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Staff support
The support system set up at the IUCT-Oncopole:

Emotional first aid
Immediately after being confronted with an adverse event with a patient, it is normal for the professional involved to share his or her first emotions with a colleague.

How does it work?

For the listener: some recommendations

The 3 stages of the system in IUCT-Oncopole  

1/ Debriefing

To ensure the patient's safety, the caregiver involved participates in the debriefing with the ward’s management.
This moment allows us to decide together, in view of the situation:
- of the patient's care
- the level of continuity of activity
- taking care of the 2nd victim while waiting for the event to stabilize

How does it work?

2/ Meet a peer supporter

The second victim can be accompanied by a Peer supporter from the institution. The professional helper meets with the second victim if she or he wishes to discuss her or him feelings and give her or him the keys to getting better.

The peer supporter agrees to:
- be worthy of the trust placed in him
- be trained
- respect the right of the second victim to make her or him own decisions
- put aside prejudices and possible preconceptions
- ensure the confidentiality of the exchange

It is useful to communicate a list of peer supporter to all staff in the health care facility

How does it work?

It is essential that the missions of the peer supporter be framed by a formal policy.

3/ Psychological support can be useful.

This support can be provided by an occupational psychologist or a psychologist from outside the institution.
It is also possible to sign an agreement with a group of trained external psychologists, in which case consultations can be paid for by the hospital.

For example, the IUCT-O has contracted into a partnership with the Maison de la psychologie de Toulouse

External support exists:
They can be reached 24/7 by telephone. This psychological support system is anonymous, confidential and external.

For all caregivers 2 french associations specifically identified : MOTS or SPS

Root cause analysis
Participating in the root cause analysis allows us to understand the factors that contributed to the event and helps us move forward. This analysis is conducted in strict confidentiality. It is conducted to implement barriers and improvements so that the event does not happen again.
The objective is to look for all the factors that may have contributed to the event occurring, not to look for someone to blame.

Participate in Feedback
Talking about the event and the lessons learned allows the team to develop practices, to feel ready to face a similar situation and to react in time.
Quelques bonnes questions à se poser sur son dispositif de REX (Fondation pour une Culture de Sécurité Industrielle)

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