Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 63

As soon as the leader becomes hands on, and task focused, they are primarily concentrating on the task at hand. This becomes the focus of their thoughts and they lose situation (or situational) awareness (i.e. their objective overview of the situation – see Section 4.8). The term ‘situational leadership’ is used to describe the fact that leadership can change as an emergency develops. If the leader is required to undertake a specific technical task, he/she must hand over leadership at that point. An example would be a situation where the consultant has assumed situational leadership during a shoulder dystocia. The midwife is unable to rotate the shoulders internally and asks the consultant to take over. As the consultant moves in to examine with the aim of removing the posterior arm, he/she must delegate ‘situational leadership’ to someone else – this will often be the senior midwife in the room.

The leader should be standing in an optimal position where they can gather all the information and ideally view the patient, the team members and the monitoring and diagnostic equipment. This enables them to recognise when a member is struggling with a task or procedure and support them appropriately.