Coda Change

From #SMACC2019 Vic Brazil, Eve Purdy, Jenny Rudolph, Chris Hicks, Simon Carley & Jenny Vaughan discuss learning and culture in healthcare. Simulation is a great learning tool but how do we organise simulation activities when we are resource and time poor? How do we translate learnings from Sim into the real world, when the stakes and stress levels are high? How do we encourage junior staff to be honest with their feedback? How do we set a culture that promotes an open learning environment? The fastest way to discourage feedback is to ask people to be honest but do nothing about it. Tune in to a discussion on learning and culture in healthcare from our stellar panel. For more head to: codachange.org/podcasts

From #SMACC2019 Phil Dobson shares some productivity tips for healthcare professionals. Society trends show that we are increasingly getting busier and busier. This is making our ability to prioritise harder, limiting our capacity to focus and resulting in an inability to switch off. High pressured, demanding jobs only makes this worse.  Phil suggests that we need to take a step away from busyness and towards effectiveness. To be less reactive and more self-directive. How? The first way to do this is by prioritising. We often prioritise based on what is urgent but by becoming more outcome oriented, we understand that not all tasks are equal and we avoid spending time on the wrong things. Think about your long term goals, yearly goals and quarterly goals. Are you spending time doing the things that will help you achieve those goals? Secondly, we need to manage our energy. Energy is a variable and it is a precious resource. It is not unlimited and we need to give our brain time to rest and recover. Utilise the times during the day where your energy is at its peak to tackle challenging tasks. Finally, observe your attention. How distracted are you? Trends are showing that we are giving more and more things our partial attention. Become aware of your attention and how you choose to spend it. For more head to: codachange.org/podcasts

Sustainable healthcare: A move to Net Zero. If the health sector were a country, we would be the fifth-largest polluter in the world. It is crucial that we move towards a sustainable healthcare system, but what exactly does this mean? The NHS has led the way in modelling a Net Zero healthcare system. They have done this by considering all aspects of the industry, including energy, transport, Telehealth, equipment, devices and disease prevention. The reality is we live in a linear economy. Particularly in medicine - we buy things, we use them and we throw them out. The NHS has pledged to only use suppliers who match or exceed their expectations with Net Zero healthcare. You can’t address waste without addressing what you purchase. How can we shift into a circular economy? We need to invent ways to produce things that have a life expectancy beyond single-use. For example, Covid-19 has resulted in an unthinkable amount of waste from PPE, but innovative projects have seen how recycled face masks can be broken down and used to make new roads. The healthcare industry has two key priorities: first, we need to reduce our carbon footprint. Then, we need to prepare ourselves for the climate change that is locked in for decades to come. Whether this is managing heat waves or ensuring that our hospitals don’t flood. So how can we achieve sustainable healthcare? Find a group of like-minded healthcare colleagues, go to your General Manager and make the case for clean energy in your hospital. Use your voice – healthcare professionals are the most trusted professional group in society, so speak up at every opportunity.   Start making steps right now Sustainable healthcare: A move to Net Zero is the way of the future. We just need to get there sooner rather than later. For more head to: codachange.org/podcasts

In situ simulation for Trauma Team Training by Chris Hicks. Chris explains how managing difficult cases often doesn’t have anything to do with medical knowledge. The hard part is the practicality of getting things done in an interdisciplinary team environment. We strive for implicit coordination – where team members work so seamlessly together that they barely speak. This is the essence of high performing teams.  Chris talks us through the team based factors of trauma care and how to put this into action in your hospital.  For more head to: codachange.org/podcasts  

From think tank, to ‘do’ tank – making great ideas happen in healthcare.  From #SMACC2019 our expert panel sit down to discuss how to put thought into action. How do we prioritise physical and emotional recovery in such a highly demanding job? How do we propel innovation in critical care and medicine? How do we balance social media with creativity, nuance and deep thinking? For more head to: codachange.org/podcasts

In the previous podcast, the SMACCForce Simulation Team performed a Resuscitative Hysterotomy in a high-pressured situation. Now, we debrief. Sim is a powerful tool, it allows for healthcare professionals to practice rare medical procedures, to refine team work and to enhance collaboration. Importantly, it provides an opportunity for healthcare professionals to practice responding to challenging situations.  In this episode, the SMACCForce Simulation Team debrief on the learnings and opportunities from the Resuscitative Hysterotomy simulation. For more head to: codachange.org/podcasts

From #SMACC2019 the SIM team demonstrate a Resuscitative Hysterotomy on a pregnant, 36 year old female who was involved in a high speed motor vehicle accident. The catch? She is the surgical registrar and friends with members of the team. Watch or listen as the SIM team guide us through a Resuscitative Hysterotomy in a high-pressured situation. For more head to: codachange.org/podcasts

Liz Crowe interviews Justin Morgenstern about curiosity in medicine. Curiosity is the most important thing that Justin brings to medicine. Why? Because he believes that you can’t be a great clinician or educator without first being curious. The future of medicine is based on asking questions – what if? In the critical care environment, when you are under pressure, your brain will often resort to the first solution that comes to mind. Being curious helps us double check our decisions. What could I be missing? What else could I be doing? We often forget to ask about the person sitting in front of us.  One or two minutes of curiosity can change an entire management plan. Curiosity makes you a better practitioner. For more head to: codachange.org/podcasts

In the last 10 years, 50,000 articles have been printed about burnout. As healthcare workers, we are exposed to an enormous emotional toll.  We need a plan to look after our wellbeing and we need to start thinking about it now. Surround yourself with people you can trust and do things to boost your happiness. Most importantly, work with your team. If a team member needs to be covered, cover them. One day you may need covering too.   For more head to: codachange.org/podcasts

Surviving Massive Burns: Jamie Manning and the Royal North Shore Hospital team. In this panel discussion, we hear an incredible patient story from Jamie Manning and his wife, Karen Manning. In March 2014, Jamie was involved in a horrific car accident which resulted in catastrophic injuries and extreme burns to 40% of his body. Jamie and Karen reflect on their journey to recovery and their experience with the hospital system. They are joined on the panel by a number of the healthcare professionals who were involved with Jamie's recovery.  In this discussion, the team reflect on learnings for the future, such as the importance of continuity of care. Tune in to an unmissable podcast from #SMACC2019.  For more head to: codachange.org/podcasts