Team Dynamics Flashcard 2
Rationale
C. Rationale: The most effective resuscitations require the efforts of multiple providers who can perform tasks simultaneously.
Question
Effective resuscitation team dynamics:
a. Require healthcare providers to wait while a team member performs an intervention
b. Requires medical expertise and mastery of resuscitation skills
c. Are necessary because resuscitations require the concerted efforts of multiple providers
d. Ensure that all team members are proficient
in all skills
Answer
c. Are necessary because resuscitations require the concerted efforts of multiple providers
Rationale
C. Rationale: There are six suggested roles for a high-functioning, conventional resuscitation team.
Question
How many roles are suggested for a conventional resuscitation team?
a. 4
b. 5
c. 6
d. 8
Answer
c. 6
Rationale
B. Rationale: It is important that all team members understand all of the roles in a resuscitation even if they are not qualified to perform all roles.
Question
If you are a team member during a resuscitation attempt, it is only necessary to understand your role.
a. True
b. False
Answer
b. False
Rationale
B. Rationale: In a priority-based multiple rescuer response, the third healthcare provider to the scene is responsible for the airway.
Question
In a priority-based multiple rescuer response, the third healthcare provider to the scene is responsible for:
a. Bringing the AED
b. Airway
c. Chest compressions
d. Acquiring IV access
Answer
b. Airway
Rationale
D. Rationale: For a team to be in rhythm, they should be encouraged to help each other out like a well-oiled machine. They must show mutual respect and support for each other, particularly when one member is performing poorly. Everyone must be disciplined, no matter their title, experience, or additional training, and they should avoid hubris.
Question
In a well-managed resuscitation team:
a. Serious competition is needed for improvement, and members should point out the tasks they are most proficient at.
b. All members must single out any member that is performing poorly, so they may be identified and removed from the team.
c. Senior members cannot be disciplined to maintain a proper hierarchy and chain of command.
d. None of the above
Answer
d. None of the above
Rationale
D. Rationale: The hospital treating physician bears the responsibility for “calling” a code (i.e., terminating a resuscitative effort). The treating physician often makes this decision as the team leader in consultation with the team. Family members may also be consulted, but the final decision is based on medical expertise and thus rests with the physician.
Question
The decision to terminate resuscitative efforts is the responsibility of:
A. The resuscitation team as a whole
B. The patient’s family
C. The treating physician and the patient’s family
D. Treating physician
Answer
D. Treating physician
Rationale
A. Rationale: Closed-loop communication means repeating back instructions right away and clarifying those instructions. This ensures the sender knows that the receiver has heard and understood the instructions. Asking the receiver to provide feedback to the leader as soon as the task is completed allows the leader to know when to proceed with the next step. “Start a large-bore IV, Jane, and tell me when it is in, secured, and ready for use.”
Question
The most effective form of communication between resuscitation team members is:
A. Closed-loop communication
B. Open-ended communication
C. Electronic communication
D. Passive communication
Answer
A. Closed-loop communication
Rationale
B. Rationale: The provision of high-quality compressions involves compressing the chest hard and fast (at least 100 compressions per minute at a depth of at least 2 inches), switching providers every 2 minutes to avoid fatigue, allowing the chest to recoil fully between compressions, and minimizing interruptions to less than 10 seconds.
Question
The provision of high-quality compressions involves:
A. Switching providers every 3–5 minutes to avoid fatigue
B. Compressing the chest hard and fast, at a rate of at least 100 compressions/min
C. Preventing chest recoil after each compression
D. Minimizing unnecessary interruptions in chest compressions to 5 seconds or less
Answer
B. Compressing the chest hard and fast, at a rate of at least 100 compressions/min
Rationale
A. Rationale: Each team member should be knowledgeable about the ACLS algorithms and the roles of each team member. They should be proficient in the skill they are asked to perform.
Question
The role of a team member includes being:
a. Knowledgeable about the algorithms
b. Able to explain why it is essential to perform tasks in a specific way
c. Focused upon comprehensive patient care
d. Proficient in all the skills
Answer
a. Knowledgeable about the algorithms
Rationale
C. Rationale: The timer records when interventions were accomplished and when they are due next. They also record the frequency and duration of interruptions in chest compression. The timer reports all of these data to the team leader.
Question
Which member of the resuscitation team records when interventions were administered and when they are due next?
a. Team leader
b. Medications
c. Timer
d. Defibrillator
Answer
c. Timer