So Meg, thanks for coming back and doing this some more. [LAUGH] So I want to kind of talk about how do you entrust in your environment. I appreciate you going over the videos with us. >> Mm-hm. >> And kind of thinking about it. But let's kind of go through some of the important things that we do, and just kind of deconstruct and give some teaching tips for people of how do they entrust in their environment. So what are some of the things that you do? >> Yeah. You know, I this is something that I struggle with constantly. So I tried to be really cognizant of what I'm doing. And, and, and try to be deliberate about in trusting my trainees. It really depends on what level there, what level of training and how will I know them. So some of these, the videos we're watching, I, I try to do some of those things so in the, in the code scenarios, I'll try to either be physically not present right in that area. and, and sit down somewhere or I'll try to be behind the trainee. >> Mm-hm. >> In, in scenarios where it's, it's just normal patient care, I will try to, let the resident sort of, you know, do their history and physical themselves. Come up with a management plan, and then, and have us talk about it. And then have them be the ones to go back to talk to the patient to sort of let them know what the plan's going to be. >> Mm-hm. >> I also try to use my nurses a lot. >> Mm-hm. >> So let the residents be a little bit more independent. >> Mm-hm. >> And but, but I have a great working relationship with my nurses. >> Yeah. >> So if there's something not right, they, they let me know. >> They'll come honest. [LAUGH] >> Exactly. [LAUGH] >> And that's exactly true. And some of the doctors say to the nurse in advance, I'm really kind of worried about that patient. >> Yeah. >> Or let me know if this doesn't happen. >> Yeah. Right. Right, yeah, I know, I've, I've definitely done that before too. And it works really well. And that way, you know you'd kind of have a safety net [LAUGH]. But you let the, you let the resident sort of go and, and have that autonomy. >> Yeah. >> You know, after I've heard about the, the patient from the residents and then I go see the patient myself. One thing that I've, that I've noticed that, that can really kind of undermine that relationship is if then you go and sort of make the plan- >> Mm-hm. >> With the patient right then. >> Yes. >> So. I really try to remind myself when I'm in that moment with the patient, to sort of stop before I give any kind of plan or any kind of assessment, and I say, you know, it was nice to meet you. I'm going to go talk to the rest of the team and then such and such resident will be back to talk to you. >> That's a good, that's really good. because then it helps the, the patient know kind of of where they are, the family know. >> Yeah. >> But it also lets the resident do what's important, which is the measurement piece. >> Right, right, right. And it gives them some ownership over that. Otherwise I think they feel like they're just kind of taking history and writing orders. >> Yeah. Yeah. >> Or, you know, they're being scutted or- >> Right. >> That they're being scribes- >> Right, right. >> For something like that. >> Right, exactly. >> You know, it's important, it's important. And that's how they learn anyway. >> Mm-hm. Right. >> Yeah, And anything else that you do? >> You know there's some other, other situations where I think might be unique to our environment. Like procedural sedation and things like that. And, I, I try to grant kind of graded responsibility for those kind of things, so you know initially the, the resident might be responsible for doing the, the consent and, and knowing all the details about that and describing it to the families. and, and then they are just sort of a part of team, of the sedation, whereas by the time they get to be a fellow, they really running the sedation themselves. >> Mm-hm. >> And then I, I do sort of what we do in the, in the codes and I kind of sit in the corner, and I'm there if you need me but but, but the, the nurses and the team knows that, that they're sort of the ones to to do that. >> Yeah. I think that's helpful. That's great. Thanks for the, your insight into this. >> Yeah. >> I really appreciate it.
