> [!METADATA]+ > **Type**:: [[Conference Talk]] > **Conference**:: [[Sin City Ruby 2022]] > **Authors**:: [[@Thai Wood]] > **Links**:: [Slides](https://resilienceroundup.com/scr22/) ## Notes - There is a human cost to being on call - Response and System Safety - Practice your response - Game day - Table top exercise - Getting Paged - Small amount of information that is sometimes true - The page may indicate the issue but it may not entirely accurate or may just be a symptom of the real issue - Scene size up - Look around, asses what’s going on - Asses what responders are currently there - OPQRST - Onset - Provocation - Quality - Radiation/Region - Severity - Time - Treat the patient, not the monitor - Don’t talk to patients about severity - Don’t argue that it’s not an incident - Distracts from ability to response - Revisit after the issue - not during - Talk to teams about what other options they have when they feel out of their depth - Know what role you’re operating in - What am I here for? - Know your resources - Escalation - Dashboards - Docs - Communication matters - Closed loop communication - I say something - You repeat what I said - I confirm you repeated it correctly or we start again - Narrate your actions - Don’t become part of the emergency - In tech this can look like burnout - Destroying responders does not help resolve the issue - Summary - Accidents will continue to happen, this doesn’t diminish the work of responders - Get basic info to help you orient yourself - Don’t talk to patients about severity - Decide how you can best address the issue - Know what role you’re in - Know what resources are available and their constraints - Don’t become part of the emergency