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<p class="MsoNormal"><span style="font-size:11.0pt">Dear Students, <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">As we move into our first simulation session tomorrow, this is a great time to revisit the essential tools of TeamSTEPPS—the foundation of effective teamwork and patient safety. The skills we practice in simulation
 are designed to become second nature in clinical care, where clear communication and mutual support prevent medical errors.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:11.0pt">Remember these key TeamSTEPPS tools:</span></b><span style="font-size:11.0pt"><o:p></o:p></span></p>
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<li class="MsoNormal" style="mso-list:l0 level1 lfo1"><b><span style="font-size:11.0pt">Brief – Huddle – Debrief</span></b><span style="font-size:11.0pt"><o:p></o:p></span></li><ul style="margin-top:0in" type="circle">
<li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">Brief:</span></b><span style="font-size:11.0pt"> Assign roles, set expectations, and anticipate outcomes before an event.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">Huddle:</span></b><span style="font-size:11.0pt"> Reassess the plan and address changes as they occur—any team member can call one.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">Debrief:</span></b><span style="font-size:11.0pt"> Reflect together after the event—what went well, what can improve, and one action step for next time.<o:p></o:p></span></li></ul>
<li class="MsoNormal" style="mso-list:l0 level1 lfo1"><b><span style="font-size:11.0pt">Closed-Loop Communication</span></b><span style="font-size:11.0pt"><o:p></o:p></span></li><ul style="margin-top:0in" type="circle">
<li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">Request/Call-Out:</span></b><span style="font-size:11.0pt"> Communicate critical information clearly and concisely in real time (e.g., “Patient’s BP is dropping—prepare
 fluids.”).<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">Cross-Check:</span></b><span style="font-size:11.0pt"> Verify that the message was received and understood; listen actively to confirm accuracy.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">Check-Back:</span></b><span style="font-size:11.0pt"> The receiver repeats the message back, and the sender confirms it was correct (e.g., “Administer 2 mg IV—2 mg IV confirmed.”).<o:p></o:p></span></li></ul>
<li class="MsoNormal" style="mso-list:l0 level1 lfo1"><b><span style="font-size:11.0pt">Mutual Support & Speaking Up for Safety</span></b><span style="font-size:11.0pt"><o:p></o:p></span></li><ul style="margin-top:0in" type="circle">
<li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">CUS Tool:</span></b><span style="font-size:11.0pt"> “I’m
<i>Concerned</i>, I’m <i>Uncomfortable</i>, this is a <i>Safety</i> issue.”<o:p></o:p></span></li><ul style="margin-top:0in" type="square">
<li class="MsoNormal" style="mso-list:l0 level3 lfo1"><span style="font-size:11.0pt">Provides a structured way to voice concerns respectfully.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level3 lfo1"><span style="font-size:11.0pt">Helps escalate issues before patient harm occurs.<o:p></o:p></span></li></ul>
<li class="MsoNormal" style="mso-list:l0 level2 lfo1"><b><span style="font-size:11.0pt">Two-Challenge Rule:</span></b><span style="font-size:11.0pt"><o:p></o:p></span></li><ul style="margin-top:0in" type="square">
<li class="MsoNormal" style="mso-list:l0 level3 lfo1"><span style="font-size:11.0pt">Voice your concern at least twice if the initial response is not acknowledged.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level3 lfo1"><span style="font-size:11.0pt">If the safety concern remains unaddressed, “stop the line” and seek resolution through the chain of command.<o:p></o:p></span></li></ul>
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<p class="MsoNormal" style="margin-left:1.5in"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Your intentional use of these strategies during simulation will help make them a habit for real-world practice. Let’s strive to model the teamwork, communication, and psychological safety that define high-functioning
 healthcare teams.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Warm regards,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Dr. Gerstner<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal" style="background:white"><b><span style="font-family:"Arial",sans-serif;color:#ED7D31;mso-ligatures:none">Laura R. Gerstner, DHSc, MHA, PA-C </span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#201F1E;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:#595959;mso-ligatures:none">Chair & Program Director<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:#595959;mso-ligatures:none">Campbell University Physician Assistant Program</span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#201F1E;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:#595959;mso-ligatures:none">Mailing Address: P.O. Box 1090, Buies Creek, NC 27506</span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#201F1E;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:#595959;mso-ligatures:none">Physical Address: 4150 U.S. 421 S., Lillington, NC 27546</span><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#201F1E;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:10.0pt;font-family:Wingdings;color:#595959;mso-ligatures:none">(</span><span style="font-size:10.0pt;font-family:"Tms Rmn",serif;color:#595959;mso-ligatures:none">: </span><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:#595959;mso-ligatures:none">910.893-1252
 |</span><span style="font-size:10.0pt;font-family:Wingdings;color:#595959;mso-ligatures:none">*</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#595959;mso-ligatures:none">:</span><b><span style="font-size:10.0pt;font-family:"Calibri",sans-serif;color:navy;mso-ligatures:none"> </span></b><u><span style="font-size:10.0pt;font-family:"Calibri",sans-serif;color:#595959;mso-ligatures:none"><a href="mailto:gerstnerl@campbell.edu"><span style="color:blue">gerstnerl@campbell.edu</span></a></span></u><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#201F1E;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#201F1E;mso-ligatures:none">she/her/hers<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><a href="https://apps.exxat.com/public/steps/Campbell-PA/Home"><span style="color:blue;border:none windowtext 1.0pt;padding:0in">https://apps.exxat.com/public/steps/Campbell-PA/Home</span></a><o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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