• Dental Medicine • Graduate Nursing • Optometry • Osteopathic Medicine

– California – Oregon

• Pharmacy • Physical Therapy • Podiatric Medicine • Veterinary Medicine

Skills Bursts

• Some TeamSTEPPS specific, some adaptations

Skills Bursts

• Attentive listening

• Empathy

– Didactic instruction

– Modeling

– Practicing

– Assessing

Written Communication

• Take a case, write an SBAR, turn into a formal request for care

Example: Written Case

Mr. John Smith is a 55 year old white male who enters your eye clinic with a complaint of fluctuating blurry vision when working on the computer. He also says that he has good and bad vision days where sometimes his vision is very blurry. In addition, he reports that recently his feet have been feeling tingly and shows you a sore on the bottom of his foot that “doesn’t seem to be getting better.”

His last eye exam was 2 years ago and he currently wears reading glasses only. His medical history is significant for type 2 diabetes, hypertension, and COPD. He reports that he has had diabetes for about 10 years and provides you with a copy of his most recent lab report that states his Hemoglobin A1c was 10.1% at his most recent primary care appointment 2 months ago. His current medications include: Actos, Lisinopril, and albuterol inhaler with NKDA.

He was surprised when you found his blood pressure to be 150/95 today but figured it was due to the few pounds that he’s put on (he reports that his height and weight are 243 pounds and 5’10’’, respectively). Your evaluation reveals that he has mild myopia and corrects to 20/20 in each eye and also has moderate non-proliferative diabetic retinopathy.

You plan to see him back in 6 months to monitor his retinopathy but as he hurriedly leaves your clinic so he can take a smoke you wonder if you should do more.

Example: Audio case

Video Case

Example:

SBAR • A structured

communication technique

• Designed to convey a great deal of information in a succinct and brief manner

• Important because we have – Different styles of

communication

– Vary by profession, culture, and gender

http://www.ihi.org/resources/Pages/Tools/sbartoolkit.aspx

Composing a consultation request:

Templates

Composing a consultation request:

Formal Written Letter Template

Composing a consultation request:

Electronic Correspondence Template

Composing a consultation request:

Discussion Board

Composing a consultation request:

Mock Case and Samples

Composing a consultation request:

Rubric

Composing a consultation request:

SBAR

http://www.ihi.org/resources/Pages/Tools/sbartoolkit.aspx

Rubric Inspiration

TOSCE

• Clinical simulations with standardized patients, standardized caregivers, and standardized clinicians.

• Various TeamSTEPPS skills practiced.

– CUS, 2-challenge rule, Call-out, Handoff, etc.

Lessons learned

• Need context!

• Need relevance!

• Keep it simple!

• Lots and lots and lots of feedback!

Group Discussion