Wednesday 29 June 2016

Melissa Fitzpatrick - Thriving in Chaos

Melissa Fitzpatrick is a healthcare executive who has been a registered nurse since 1977 and has dedicated her career to elevating the profession of nursing and patient and family centered care.  She has held a variety of leadership roles in Academic Medical Centers, in Industry and in professional nursing organizations and has seen the industry face many challenges in the face of rapid change and chaos.



Melissa FitzpatrickThriving in chaos requires elegance, dignity, quick thinking and great instincts.  Whether in the ICU, Emergency Department or executive suite, results depend on the leader’s ability to process information quickly, to manage competing demands and ambiguity and to stay focused on the goals at hand.  Minimizing chaos by limiting noise, distraction and inappropriate behavior is essential in order for the team to work effectively.  Having a plan in place and assuring that everyone is aware of the roles, goals and desired outcomes to achieve success is essential.  Practicing that plan in an ongoing manner and doing ‘mock disaster drills’ helps to assure that team members are ready in the event of an actual disaster or emergency. 

Being the calm in the eye of the storm is the role of the leader in a chaotic or emergency situation.  If the leader is demonstrating stress behaviors, communicating poorly or acting inappropriately, this will quickly affect the team’s morale and performance. Delegating effectively and optimizing the use of all resources is key so that no one resource is over extended or under-utilized.  Assuring that you and your team are rested, well-nourished and supported emotionally through the crisis will enable the best outcomes.  We do not execute our plans as well when we are hungry and have had no escape from the situation for hours on end.  Tending to Maslow’s hierarchy of needs is a great rule of thumb.

Once the crisis has been averted, leading a team debrief and assessing what went well and what did not go well will assure success the next time.