The OR Ear by wnh56963

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									         The OR Ear

Training Your Ear for the OR

          Holly Falcon, CST, BS
 Program Director Concorde Career College
               Denver, CO
                 Effective Listener?
•   Almost everyone believes he listens effectively
•   Few people think they need to develop listening skills
•   Listening effectively is something few of us can do
•   Most have never developed the habits
•   By listening effectively
     – You will get more information (TMI?)
     – You will increase others' trust in you
     – You will reduce conflict
     – You will better understand others
     – You will inspire a higher level of commitment
                • Preceptors will want to teach
          Hearing Vs. Listening
•   Hearing - Perceiving sound by the ear
      – Hearing simply happens (involuntary)
•   Listening – To pay attention to sound...To
    hear with thoughtful attention.
      – Something you consciously choose to
         do
      – Requires concentration
      – Brain processes meaning from words
      – Listening leads to learning

•   Most people tend to be "hard of listening"
    rather than "hard of hearing."
            Effective Listener?
• Good communication does not come without
  the ability to listen effectively
• Study of 8,000 people found that virtually all
  respondents believed they communicate more
  effectively than their co-workers
• Could everyone be above average?
• Research shows the average person listens at
  25% efficiency
     Why Teach OR Ear Strategies?
• We owe it to the student, clinical site, and the
  patient
• Good technical skills?
   – Halfway there
• Good communication separates a technician
  from a technologist
• Increases job effectiveness
• We remember less than half of what we hear
• Takes Practice
             Listening Principles
•   Focus on the speaker
•   Do not make assumptions
•   Pick out key words
•   Always repeat complicated orders
     – Verifies you heard correctly
     – Will help you remember
             •   Involves another sense
             •   Hear it twice
• If unsure…ask!!
                    Barriers
•   Bias or prejudice
•   Language differences or accents
•   Frustration and “Tuning out”
•   Noise
•   Emotions
•   Personal Well-being
•   Lack of attention span
•   Stress
              Avoid Mind Wander
• Some students have short attention spans
• Mind has a natural tendency to wander
• Use thinking ability
   – Thoughts are faster than speech
   – Summarize as you go
      • Helps retain information
      • Controls mind drift
• Visualize
    Passive Versus Active Listening
•   Passive Listening – You are hearing but not
    engaged
     – Listening to radio while driving
     – TV for background noise
•   Active Listening – Receive AND Process
     – Interactive
     – Are we active in our conversations?
          Be an Active Listener

• Requires self control!!
• Set aside other thoughts
• Concentrate on the message and the
  messenger
• Avoid distractions
• Prioritize
• Ask questions
• Reflect
• Paraphrase
 3 Steps for Listening and Processing
• Hearing –
   – Listen enough to catch what the speaker is
     saying
• Understanding –
   – Take what is heard and understand it in
     your own way
• Judging –
   – Think about whether it makes sense
• Know when to Question
   – Indication you did not hear correctly
                  Application
• Hearing –
   – Surgeon requests .5% Lidocaine with
     Epinephrine before incision into scalp for
     craniotomy
• Understanding –
   – Local will numb and epinephrine is a
     vasoconstrictor
• Judging –
• The scalp bleeds a lot, and epinephrine will
  reduce bleeding. Makes logical sense
• Question -
   – Did you hear heparin instead of
     epinephrine?
   Improve Classroom Performance
• Eye contact
      – Focus on what is being said
• Avoid Distractions
      – Identify and Eliminate
      – Friends, Toys, Window gazing
      – Sit up close
• Interact
      – Ask questions
      – Process while listening – Then Write
      – Connect to prior learning
      – Establish chronological patterns
      – Summarize main points
    Improve Classroom Performance
•   Listen for Signal Words
      – Identify introduction of main ideas
      – Transition
      – First, Next, Then, Finally
•   Maintain good posture
      – Sit up straight with feet flat on the floor
      – Adjust seat to look directly at speaker
      – Keep both hands on desk to maintain
      – Relaxation induces passive listening
•   Actively focus on concentration
      – Use tips to avoid Mind Wander
          Applying to Classroom
• Following sequence of directions
   – Fold paper
• Verbal instructions before quizzes/exams
   – Once!!
• Students summarize material taught
                 Applying to Lab
• Following Instructions
• Sequencing Exercises
• Concentration Exercises
   – Noise factors
     •   Talking to student
     •   Radio
     •   Peripheral talking
     •   Suction
         Helps “Read” Personalities
•   Gossip Hound
•   Sexually Aggressive Surgeon
•   Wishy Washy Surgeon
•   Anger Management Candidate
•   Chatty Kathy
•   Contamination Nightmare
•   Nurse Ratchet
•   The Nurse that Needs to Retire
  Constructive Feedback from Peers
• Instructors are sometimes like Charlie Brown’s
  teacher
• Students are more likely to accept feedback
  from peers when it comes to professionalism
• Listening to student responses enhance
  processing and communication skills.
       Communication in the OR
•   Communication – A TEAM Effort
     – Exchange of information from one
         person to another
     – Involves sender transmitting to a
         receiver
     – Effective communication occurs only if
         the receiver understands the exact
         information the sender intended to
         transmit
•   Many issues result from failure to
    communicate
•   Faulty communication = Confusion
          Communication Skills
•   Enhanced listening = Better Communication
•   Professional communication starts day one!!
     – Pull students aside to discuss
•   Student's hold each other accountable
•   Perception is everything!!!
•   Must communicate to do the job
     – Counts, Specimens, Medications
     – Lack of communication can lead to
         error
      Non-Verbal Communication
•   Non-Verbal Communication
     – Process of communication through sending
        and receiving wordless messages
•   Be aware of ineffective non-verbal
    communication
    Effective Nonverbal Communication
•    Eye Contact
      – Signals interest in others
      – Increases speakers credibility
•    Facial Expressions – Smile
      – Perceived as likable and approachable
•    Gestures – Head nods
      – Shows listening without interruption
•    Posture and Body Orientation
      – Face the speaker
•    Do not show signs of distraction
      – Gazing, tapping, fiddling
        Overall Student Success
•   Effective Listening leads to Effective
    Communication
•   Teaching active listening enhances
    classroom learning
•   Classroom is practice for OR
•   Effective communication leads to good
    clinical experience
•   Tips can be used for successful interviews

								
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