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STAR - Coggle Diagram
STAR
Difficult patient
Sitatuion
Mental health
Trans women
Death pills
Task
Seek first to understand
Begin with the end in mind
Action
Asked the patient to cooperate
Searched the patient
Result
Patient agreed to cooperate
Negative feedback
Situation
1st block of Advanced training
Other feedback "Very good decision making qualities
Some feedback summised that I appear to lack confidence
Task
Proactive
Put first thing first
Action
Reflection
Conflict between imbueing a sense of urgency
Creating a circle of safety
Further leadership training
Result
My most recent MSF every respondent rated me as excellent at tkaing control
Difference in a department
Situation
Oesophagectomy
Task
Improve ERAS
Action
Clinical alarm triggers
Results
Clinical alarm triggers were well correlated with anastomotic leak
Prolonged length of stay
Leadership
Showed Leadership in a team
Situation
Difficult ariway
Coordintated with ICU team, Anaesthetic team
Liased with NET and ICU consultant
Called emergency team
Proned patient with a dislodged tube
Task
Proactive
Synergise
Service users
Situation
DNA CPR
68 yo with mesenteric ischaemia
Task
Proactive
Seek first to understand and then be understood
Action
Clear communication
Direct messaging
Result
Conflict
Collegue
Situation
On a meteraminol infusion
In recovery
103 yo NOF repair
Task
Seek first ot understnad
Think win win
Action
Advocated for patient
Encouraged my collegue consider the patient deteriorating in recovery
Result
Patient was admitted and weaned off the meteraminol infusion by the morning and discahrged to the ward
In a team
Situation
Unsure whether to run a course once a year or twice a year
Different opiniosn within the team
Task
Seek first to understand
Put first things first
Action
Looked at the number of candidates
Looked at the demands on faculty time
Consultated with faculty about what each would prefer
Result
I took the decision to run the course once a year
Run a second course 6 months in tandem