• Conducting a pre-brief prior to patient arrival that includes team member introduction, summary of known patient information and plan of care.
• A "time out" prior to procedures; including patient identification, procedure clarity, equipment and staff available.  
• Maintenance of noise discipline; especially during procedures.  Minimizing uneccessary talking, pager, radio and phone tones. 
• Constant clarification of patient's condition, plan of care and next steps. 
  

Noise/Crowd Control

The FAA regulations are clear on noise discipline; referred to as the “Sterile Cockpit Concept*”

During critical phases of flight (ground taxi, takeoff, landing and flight below 10K ft) no crew member shall permit activity that will distract crew from performance of duty; including talking and extraneous noise. 

*FAR 121.542 and 135.100/Federal Aviation Administration

Maintaining noise discipline during the resuscitation and especially during critical phases (procedures, etc) is critical and a concept that we adhere to as a team.   This aviation practice has a practical place in healthcare (see here)  NASA utilizes an easy tool to identify critical stages of operation (see here)

• Everyone in the "blue square" area must wear PPE.   Lead aprons are also available in each room.  
• If you use a sharp; you own it.  Dispose of your sharps; maintain a high level of situational awareness with regards to sharps.  
• Each patient should receive a "threat assessment" upon entering the bay.   Any chemicals, hazardous materials, weapons, etc should be noted, announced to the group and dealt with.
• Any and everyone involved in the trauma resuscitation process is empowered to speak when and if there is a ongoing or past issue or event that compromises patient or team safety.