Post on 14-Feb-2016
description
Prof. DR. E. Sutedja dr SpKK(K)
WHAT IS INTERDICIPLINE TEAM
COLLABORATION AMONG :
GP AND A SPESIALISTGPs
DIFFERENT SPECIALISOTHER HEALTH PROFESIONAL
(NURSE, PHARMACIST, NUTRITIONIST)
WHAT IS INTERDICIPLINE TEAM
WHY WE NEED INTERDICIPLINE TEAM
IN TEACHING HOSPITAL
IN TEACHING HOSPITAL TEAM MEMBERSHIP BECOMES THAT
MUCH MORE COMPLEX WITH THE PRESENCE OF STUDENTS, RESIDENTS, AND FELLOWS.
HOW DO TEAMS WORK TOGETHER?
HOW DO TEAMS WORK TOGETHER?
MAJORITY OPINION, DEFERENCE TO MORE
EXPERT OPINION, UNANIMITY, OR CONSENSUS
AUTOCRATIC CHOICE
WHO IS IN CHARGE IN THE OPERATING ROOM? ISN'T THE SURGEON "CAPTAIN OF THE SHIP"?
WHO IS IN CHARGE IN THE OPERATING ROOM? ISN'T THE SURGEON "CAPTAIN OF THE SHIP"?IN 1949 PENNSYLVANIA SUPREME COURT
MCCONNELL VS. WILLIAMS
IN RECENT YEARS, MANY STATE SUPREME COURTS HAVE SPECIFICALLY THROWN OUT THE "CAPTAIN OF THE SHIP" DOCTRINE IN DISGUST
THE SURGEON WAS RESPONSIBLE FOR THE ACTS OF NURSES, NURSE ANESTHETISTS,
ANESTHESIOLOGISTS, RADIOLOGISTS, AND RADIOLOGY
PHYSICIAN-NURSE COLABORATION
Physician and nurse gradually envolving into a collaborative model
Physician assumed the lead role in many collaborative research initiative
Non-hierarchical in nature Work well, shared interest and open lines of
communication Mutual respect, trust, shared interest and
commitment“We Must all hang together or, assuredly, we shall all hang
separately”
WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE?
WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE? EVERY MEMBER HAS SEPARATE OBLIGATIONS,
WHICH ARE BASED ON THE PROVIDER'S PROFESSION, SCOPE OF PRACTICE AND INDIVIDUAL SKILLS.
ALSO HAVE ETHICAL OBLIGATIONS TO TREAT EACH OTHER IN A RESPECTFUL AND PROFESSIONAL MANNER.
NEED TO WORK TOGETHER IN ORDER TO BEST UTILIZE THE EXPERTISE AND INSIGHTS OF EACH MEMBER.
DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS?
DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS? SHOULD SEEK INPUT FROM THE
ATTENDING BOTH ABOUT THE REASONING TO PURSUE
THE ATTENDING'S PLAN THE REASONING FOR REJECTING HER
OWN
A RESPECTFUL EXCHANGE OF VIEWS MAY PROVIDE BOTH PARTIES WITH NEW
INFORMATION, AND CERTAINLY SERVES TO FURTHER EDUCATION.
WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS?
WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS? BOTH LISTENING TO AND
CONSIDERING THE INPUT OF OTHER PROFESSIONALS
RESPECT LANGUAGE, GESTURES, AND ACTIONS
"I acknowledge and respect your perspective in this matter, but for the following reasons. I disagree with your conclusions, and believe I should do something
else..."
HOW CAN DISAGREEMENTS ON THE MULTIDISCIPLINARY TEAM BE HANDLED?
HOW CAN DISAGREEMENTS ON THE MULTIDISCIPLINARY TEAM BE HANDLED?
INTERPROFESSIONAL DISCUSSION
RESULTING IN A NEW CONSENSUS
CONSULT OTHER PROFESSIONALS
ETHICS COMMITTEE
FOUR PRINSIP THE PHYSCIAN ETHICS : BENEFICENCE
NON MALEFICENCE
AUTONOMY
JUSTICE
THANK YOU