Leadership and management |
Positive modifiers | ⇒Raises team morale | ⇒Takes control when required | ⇒Scrub provides clear instructions to circulating nurse(s) |
⇒Intervenes if deviation | ⇒Demonstrates desire for high standard | ⇒Senior nurse makes sure protocols are followed |
⇒Prioritises tasks | ⇒Appropriately distributes tasks b/w rest of team | ⇒Speaks up when unhappy |
Negative modifiers | ⇒Deflates or fails to motivate team | ⇒Does not take control when required | ⇒Senior nurse does not support juniors |
⇒Does not attempt to build cohesion | ⇒Does not set standards |
⇒Inappropriate task distribution |
Teamwork and cooperation |
Positive modifiers | ⇒Open | ⇒Supportive of other subteams | ⇒Nurses cooperate and support each other well |
⇒Appropriate use of abilities within team | ⇒Appreciates functions of other subteams | ⇒Senior nurse covers for junior scrub |
⇒Supportive of other subteams when necessary |
Negative modifiers | ⇒Aggressive in conflicts | ⇒Remains idle when problems arise | ⇒Poor coordination between equipment needs and those provided |
⇒Does not appreciates others’ abilities | ⇒Functions separately from other subteams |
Problem-solving and decision-making |
Positive modifiers | ⇒Demonstrates generation of options | ⇒Participates in solving problems | ⇒Takes an active part in decision-making |
⇒Open discussion and agreement over anatomy | ⇒Raises suggestions | ⇒Suggests solutions to problems—eg, alternative equipment |
⇒Incorporates other subteam issues |
Negative modifiers | ⇒Decisions made unsystematically | ⇒Does not consider anaesthetic options when met with problem | ⇒Blames the surgeons when faced with problems |
⇒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 | ⇒Patient: Has awareness of patient condition/comorbidity |
⇒Procedure: Appreciates stage of operation |
⇒People: Who is present in theatre, what skills they have and what they are doing |