End of Life Care Clinical Pathway — Emergency Department
End of Life Care Clinical Pathway — Emergency Department
Debrief
- Optimal debrief occurs within 30 minutes and should last 10 minutes
- Ongoing patient care needs on the unit should be considered
- Use resuscitation room, family room, or open ED room
- Consider message on track board with time/location
- Encourage resuscitation team members to attend when possible
- Physicians, nurse practitioners, registered nurses, technicians, patient-care associates, respiratory therapists, child life, social work, chaplain, security
- Use Peer Review Debriefing Form when possible
Helpful Statements
- Thank members for being present.
- "The purpose of debriefing is to improve the quality and efficiency of medical care by CHOP providers. It is not a blaming session."
- "These debriefings usually take several minutes and if you have urgent issues to attend to, you are welcome to leave at any time."
- "I will briefly review the patient’s summary and then we as an entire team can discuss what went well and what could have gone better. Please feel free to ask any questions."
Reflect Tools
| R | Review the event Team leader briefly reviews course (“one-liner”) |
|---|---|
| E | Encourage team participation Open session to all participants |
| F | Focused feedback Avoid generalized statements |
| L | Listen Allow a period of time when people can feel or express sadness/anger/concern |
| E | Emphasize Take-home messages |
| C | Communicate Discuss communication, cooperation, coordination and team climate |
| T | Transform the future System issues highlighted during resuscitation that could improve |