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Prof. DR. E. Sutedja dr SpKK(K). INTERDISCIPLINARY TEAM ISSUES. WHAT IS INTERDICIPLINE TEAM. WHAT IS INTERDICIPLINE TEAM. COLLABORATION AMONG : GP AND A SPESIALIST GPs DIFFERENT SPECIALIS OTHER HEALTH PROFESIONAL (NURSE, PHARMACIST, NUTRITIONIST). WHY WE NEED INTERDICIPLINE TEAM.

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Prof dr e sutedja dr spkk k

Prof. DR. E. Sutedja dr SpKK(K)

INTERDISCIPLINARY TEAM ISSUES



What is interdicipline team1
WHAT IS INTERDICIPLINE TEAM

COLLABORATION AMONG :

GP AND A SPESIALIST

GPs

DIFFERENT SPECIALIS

OTHER HEALTH PROFESIONAL

(NURSE, PHARMACIST, NUTRITIONIST)




In teaching hospital1
IN TEACHING HOSPITAL

  • TEAM MEMBERSHIP BECOMES THAT MUCH MORE COMPLEX WITH THE PRESENCE OF STUDENTS, RESIDENTS, AND FELLOWS.



How do teams work together1
HOW DO TEAMS WORK TOGETHER?

  • MAJORITY OPINION,

  • DEFERENCE TO MORE EXPERT OPINION,

  • UNANIMITY, OR CONSENSUS

AUTOCRATIC

CHOICE



Who is in charge in the operating room isn t the surgeon captain of the ship1
WHO IS IN CHARGE IN THE OPERATING ROOM? ISN'T THE SURGEON "CAPTAIN OF THE SHIP"?

IN 1949  PENNSYLVANIA SUPREME COURT

MCCONNELL VS. WILLIAMS

IN RECENT YEARS, MANY STATE SUPREME COURTS HAVE SPECIFICALLY THROWN OUT THE "CAPTAIN OF THE SHIP" DOCTRINE IN DISGUST

THE SURGEON WAS RESPONSIBLE FOR THE ACTS OF NURSES, NURSE ANESTHETISTS, ANESTHESIOLOGISTS, RADIOLOGISTS, AND RADIOLOGY


Physician nurse colaboration
PHYSICIAN-NURSE COLABORATION "CAPTAIN OF THE SHIP"?

  • Physician and nurse  gradually envolving into a collaborative model

  • Physician assumed the lead role in many collaborative research initiative

  • Non-hierarchical in nature

  • Work well, shared interest and open lines of communication

  • Mutual respect, trust, shared interest and commitment

    “We Must all hang together or, assuredly, we shall all hang separately”


What are the ethical obligations of members of the interdisciplinary team in patient care
WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE?


What are the ethical obligations of members of the interdisciplinary team in patient care1
WHAT ARE THE ETHICAL OBLIGATIONS OF MEMBERS OF THE INTERDISCIPLINARY TEAM IN PATIENT CARE?

  • EVERY MEMBER HAS SEPARATE OBLIGATIONS, WHICH ARE BASED ON THE PROVIDER'S PROFESSION, SCOPE OF PRACTICE AND INDIVIDUAL SKILLS.

  • ALSO HAVE ETHICAL OBLIGATIONS TO TREAT EACH OTHER IN A RESPECTFUL AND PROFESSIONAL MANNER.

  • NEED TO WORK TOGETHER IN ORDER TO BEST UTILIZE THE EXPERTISE AND INSIGHTS OF EACH MEMBER.


Do i have to do whatever i am told by the attending physician even if i disagree with their plans
DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS?


Do i have to do whatever i am told by the attending physician even if i disagree with their plans1
DO I HAVE TO DO WHATEVER I AM TOLD BY THE ATTENDING PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS?

  • SHOULD SEEK INPUT FROM THE ATTENDING

  • BOTH ABOUT THE REASONING TO PURSUE THE ATTENDING'S PLAN

  • THE REASONING FOR REJECTING HER OWN

    A RESPECTFUL EXCHANGE OF VIEWS MAY PROVIDE BOTH PARTIES WITH NEW INFORMATION, AND CERTAINLY SERVES TO FURTHER EDUCATION.


What is meant by respectful exchange of views
WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS? PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS?


What is meant by respectful exchange of views1
WHAT IS MEANT BY "RESPECTFUL" EXCHANGE OF VIEWS? PHYSICIAN, EVEN IF I DISAGREE WITH THEIR PLANS?

  • BOTH LISTENING TO AND CONSIDERING THE INPUT OF OTHER PROFESSIONALS

  • RESPECT  LANGUAGE, GESTURES, AND ACTIONS

    "I acknowledge and respect your perspective in this matter, but for the following reasons. I disagree with your conclusions, and believe I should do something else..."



How can disagreements on the multidisciplinary team be handled1
HOW CAN DISAGREEMENTS ON THE MULTIDISCIPLINARY TEAM BE HANDLED?

  • INTERPROFESSIONAL DISCUSSION

  • RESULTING IN A NEW CONSENSUS

  • CONSULT OTHER PROFESSIONALS

  • ETHICS COMMITTEE


Four prinsip the physcian ethics
FOUR PRINSIP THE PHYSCIAN ETHICS : HANDLED?

  • BENEFICENCE

  • NON MALEFICENCE

  • AUTONOMY

  • JUSTICE


Thank you
THANK YOU HANDLED?


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