Professional Documents
Culture Documents
TSS Newsletter 04-09
TSS Newsletter 04-09
Volume 5 Issue 2
As all Subscribers shall “order book”, and income geoning unemployment,
APRIL 2009
be aware by now, on Oc- streams, for many busi- and that is always sad!
tober 31st 2009 I was nesses are taking un- Not an easy place to be
riding my bicycle to work precedented hits. It for anyone! The “correct”
when I was struck from stands to reason that people are not always
behind by a motor vehi- there must be a response, retrenched by the way.
cle. Twenty four plus or the business shall fail. Not when the bias for
(24+) fractures later and a We have already seen decision making is cost-
Titanium shoulder has some very well known cutting; rather than opera-
been a bit of a shock. As businesses throughout tional need.
a result I have been “off the world fall over. Many Another area that is tak-
the tools” now for six (6) of these were thought to ing a huge hit appears to
months. In that time the be bastions of their mar- be anything to do with
world has turned. ket space. Clearly not! “training and develop-
Whilst many politicians in My concern here though ment”. Not all that surpris-
different countries have is strategies to determine ing, it is so easy! Unfortu-
done all they can to avoid where to carve up busi- nately it similarly demon-
using the R word ness expenses are very strates a sizable lack of
(recession), those of us at poorly defined. What we vision for what is required
the pointy end have seen are seeing is sector man- in harsh times!
things deteriorating for agers being told “you There are some big busi-
some time. The purpose need to reduce your costs nesses taking this path.
of this discussion is to
TRANSFORMATIONALSAFETY.COM
(Continued from page 1) things are good and which things are bad. enough.
I think those who state there is no such Where I work, we sometimes hire city kids
thing as common sense are continuing the fresh out of college, expecting them to
pattern of making excuses for people. If human beings know things by instinct -- somehow intuitively know how to drive a
and it's reasonable to suppose we might, four-wheel drive vehicle in the mud, or
Granted, you take someone out of the jun- as animals generally do -- it's experimen- launch a boat off a trailer into a raging river,
gle and they probably will not know what a tally difficult to prove. The suckling action or gather biological or chemical samples in
toilet is or how to use it. But for the majority would seem to be a prime candidate, but some unique environments - and then we
of us, with similar social, cultural back- somehow my distant memory is that it was- express surprise when they fail, sometimes
grounds we do have a common sense. n't universally agreed even that suckling is spectacularly. Common sense fails them
instinct. because they are ignorant (and I really do
Remember those things we learned in kin-
dergarten? For present purposes, it matters not a mean that in the nice way). And whose
whit. Common sense would include any fault is that?
For a long time, educators have told stu- instinctual knowledge, but primarily it refers
dents not to pre-judge anyone. to the vast body of knowledge that we learn
That the outside appearance may not re- just from the experience of living in the I have read a number of these posts and I
flect the inner person. To avoid stereo- world and which does not require any sort saw a few that touched on this, but I am not
types. Then several years ago, there was of training as such. It would not be difficult sure it was said very plain.
an article in a Psychological Journal stating at all to compile a long list, but it would take
time. And if you can't see it for yourself, It is not common sense versus training or
we should listen to our "gut feelings" or learned behavior. Rather, it is a complex
"first impressions." That this warning sys- nobody owes it to you to compile a
list. Nobody in fact teaches us to walk or relationship of these with a risk/reward
tem goes back to the old days of our first profile and other factors.
encounter with a tyrannosaurus and our talk, though an adult may hold us in a walk-
urge to run from it. ing position and support us as we learn the Common sense can be overcome by train-
skill. Or not. We walk the same way in ing and rewards. I believe the individuals
That it is instinctual and a form of self de- either case. And once we do, we know that that built the first skyscrapers are proof of
fense. we must keep our legs underneath us while this.
walking, if we wish to continue walking.
Yes, some things must be learned. But I And as we gain size and weight, we learn For many of the complex tasks that we do,
will bet, that with the exception of those that it's quite uncomfortable and unpleasant we rely on our common sense and training
who cannot feel, that the majority of us over to hit the floor or the ground in a fall. Very and understand that there are risks and
18 years of age, including that person fresh early in that process, we learn that falling a rewards for our actions.
out of the jungle, all know that a hot surface greater distance to the floor or ground,
will burn. Or if you hit your hand with a hurts more. Many of us exceed the speed limit when
hammer it is going to hurt. Or that standing we drive. Why? There is a common un-
in front of a moving object will ultimately We learn that colliding with an object very derstanding that increased speed equals
hurt when it hits you. rapidly is very unpleasant, and we soon increased risk to ourselves and others.
