"Let's face it, nurses can easily identify the impediments to safe care in their environment: Hierarchical leadership styles, poor nurse-physician communication, lack of psychological safety when communicating patient information to medical decision makers, and task loads that approach cognitive saturation," he says. "All of these issues can be addressed directly with CRM."
Sculli set about implementing CRM on his own unit, and following his success, now trains others around the country. Key CRM concepts he brings to nursing include:
On his unit, Sculli applied CRM to the everyday responsibilities and challenges nurses face. One of his projects was to improve medication administration, an all-too-common source of errors that harm patients.
Nurses are subject to an incredible amount of distractions during their day—from patient and family requests to physicians arriving on the floor and needing information or supplies, to other staff members needing assistance. Then there is the ambient noise level on the unit created by televisions, loud hallway conversations, medical monitoring equipment, floor buffers, noisy carts, and nearby maintenance.