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You and your participants can use simulation to help decide how roles will be assigned and who is responsible for assigning roles during an emergency. In an emergency, many tasks need to be done as quickly as possible. Specific tasks can be associated with a specific role and roles can then be assigned during an emergency. This decreases confusion about who is doing what during an emergency.
Every unit is different. You and your team will need to figure out what works best for your space. Above are images of two examples from the video lesson for methods to assign roles to nurses during an emergency.
Example 1: Role Delegation
Each team member is assigned a specific role that has pre-determined tasks. On the Role Delegation image, you will see examples of those titles and the tasks associated with them.
Above the Waist RN: Assists anesthesiologist, manages maternal care, assists with blood-related tasks
Below the Waist RN: Manages fetus including fetal tracing and calling the NICU, manages maternal care including placing foley, ABD prep if CS, placing leg strap
Recorder RN: Provides documentation, tracks times for tasks and medication administration, follows and announces tasks on the checklist (if available)
OR Tech: Assists with procedures and surgery, EX: uterine balloon tamponade or B-lynch suture
Primary RN: Calls for help or assigns someone to call, directs the room/assigns roles, communicates with team members as they enter the room, communicates with patient and family members
Example 2: Zones
Each team member is assigned to zones. The zones are associated with specific tasks. These tasks are relative to the layout of the room and proximity to the tools necessary to complete the associated tasks.