build on that knowledge to an understand- However, we have learned through re-
To deny common sense is to imply that we ing that there's a limit beyond which we peated events that we can handle the ex-
all have to be told everything by someone don't want to go. cess speed without "too much risk" to our-
smarter. Give us a little credit. There are selves and others. And maybe the reward
basic instinctual things that we all have and We learn that we can see something better of saving a few minutes is worth the added
basic things that we all learn as we grow up by getting closer to it. We learn that we can risk.
that give us a common understanding, a grip an object with a hand, then that we can
commonality, a common sense. sequentially grip and pull and then very Some of us do not exceed the speed limit
soon we know how to climb. The scope of when we drive. Why? We have the same
To deny common sense is to deny our common sense is very broad, far broader understanding that increased speed equals
common humanity. (Ooooooo! That than the scope of what any of us have increased risk to ourselves and others.
sounds good!!). learned through training. However, our experiences may have taught
Don't get me wrong in my first statement. us that the risks are "too high." And the
Yes, of course, we still have a responsibility reward of saving a few minutes is not worth
to educate and demonstrate information--to I wanted to wait and let this conversation the added risk.
continue to teach workers how to do things die, hoping I wouldn't be tempted to put my The bottom line for me is that this is a com-
correctly and safely. But, the basis of eve- two cents' worth in, but here goes. plex relationship of common sense, train-
rything we teach is an assumption of a ing, risk, rewards, and many other factors.
fundamental understanding, a common Those of us who have been around a while
have possibly been exposed to the concept To argue one factor versus another in any
sense. given situation would be blinding yourself to
of "informed consent" - when a surgeon or
My two cents. Common, everyone, it is other medical practitioner offers a patient a the full story.
common sense. mini-educational seminar about alternative
treatments, for some or all of which com-
mon sense alone is not an adequate judge. At the risk of starting yet another string
Nice try...name one thing you know without Just as the human body's liver does not (then again, what risk? this is all about
learning it. Wait, if it's so common this have an enzyme in its template library to discussion and exchange, right??), here's a
sense you speak of feel free to make a digest chlorinated biphenyls, the naive thought on the common sense question. I
LONG list of all those common sense human does not have in his/her library of skimmed over a few of the messages in the
things we all know. innate "common sense" any behaviors to last string, avoiding the detail (it's easy to
deal properly with ionizing radiation, shock- see there are two strong sides to the issue
By the way, if a wood duck is hatched in a sensitive explosives, invisible fan blades, without reading all the dirty details).
T Rex den it will imprint on it as its any number of chronic and acute hazards
Mother...until it gets eaten by Mom! So I of chemicals or other hazards never before So here's my nickel's worth (yeah, I think
guess even T Rex's aren't on your list as experienced or even heard of. I have used it's worth more than two-cents :)
those things we should ALL know. We learn the term "informed common sense" or Consider this: would you think that it is
our sense of danger and what is safe by "educated common sense" for these situa-
watching. It's a learned behaviour which tions where native "common sense" is not (Continued on page 6)
On Friday October 31st 2008, I was tively knew that some significant Solicitor came to our home and after
participating in my regular morning damage had been done. The arm introductions were made began to
exercise program. As a very keen was in a very unnatural state and I ask a few questions about the acci-
cyclist I would regularly get up early, knew it was broken. The only con- dent. Quite micro stuff, such as
dress up in the yellow lycra, jump on scious thought, was more of a la- which way I was laying on the roads
the Shogun Team Issue road bike ment. One word. “Anne” – the name etc. As it turned out, I had also de-
and pump out a few K’s. Generally I of my much loved wife. At some layed his trip to work that morning,
would do at least 30-40 although on point I would have obviously hit the although in this case he actually
some occasions, if I was really keen, ground. Clearly that knocked all the drove past quite slowly and man-
I’d kick out somewhere around the wind out of me. aged to have quite a “good look”.
hundred. For the trivia buffs
I recall laying on the roadway, flat on Anyway these bods are chatting
amongst you there is a term in Cy-
my stomach, with my left arm out in about getting me to the side of the
cling called a Centurion. When you
front of my body. My head was lay- road. I have worked in the health
are a Centurion that means you
ing on the road looking also toward system long enough to know DON’T
have ridden 100 Km’s. This is quite
the left hand side. There was no MOVE. Somehow I managed to find
an achievement in cycling circles
pain, which I found curious, as part enough breath to express firmly
and I was really quite chuffed the
of me somewhere knew “things are “don’t move me and wait for the am-
first time I achieved this mile-
not good”. I found myself staring at bulance!” Had to say this a few
stone….until someone told me that it
my left hand fingers, as they were times and it seemed the message
is a term which originated from the
only about six inches from my face. I got through as that discussion
US. Are you ahead of me? Yep….. It
just kept “wiggling” the fingers and seemed to cease. All sorts of things
is actually 100 miles. Don’t know
was experiencing a profound level of are being said around me and I
what the term is for “not quite a Cen-
confusion. “How could my fingers be have “zoned out”. Staring at and
turion”.
