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Our organizations experience significant challenges at the best of times and there are many cautionary tales such as those in Five Days at Memorial that describeВ the dangers of pushing employees past their level of healthy functioning. It is widely agreed that these factors contributed to serious lapses in judgment by some of those health care workers which led to some questionable ethical decisions in the end. In her book, Fink shares numerous interviews with staff where they describe overwhelming moral distress, feelings of burnout, and anger towards senior leadership and the government. There were no more established shift schedules, handover, or time for rest. Medical professionals who were stuck in the hospital had to contend with a lack of communication about evacuation plans and no hope of respite to come. Exhausted staff, all of whom were now taking refuge in the sweltering facility, were desperately trying to care for patients вЂ“ often working with very little sleep, a lack of food, and no sanitation, air conditioning or electricity. In her explosive book Five Days at Memorial: Life and Death at a Storm-Ravaged Hospital, Pulitzer-prize winning journalist Sheri Fink investigates what took place in a New Orleans health care facility in the aftermath of Hurricane Katrina in August 2005.ДЇor several days, the hospital lost power as well as much of its contact with the outside world.

When experts discuss burnout, compassion fatigue and moral distress, they often overlook a crucial contributing factor to provider impairment вЂ“ plain old fatigue. The Impact of Wear and Tear: A Cautionary Tale How do we access creative problem solving when we are stressed and exhausted? How do we retain the ability to think clearly when the reality is that many of us were launched into this crisis already tired and depleted? High stakes, lots of pressure, intricate problems and few resources вЂ“ during this COVID-19 pandemic, many of us feel like those NASA folks and the key challenge is this: Failure to resolve this problem meant certain catastrophe for the crew.

These engineers needed to think fast and creatively вЂ“ with the eyes of the entire world watching them.

The team could only use materials that the stranded astronauts would have access to on their ship. вЂњOK people, listen up we gotta find a way to make this, fit into the hole for this, using nothing but that.вЂќ A NASA engineer throws a box of assorted items on a table and says to his colleagues:

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I am sure that many of you remember the scene in the movie Apollo 13 where the crew is urgently trying to find a way to perform a lifesaving repair on their spacecraftвЂ™s air supply. Launched into Crisis: The Dangers of Wear & Tear on Helping Professionals