|
| Surgical subteam | Anaesthetic subteam | Nursing subteam |
|
Leadership and management |
|
Positive modifiers | (i) Raises team morale | (i) Takes control when required | (i) Scrub provides clear instructions to circulating nurse(s) |
(ii) Intervenes if deviation occurs | (ii) Demonstrates desire for high standard | (ii) Senior nurse makes sure protocols are followed |
(iii) Prioritises tasks | (iii) Appropriately distributes tasks between rest of team | (iii) Speaks up when unhappy |
|
Negative modifiers | (i) Deflates or fails to motivate team | (i) Does not take control when required | Senior nurse does not support juniors |
(ii) Does not attempt to build cohesion | (ii) Does not set standards | |
| (iii) Inappropriate task distribution | |
|
Teamwork and cooperation |
|
Positive modifiers | (i) Open | (i) Supportive of other subteams | (i) Nurses cooperate and support each other well |
(ii) Appropriate use of abilities within team | (ii) Appreciates functions of other subteams | (ii) Senior nurse covers for junior scrub |
(iii) Supportive of other subteams when necessary | | |
|
Negative modifiers | (i) Aggressive in conflicts | (i) Remains idle when problems arise | Poor coordination between equipment needs and those provided |
(ii) Does not appreciate others’ abilities | (ii) Functions separately from other subteams | |
|
Problem-solving and decision-making |
|
Positive modifiers | (i) Demonstrates generation of options | (i) Participates in solving problems | (i) Takes an active part in decision-making |
(ii) Open discussion and agreement over anatomy | (ii) Raises suggestions | (ii) Suggests solutions to problems, for example, alternative equipment |
(iii) Incorporates other subteam issues | | |
|
Negative modifiers | (i) Decisions made unsystematically | Does not consider anaesthetic options when faced with problem | Blames the surgeons when faced with problems |
(ii) Does not utilise team where it may benefit | | |
|
Situation awareness |
|
Specific to subteams | | | |
|
Positive modifiers | Periodically gathers awareness of surroundings | Anticipates surgical and process needs | Anticipates equipment needs |
|
Negative modifiers | Is fixated on operative field | Is not present at important stages of the operation or for long periods of time | Absent at stages when needed to provide service |
|
For all subteams | | | |
|
Positive modifiers | (i) Patient: has awareness of patient condition/comorbidity | | |
(ii) Procedure: appreciates stage of operation | | |
(iii) People: who is present in theatre, what skills they have, and what they are doing | | |
|