Does the Early Bird Catch the Worm?

Thinking about how we prepare for shiftsJo Anna Leuck, MD

@JannaLuke SMACC:DUB 2016

6

Study Groups

First Day Shift

First Overnight Shift

Multiple Overnight Shifts

Evaluative Metrics

Critical Actions

Time to Critical Actions

Clinical Performance Evaluation

Results

NIGHT DAYCASE SCORE:

7.34 CASE SCORE:

6.32TIME to DEFIBRILLATE:

168 secondsTIME to DEFIBRILLATE:

431 seconds TIME to MAGNESIUM:

234 seconds TIME to MAGNESIUM

404 seconds

Wisdom from the ring• "You can map out a fight plan or a life plan, but

when the action starts, it may not go the way you planned, and you’re down to your reflexes – which means your training. That’s where your roadwork shows. If you’ve cheated on that in the dark of morning – well, you’re getting found out now, under the bright lights."

-- Joe Frazier