Team Dynamics Flashcard 1
Rationale
C. Rationale: The team member must seek out and perform tasks for which they have experience and competency. Team members must not avoid taking assignments and not take roles beyond their capabilities. Also, they are encouraged to correct the team leader who may be about to make a grave mistake.
Question
Each team member on a high-performance team should:
a. Avoid taking assignments
b. Take all roles even those that are beyond the level of competence
c. Only perform tasks appropriate to their level of competence
d. Avoid correcting the team leader
Answer
c. Only perform tasks appropriate to their level of competence
Rationale
A. Rationale: The timer lists all the interventions performed and medications given to the patient. The timer/recorder is also responsible for documentation for legal and quality control purposes. When a new team member arrives at the scene while resuscitating a patient, the timer instantly briefs the newcomer.
Question
Summarizing and reporting all events that have transpired and all the interventions given to a pediatric cardiac arrest patient is the role of which one of the following personnel?
a. Timer/recorder
b. Team leader
c. Defibrillator
d. Head nurse
Answer
a. Timer/recorder
Rationale
B. Rationale: Pulseless electrical activity is a non shockable rhythm. The Team Leader must immediately stop the actions of the Defibrillator at this time. This action is also known as CONSTRUCTIVE INTERVENTION.
Question
The Defibrillator is about to defibrillate a patient in cardiac arrest with pulseless electrical activity. The defibrillator is set to 200 J. As the Team Leader, what must you do in this scenario?
a. Tell the Defibrillator to increase the dose to 320 J
b. Stop the Defibrillator from performing this action
c. Tell the Defibrillator to lower the dose to 100 J
d. Allow the Defibrillator to perform his function
Answer
b. Stop the Defibrillator from performing this action
Rationale
B. Rationale: It is your duty to tell your team leader that you are incapable of performing specific actions so that you may be assigned to a more appropriate role. Otherwise, attempting to practice or explore these interventions for the first time risks failure and delaying the resuscitation steps. If a member needs help, they should say so immediately. Ultimately, it is the team leader’s responsibility to know the limitations of each team member.
Question
The new team leader assigns you, as a member of the resuscitation team, to administer medications to a pediatric patient in need of advanced life support. However, you do not know how to do this yet. What should you do?
a. Ask for guidance from your team members
b. Tell the team leader you are incapable of giving medications
c. Recall the procedure to the best of your abilities and give the medications
d. Switch places with another team member
Answer
b. Tell the team leader you are incapable of giving medications
Rationale
C. Rationale: The team leader takes on many roles. A quality team leader is adept at performing each PALS cardiac arrest algorithm. The team leader is responsible for organizing the PALS team to administer CPR. The team leader must monitor the actions taken by the team members and be readily available to back up a team member’s role when needed.
Question
The person responsible for organizing the PALS team is the:
a. Emergency consultant
b. Human resource manager
c. PALS team leader
d. Cardiology specialist
Answer
c. PALS team leader
Rationale
D. Rationale: A clear message is concise, direct to the point, understandable, and voiced out in a controlled tone. The manner of conversation is calm but heard by all, avoiding any shouting or yelling. The resuscitation team must constantly practice such that only one person talks at a time. It is encouraged that the team members verbally repeat orders and question a wrong order at the slightest doubt.
Question
To convey clear messages to each member of a high-performance resuscitation team, which of the following behaviors must be observed by team members?
a. Verbally repeat orders
b. Question a wrong order, even at the slightest doubt
c. Avoid shouting the order
d. All of the above actions must be performed to give clear messages
Answer
d. All of the above actions must be performed to give clear messages
Rationale
D. Rationale: Usually, the Compressor alternates with the Defibrillator after five cycles of CPR to prevent fatigue. However, once the compressor gets tired or cramps up, she immediately switches places with the Monitor. When the Compressor begins to feel tired, CPR quality suffers.
Question
To prevent fatigue from performing chest compressions, which team member must switch off with the compressor throughout the resuscitation?
a. Team leader
b. Ventilator
c. Medication
d. Defibrillator
Answer
d. Defibrillator
Rationale
B. Rationale: A high-performance pediatric advanced life support (PALS) team must divide the work and perform interventions simultaneously. They must have a mastery of each role so that they anticipate the moves of each other role. All team members must also take the role of a team leader. These skills are acquired through ongoing training, practice, and experience. The healthcare institution must provide the necessary equipment for advanced life support. Passing a neuropsychiatric exam is not required for training in PALS.
Question
What is the most basic requirement to achieve a high-performance pediatric advanced cardiac life support team?
a. Team members must bring their equipment
b. Members must have mastered each role
c. Team members must undergo neuropsychiatric examination
d. All of the above are requirements of a team member
Answer
b. Members must have mastered each role
Rationale
B. Rationale: When resuscitative efforts fall short, the team leader must reassess the situation. All available information on the patient’s medical condition should be gathered, and the leader should ask for a differential diagnosis from team members and experts. Perhaps something has been overlooked. It is not time to call the code and time of death until all efforts are exhausted.
Question
What must the team leader do when resuscitation efforts are falling short and the patient’s outlook is diminishing?
a. Call the code and the time of death
b. Reassess the situation
c. Ignore the suggestions of team members
d. Concentrate on the present situation and not the patient’s clinical history
Answer
b. Reassess the situation
Rationale
C. Rationale: The team leader should be the most adept and experienced PALS team member. Therefore, the team leader assumes the responsibility for roles that are unassigned.
Question
When a pediatric advanced life support team lacks personnel, who among the following immediately assumes the role?
a. A nurse from the general medical floor
b. Any team member
c. The team leader
d. Leave the role vacant
Answer
c. The team leader