Comfort and Coordination among Interprofessional Care Providers Involved in Intubations in the Pediatric Intensive Care Unit

Table 2

Selected quotes from interprofessional team members.

	Positive	Opportunity for improvement
Communication	“The fellow made it clear that we needed to intubate. Both fellow and attending agreed on drugs needed and verbally confirmed them with the bedside and charge nurses”—RN; “I felt very comfortable and felt this intubation went very well…The whole team communicated well!”—RT; “It was surprisingly well-coordinated for an unplanned reintubation, good communication”—MD	“Communication between [teams]…could have been better.”—RN; “RT was never informed about intubating the patient or the severity of the patients condition until they made an urgent request for the vent and end tidal to be in the room”—RT; “Also forgot to notify RT in time so a delay getting end tidal and vent set up when we were all ready to intubate”—MD
Planning and preparation	“The intubation was planned and went smoothly. It was an intubation we had been anticipating the need for several hours so we were very well prepared.”—RN; “The intubation went really smoothly, we had all our equipment at the bedside we needed…”—RN; “I think the intubation went very smoothly every thing was discussed before hand and during a time out”—RT; “MD did an excellent job communicating his concerns and plan and back-up plan prior to the patient being induced for intubation.”—RT; “Intubation was well executed with time out, check that all medications and equipment were in the room and closed loop communication”—MD	“Planning should have involved the bedside RN”—RN; “MD asked for equipment which wasn’t discussed”—RT; “The patient’s airway was larger than expected and we needed to upsize our blade and I went to the door and asked someone to bring us said blade, not knowing that the MD had placed it on the back of the boom. If I had been present before the actual start of the procedure I believe I would have known this”—RT; “More meds drawn up in advance”—MD
Role identification	“All personnel were present”—RN	“It could have been more organized. We were receiving orders from 2 different attendings.”—RN; “There were many doctors at the bedside during this intubation…it was unclear who was to be giving orders for which medication to be given.”—RN