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Duke Regional Hospital

Partnerships & Safe Reduction of Primary Cesarean

TeamSTEPPS tools in L&D


Heather Talley MSN, RNC-OB, C-EFM, CNLM
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TeamSTEPPS Tools
1. Shift huddles
2. Unit CUSP ( comprehensive unit-based safety committee) committee - CNM,
MD, Anesthesia, RN –all represented on committee
3. CUS/ SBARR as a part of the OB chain of command policy as well as the two
challenge rule
4. Debriefing checklist after unexpected events using a tool
5. Standardized EFM education for RNs and residents
6. Use of positive psychology to support sustained team behaviors and
communication
Strip Review When
‫‏‬

Questions Arise • Evidence based policy reviewed


by all stakeholders with clear
definitions.
• Leadership involvement in Chain of
Command
• Culture that supports professional
questioning as a learning
experience and does not tolerate
retaliation
Positive Psychology
‫‏‬
If you want to build a
‫‏‬

team….share a meal together!

• 3 o’clock coffee
IMPACT
• Enhance communication
• Improved safety and efficiency
of team
• Decreased turnover
• Increased employee
engagement
• Increased patient satisfaction
Thank you!
‫‏‬