Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Team Charter Example

Interprofessional Care Members
Provide expert advice to surgical team using interdisciplinary approach.
1. JOB DESCRIPTIONS:

■ Chair: Oversees overall operations of the program Responsible for team function
Ensures the timelines are met
Makes an executive decision in times of crisis situation
■ Facilitator: Rotating position Creates agenda
Organize meetings
Outlines immediate issues for discussion and facilitates meetings Keeps discussions on track
Ensures that the meetings start on time
■ Data collector: Voluntary task Taking minutes
■ Resource person: Research coordinator for outcome measures, advise on data collection and analysis, assistance with pictorials and models if needed

2. ROLE DEFINITION

Role of RN in care team is to provide expertise in nursing roles and responsibilities:
■ Provision of quality care by developing nurses´ expertise in management of surgical patients/clients
■ Utilize current evidence and tools related to interprofesssional care
■ Developing prevalence studies
■ Disseminating and integrating of research findings into practice and facilitating change by promoting nursing best practices related to surgical care
■ Educating and empowering nursing staff
■ Participates in research projects
■ Liaise with team members as appropriate

Role of Social Worker in care team is to provide expertise in:
■ Supporting family, patients/clients and circle of care in obtaining services, resources required to optimize patients/clients health

Role of OT in surgical care team is to provide expertise in:
■ Use of modalities
■ Assistive devices
■ Complementary therapies (such as footwear recommendations)
■ Promoting functional independence including ADL and IADL

Role of Physiotherapist in surgical care team is to provide expertise in:
■ Recommendations on positioning patients/clients (specifically focusing on promotion of healing and prevention of skin breakdown and joint contractures)
■ Improving the mobility of the patient/client in bed and out of bed.

Role of Physician in surgical care team is to provide expertise in:
■ The management of post-op care
■ Assist in educating the team regarding optimal post-op care

Role of Dietitians in surgical care team is to provide expertise in:
■ Expertise in Clinical Nutrition
■ Based on evidence-based literature and best-practice, provide appropriate intervention.
■ Determine appropriate protein, calorie and micronutrient requirements based on individual needs
■ Liaise with Registered Dietitian team to collaborate on best practices.

Role of the researcher/evaluator in surgical care team is to provide expertise in:
■ Facilitate effective interprofessional surgical care practice through a review of current research findings and determine the gaps for further research to improve patient/client care quality.
■ Contribute in the development of an environmental scan to determine what supports and resources are needed internally and externally for an effective interprofessional community of practice.
■ Guide the tracking and monitoring of the evaluation data for the interprofessional care initiative, and will guide the development of a Program Logic Model.
■ Develop a sustainability plan for the continuation of interprofessional communities of practice.

Working Together:
■ Open communication
■ Trust and commitment
■ Expertise
■ Accountability in knowledge transfer and application
■ Dynamic
■ Be transparent
■ Respect different opinions

■ Mediate and compromise when necessary
■ Attend meetings with focused agenda and be on time
■ Share and work towards common master plan
■ Take info back to team
■ Set timelines, agreed by consensus

Management Support:
■ Commitment for resources
■ Priority/operational goal
■ Representation on committees

3. ENHANCED COMMUNICATIONS:

■ Who makes decision
a. Minimum required for decision making 50% of membership
b. In stalemate situations – defer to person with expertise
■ Maintain time lines – leader’s accountability
■ Executive decisions
a. In difficult situations – role of chair or/delegate is to provide situational leadership
b. When violation of conduct – chair makes decision based on team’s feedback
■ Frequency of communications
– Team meetings to occur monthly
– E-mail communication in between meetings as necessary
– Transparency (documents posted for everyone to read)

4. CORE VALUES (refer to Registered Nurses’ Association of Ontario, Best Practice Guidelines model for interprofessional care)

5. EXPECTATIONS/IMPACT OF THE TEAM

EXPECTED OUTCOME – identify clear indicators using Registered Nurses’ Association of Ontario, Best Practice Guideline on interprofessional care as a guide

6. CONFLICT RESOLUTIONS – utilize Registered Nurses’ Association of Ontario, Best Practice Guideline on managing conflict

7. AUTHENTICITY (true to self/others)

8. EDUCATION (refer to surgical care plan)

Evaluation (refer to program logic model and Registered Nurses’ Association of Ontario Best Practice Guideline on interprofessional care)