Teamwork Flashcard
Rationale
C. Rationale: The team leader must be willing to call for help when they do not have the resources, knowledge, or skill to complete a successful resuscitation.
Question
All of the following are key behavioral skills for NRP EXCEPT:
a. Communicate effectively.
b. Use all available resources.
c. Refrain from calling for help.
d. Delegate the workload effectively.
Answer
c. Refrain from calling for help.
Rationale
C. Rationale: The pre-resuscitation team briefing prepares the neonatal resuscitation team. It includes assessing the perinatal risk factors, identification of a team leader, delegating a single task to each team member to avoid confusion, assigning a person to document all of the events as they occur, choosing what supplies or equipment to use, and assigning a specialist in case of a complicated birth beyond the expertise of the team.
Question
Healthcare institutions provide protocols to safeguard the birth of a high-risk infant while the mother is still in labor, one of which is known as a pre-resuscitation team briefing. Which of the following plays a role in the pre-resuscitation team briefing?
a. Choosing two team leaders
b. Assigning multiple tasks to team members
c. Assessing perinatal risk factors
d. All of the above
Answer
c. Assessing perinatal risk factors
Rationale
C. Rationale: All healthcare personnel attending a high-risk newly born patient must be skillful in administering positive pressure ventilation and performing the initial steps of newborn resuscitation. Although all of these skills are important, airway and respiratory management are the most critical.
Question
Healthcare personnel must be adept in performing which one of the following skills when attending to a high-risk newly born?
a. Intravenous catheterization
b. Chest compression
c. positive pressure ventilation
d. Defibrillation
Answer
c. positive pressure ventilation
Rationale
B. Rationale: The closed-loop communication style is the most effective and plays an essential role during resuscitation by avoiding misunderstanding while team members relay vital information to one another. The sender delivers an order, and the receiver repeats the request back to the sender. The sender then confirms that the receiver has relayed the correct message.
Question
In the NRP program, high-performance teams should use what communication style?
a. Open-loop communication
b. Closed-loop communication
c. Commanding communication
d. Clear and concise communication
Answer
b. Closed-loop communication
Rationale
A. Rationale: Effective communication plays an essential role in resuscitation, whether it is adult, pediatric, or neonatal. The closed-loop communication technique helps to avoid misunderstanding while delivering vital information. It involves the team leader conveying the order, a feedback confirmation by the receiver, and verification that the message was received correctly.
Question
When performing neonatal resuscitation, communication is vital to avoid confusion during this stressful situation. Which one of the following communication styles must be used during the resuscitation of a newborn?
a. Closed-loop communication
b. Assertive communication
c. Passive-aggressive communication
d. Submissive communication
Answer
a. Closed-loop communication
Rationale
A. Rationale: Accurate documentation is necessary for data collection. Complete records are important for clinical decision making and will be used as a source for continuing quality improvements. A team member assigned to record the events of the resuscitation must be adept in the NRP flow diagram and is experienced so that she records only the pertinent events. A well-designed form is also necessary for prompt recording of the events and ease of use by the team leader to guide him in his actions.
Question
Which of the following actions is important for clinical decision making during a resuscitation and a source for continuous quality improvement for neonatal resuscitation protocols?
a. Accurate documentation
b. Team debriefing
c. Feedback
d. Pre-resuscitation briefing
Answer
a. Accurate documentation
Rationale
A. Rationale: The neonatal resuscitation team must be present at every birth and able to prioritize the risks of neonatal resuscitation so that they can prepare. The perinatal risk assessment involves the resuscitation team leader, the obstetrician, the neonatologist or pediatrician, and the activity.
Question
Which of the following activities should be done to determine the chance that a newly born infant will require neonatal resuscitation?
a. Perinatal risk assessment
b. Neonatal resuscitation debriefing
c. Closed-loop communication
d. Pre-assessment check-list
Answer
a. Perinatal risk assessment
Rationale
B. Rationale: Post-resuscitation team briefing is preferably done right after the resuscitation event while the information is still fresh on each of the members. A team debriefing can highlight the exceptional actions and mistakes performed during the resuscitation. It can identify small changes in the team dynamics that can result in significant improvements in your team’s performance.
Question
Which of the following team actions reinforces good teamwork and helps the team identify areas for improvement?
a. Accurate documentation
b. Post-resuscitation team debriefing
c. Effective communication
d. Pre-resuscitation team briefing
Answer
b. Post-resuscitation team debriefing