Jon is a dual trained Anaesthetist / Intensivist from the UK but now works full time as an Intensive Care Specialist in Sydney. He has special interests and qualifications in medical education, simulation and debriefing. He likes to take simulation out of the Sim centre – running inter-professional scenarios in-situ in the Royal North Shore ICU. Jon is an organ donation specialist, is on the Organ and Tissue Authority Family Conversation Steering Group and runs a simulation program, using professional actors, for donation specialists who conduct family donation conversations. Jon is also an airway fanatic, and runs the Critical Care Airway Management Course. He is also interested in patient safety and quality, and is a member of Intensive Care Services Network Best Practice Working Group at the NSW Agency for Clinical Innovation. He is loving being a new Dad to baby Thomas.
Learning from Sim Part III: Critical Moments in the Intensive Care Unit
We have difficult conversations in critical care. We deal with sick and complex patients who may be at the end of life. The families we talk to may be in a state of shock and acute grief, unable to think clearly and make important decisions. Patient safety incidents and other challenging issues such as organ and tissue donation may further complicate the patient journey. We will follow the story of Leah and the difficult conversations that were needed in caring for her and her family. We will examine some of the key elements that can contribute to successful communication in difficult circumstances. As clinicians, our training in this type of communication may be limited to observing our mentors, and we may feel inadequately prepared. We will investigate how simulation training can be used to improve the quality of communication, increase our skill and comfort level so that we can guide patients and families through complex and challenging situations. We will also investigate how lessons learnt from simulation debriefing can be transferred to the conduct of difficult conversations in real life.