One on one support
One on one support is the interaction between the peer supporter and the second victim. This interaction uses the crisis management techniques and typically takes place hours or days following a clinical event.
The first encounter allows the second victim to discuss their feelings and reactions with the goal of reducing their overall stress as well as facilitating an understanding of the typical response the second victim may experience.
Typically, this interaction may consist of 1 to 3 different contacts with the second victim. Each contact may last 15 minutes to 45 minutes depending on the severity of the event.
The format of this interaction is confidential and is conducted without judgment. The focus is on the second victim's personal response to the situation not the specific clinical details of the event.
Specific clinical information and event details should be shared only through the quality review process or risk management.
Occasionally the whole care team is adversely affected by a clinical event. In these situations, team debriefings should be considered.
Team Debriefings are facilitated by trained individuals who have experience/training in group work during times of crisis. Theses facilitators are aware that each team member may react very uniquely to the event. Team debriefings can be activated by accessing the forYOU Team pager.
Every health care team member impacted by the unanticipated clinical event should be invited to participate. Each individual member of the affected health care team should be allowed to make their own decision regarding attendance. Confidentiality is assured and maintained.
Debriefings are not a critique of an incident or performance but a brief conversation about the event just experienced and the emotional impact that the care team may be experiencing. The process provides a format in which personnel can discuss their observations, feelings and reactions thus reducing the stress resulting from exposure to the clinical event.
The goal of the forYOU Team debriefing is to encourage mutual support, strengthen coping skills, and support personnel to find closure and return to work with optimal functioning.
Specific clincial information and event details should be shared only through the quality review process or risk management.