working on command, when my left wiggling my fingers again and know-
On this particular morning I had ar- arm is stuffed – I think I used a dif- ing that there is something seriously
ranged to pick up some mono- ferent word”? I recall actually work- wrong with the chest. At this stage
grammed shirts to be used in Con- ing through the fingers, one by one, not enough insight to put that bit
ferences I was conducting the fol- just watching them do as they were together. That came later.
lowing week in Johannesburg and told. At around this time I became
Again I was drawn out of my Zone
Capetown. At the last minute I de- aware I was a bit short of breath?
by hearing one word “Anne”. It
cided I would incorporate a 90K bike
The curiosities came to an end seems that somebody on the side of
ride into the pick-up.
when I started to hear quite loud the road had decided to take at a
At around 7:20 am I was happily voices around me. The most intrud- look at my bicycle. Clearly on the
cycling toward Newcastle, about ing was some guy, in what seemed frame is the image (ICE 0411-
25k’s from home, and decided it like a quite frantic voice at the time, 252534 – Anne). For those of you
might be good to just call into saying “hurry, we have to get him off who are unfamiliar this means; In
Macca’s for a skim milk cappuccino. the road”. There then began a bit of Case of Emergency. Somebody on
Whilst moving toward a right hand a debate as to this; with the majority the side of the road was about to
turn I heard a “skid”. That is ALL I seeming to side with “removal”. use my ICE number. All I could think
heard! My mind had time to con- of was I did not want Anne getting
It just so happens that at that time of
struct only one thought! this sort of news from a stranger on
the day there are lots and lots of
the side of the road. I pretty much
Oh Shit! Where did that come from? commuters doing the run between
thought there was no “good news”
Maitland and Newcastle. We would
How long does it take to say that here. Again I managed to puff out an
be talking tens of thousands. It is
silently in your head. Literally a sec- instruction not to ring Anne; but to
actually the most direct route be-
ond. Go on, have a go………Maybe ring my sister-in-law, Leanne (who
tween these two centres. Even to-
two at the very most. So what is the just happens to be a Nurse). This
day, six months down the track,
timeframe between becoming aware was done and the Nephew – Isaac,
when local people become aware of
that something bad is about to hap- answered the phone. It seemed
the accident, there are exclamations
pen, and potentially not being here Leanne was having a shower. Isaac
of “was that you”. It seems every-
any more. Not long is it? Anyway as knocked on the door and said to his
body was complaining about it. They
soon as my mind hit the question mother “Uncle David’s on the
were all late for work! The number of
mark, the car hit me! I am fully Phone”. Apparently the response
people I know who actually “saw”
aware of pretty much all that hap- was something like “Is it important ,
me laying on the road, without
pened. I’m having a Shower”. Isaac came
knowing who it was, at the time is
back and told me this (remember I’m
At the literal point of impact I was staggering. My wife’s hairdresser
lying on the side of the road with
unconscious for a second or two. I was visibly upset when he found out
some guy holding the phone to my
say that because I still actually recall it was me; he had seen ma laying
head – that head is filling up with
being struck, though my next mem- there. Another case was when I had
endorphins). I told him something
ory is of being airborne. I was look- to instruct a Solicitor, as it want to (Continued on page 10)
ing toward my left arm and instinc- happen in situations like this. The
(Continued from page 9) ing around me. Despite the eyes Anyway, let us move on! Some time
being closed, not talking or moving. early Saturday morning I became
like “It is pretty f…ing important and You hear about those awful situa- aware of someone leaning over the
give her the phone”. Isaac (who is tions where patients say they were bed talking to me. As it turned out,
about 15) marched straight into the awake during operations. That’s all I this was an Orthopaedic Surgeon
bathroom, pulled back the shower was thinking about. I was wanting to (Dr Smith) whose first words to me
curtain, and said “He said its f…ing tell the attendings; “Hey, I’m here”. I were “look at what you’ve done to
important”. Mission accomplished – could not even blink an eyelid! yourself now”. Oh, the power of first
and I was stuffed. By now at least impressions. This guy had some
Anyway I clearly recall a youngish
one penny had dropped – there was ground to make up – I had not done
male doctor lean down beside my
something very seriously wrong with this to myself. It had been done by a
head and whisper something to me.
my lungs – finding it increasingly car travelling at over 70km/hr. This
What he said was “I have no idea
difficult to breathe. orthopod then went on to say that
whether you can hear me or not.
the damage was significant, and
Who knows how much time has What I have to do now is going to
whilst he would try to save the
passed. I am back in the Zone – hurt a bit. I’m sorry but we have to
shoulder, he may have to replace it.
wiggling the fingers. Ambo’s have do this now and cant wait for the
As far gone as I might have been, I
arrived and the helmet comes off, drugs to kick in”. Well, he was sure
knew that this was an outcome that
the mobile phone is located etc. right about that. I then experienced
would not be great.
There are some chats amongst the the most intense pain of my life, and
Ambo’s about getting the Chopper. I could not even blink an eyelid! Here’s where things got real inter-
Clearly they are in a hurry to get me What was happening? It may be that esting. I asked him if he could get a
off their hands. It is decided that some of you might be ahead of the hold of Dr Jones for me. He looked
“lights and sirens” could do the job Story. The attending was cutting into surprised and asked how I knew Dr
in ten minutes or so. Somewhere my chest wall, and then with his fin- Jones? The response I gave was
during this confab there is the usual gers separating the muscles, and that we shared patients in the past.
chat about drugs. It seems the drug finally inserting a tube all the way Dr Jones is a highly regarded ortho-
of choice is Medazolan. Known to though to the bottom of the left lung. paedic surgeon. This guy then went
be a quality muscle relax- Boy, did it hurt! That young guy did on to tell me that he’d trained Dr
ant/analgesic and also have an am- not have to say what he said. To all Jones. Bit of a mistake. My under-
nesic effect. A pretty good combina- intensive purposes I was way past standing, be it right or wrong, was
tion given these circumstances. caring. Seemingly unconscious. At that Dr Jones had received much of
There is though a small group of about that time the “fog” began to his training in some of the large US
patients who have an opposite ef- envelope me; that fog being phar- teaching hospitals. At about this
fect. It improves memory and in- maceutically induced. The fog five- point I was getting quite concerned
creases vigilance. Guess which ten minutes earlier would have been about this guy, and asked for a
prize I won! helpful. phone. I am told I was quite ada-
mant on this point. I proceeded to
For me that is about the time I was The remainder of the day is pretty
ring Anne at home and ask her to
transferred to the Gurney and the much lost. It is interrupted by visits
open my database and supply two
lights went out. from my wife, and other members of
phone numbers. These were for a
the family. Apart from Anne, every-
So far, my friends you have, at least couple of emergency service work-
body else is lost in the fog some-
to some small degree, vicariously ers who were known to me. One of
where. At this point I have no real
experienced some of what was hap- these (Fred), had recovered from
awareness of how bad things are, or
pening to me as I lay on the side of shoulder surgery himself. Anyway I
are yet to become.
the road, knowing I had been seri- rang Fred and before I’d said a
ously injured. At this point unsure Having been directly involved in the dozen words he was on his way to
how much? applied injury management field for the Hospital. I like to think under
much of my clinical career, I did “lights and sirens”, but I suspect not.
The next memory though is one that Fred stands at about 6’5’’ and can
have an awareness that things were
shall be with me forever. Not be- be a little imposing. In an emer-
“bad”. One of my first conscious
cause it was particularly good or gency services uniform, with all the
fears was that I was going to be-
bad, or even painful (though is most bells and whistles, the effect is even
come a “rehab client”. That fear re-
certainly was!). More to the point it greater. I am told that Fred walked
mains today. I am the first to admit
demonstrated a level of compassion in to the cubicle, took one look at my
that may not necessarily be highly
that was exceptional beyond belief. inflated left shoulder, and then
rational; nonetheless very “real”.
With all that is going on in a major looked at Dr Smith and said “..and
Fortunately for me, as an accredited
trauma centre, the fact that a medi- who might you be”. Response was
injury management provider, I have
cal doctor bothered, shall forever “I’m the Orthopaedic Surgeon”. Ap-
sustained the highest successful
touch my Heart. Oh, and I should parently a bit of a chat ensued which
RTW rates of any jurisdiction around
mention by this time I am uncon- culminated in a question of sorts.
the world. So I suppose I know how
scious (or am I). I was still aware, “Are you a shoulder specialist”. Re-
this world spins.
and could hear, what was happen-
(Continued on page 11)
(Continued from page 10) First off I suppose you already All in all, there were more than twenty-
guessed I had a punctured lung. four (24+) fractures. They just said
sponse: “No, I’m a general ortho- they stopped counting after that. Many
Next were the fractured ribs – all of
paedic specialist”. “This guy clearly of these were identified “on the table”.
them by the way. Some were flailed
needs a Shoulder Specialist. Can The surgical procedure went on for
(broken both sides) and it was one
you arrange that?” Conversation almost six (6) hours. To put that into
of these that decided to visit my
over. some sort of perspective, quadruple
lung.
bypass surgery often takes less!
Despite all that had happened in the
Next was the fractured humerus.
previous twenty four hours this was Having done the “repairs”, Ed Bate-
This is the big bone in your arm be-
when the Good Lord decided to man comes to me in recovery and ex-
tween the elbow and the shoulder
smile. It just so happened at that plains what he has done. I retain parts
capsule – They counted eight frac-
time there was a regional orthopae- of that conversation only. What stands
tures here (whilst suspecting more).
dics specialist conference occurring out was his saying “you’re going to
somewhere in the Hospital. Appar- On top of that is what is called the come across a lot of people telling you
ently Dr Smith entered the Confer- Upper Tuberosity. Think of this as this is what you need to do for a shoul-
ence and offered me up on a Plate. the ball on the top that sits inside the der; do the opposite. I had to be bit
A quick glance at the X-Rays and shoulder socket. This bit had about tricky in there, so it’s going to take
the queue quickly shrunk. That is a half dozen fractures and was time”. As it turned out some of the frac-
how I became introduced to an ex- sheared off. tures had to be “sewn” in place. There
ceptional orthopaedic shoulder spe- was not enough stable bone to provide
cialist, Dr Ed Bateman. Next was the fractured clavicle a platform for any hardware.
(collar bone) – They counted four
I suppose now might be the best fractures there. See Vol 5 (No 3) to continue with the
time, there is never a good time by “road to recovery”.
the way, to share with you the extent Next was the fractured scapula
of the injuries. (shoulder) – They counted 2-3 here.
Well, It all stopped on October 31st In July of 2009 I shall be returning percent (10%). So there remains a
2008. to India to further explore the devel- lot of work to do, and we shall see
opment and integration of The how much I get back.
I went from being quite busy to being Safety-Net technologies, within one
quite still in the blink of an eye. September shall be me returning to
of the Worlds foremost foundry
South Africa for a few weeks.
Frantic calls were made to South businesses. This intervention may
Africa as I was due to present at the also leverage Quality and Environ- There are a few comments I need to
Murray & Roberts global safety sum- mental systems as an integrate make here. The understanding and
mit. That was to be only a week after whole. loyalty of the South African compa-
my Accident. Can you believe I was nies has been, and continues to be,
Toward the end of July the 4th An-
actually asking the Surgeon if I would exceptional.
nual Total Safety Culture Confer-
still be able to go to South Africa. ence shall be held in Sydney, Aus- Only a few weeks after the accident
I have been off the tools until April tralia. I have been asked to facilitate I was speaking with the MD of
and currently my medical team has a Workshop specifically exploring SAFEmap Africa, who is not only a
agreed to allow me to work part-time. the competencies around Transfor- professional colleague but someone
The magic number, at the present mational Safety Leadership. At this who I consider a friend. He invited
time, is sixteen (16) hours week. forum we shall introduce the NEW both my wife and I to come to South
TSL360 - a recent development Africa to have some “time-out”. Such
Let’s face it. That's actually not too which allows for the most effective was completely unexpected and has
bad. Every doctor I have seen in the self analysis of safety leadership been very humbling indeed. Fran-
last six months expresses disbelief competencies available anywhere in cois, my friend, your kindness and
that I am actually still alive. Of course the World. generosity of spirit shall remain with
the goal is to return to much more me for as long as I walk this planet.
than that. August shall hopefully allow the feet
to touch the ground as I continue to I also have to mention Murray &
During June of 2009 I shall be giving invest in active physiotherapy and Roberts in South Africa. My accident
the Keynote Address at the Safety other forms of treatment to try and severely damaged their arrange-
Institute of Australia (SIA) Confer- regain as much function as possi- ments for the global safety summit.
ence at Brisbane. ble. At the present time the left When I became aware that I would
shoulder is probably at around ten
(Continued on page 12)
"I would never have believed anybody could have a room full of pas-
sionate South African rugby supporters singing 'Waltzing Matilda' to
WE EXIST TO images of the Wallabies scoring tries; and during the World Cup. UN-
BELIEVABLE! Truly shows the power of transformational leadership
ASSIST within a training session. Well Done!"
To Register Contact:
Natalie McLeod [NatalieM@liquidlearning.com.au]