Team Dynamics Flashcard 1
Rationale
C. Rationale: A clear message is concise, direct, and to the point, understandable, and voiced in a controlled tone and volume.
Question
A clear message is:
a. Whispered so as not to be heard by people outside of the team
b. Shouted as loud as possible by the team leader
c. Direct and to the point
d. Always preceded by a greeting and acknowledgment of the receiver’s rank
Answer
c. Direct and to the point
Rationale
B. Rationale: Effective team communication is key to appropriate resuscitation. Team members should never remain silent if they notice inappropriate care. However, effective communicating requires addressing the team member directly and telling them of the error. It is always necessary to stop inappropriate care that could be detrimental to a patient. While you should speak clearly and confidently, avoid yelling without addressing the change needed as it is not helpful. While it is important to provide feedback at the debriefing meeting, there is a need for immediate feedback at this time to ensure no harm to the patient.
Question
A 69-year-old man has coded in Room 3B. The attending physician quickly begins to assign roles to those present. You are assigned the role of observer and recorder. The physician asks the team member administering medications to deliver 1 mg of epinephrine. You notice that the team member has drawn up 10 mg and is about to administer this. What is the best next step?
a. Yell “Stop” to get the team member’s attention.
b. Address the team member by name and state, “You are about to administer 10 mg of epinephrine; 1mg of epinephrine is appropriate.”
c. Remain silent so as not to interrupt care.
d. Record the error and report it at the debriefing meeting.
Answer
b. Address the team member by name and state, “You are about to administer 10 mg of epinephrine; 1mg of epinephrine is appropriate.”
Rationale
A. Rationale: The team leader must be aware of the abilities and scope of practice of each team member. If their roles are unclear, team members tend to perform a certain task over and over. The team leader will observe important missing tasks. Sometimes a team member will be multitasking even though there are enough team members present in the scene. A team leader knows how to delegate and is capable of encouraging team members to also participate in leadership.
Question
A team leader:
a. Knows how to delegate
b. Must perform all tasks before all team members arrive
c. Must ensure that team members know that they cannot question decisions
d. Is unaware what each team member is qualified to do
Answer
a. Knows how to delegate
Rationale
C. Rationale: Closed-loop communication is a technique in communication skills that avoids misunderstandings during the delivery of vital information.
Question
Closed-loop communication is a technique in communication skills that:
a. Maintains the secrecy of information exchange even in the presence of bystanders
b. Is only performed by professional healthcare providers
c. Avoids misunderstandings
d. None of the above
Answer
c. Avoids misunderstandings
Rationale
B. Rationale: The medications team member inserts an IV or IO line in the patient. Each member of the team has a specific role in an arrest scenario.
Question
During a cardiac arrest, which team member inserts an intravenous or intraosseous line in the patient?
a. Team leader
b. Medications
c. Defibrillator
d. Airway
Answer
b. Medications
Rationale
C. Rationale: Exhibiting mutual respect defines how each team member should behave and requires a show of mutual respect to prevent animosity between members and a disruption of team efforts.
Question
Which communication skill is used to encourage and show support for each team member, especially at a time when one is not meeting expectations during resuscitation?
a. clear messages
b. knowing limitations
c. mutual respect
d. performing constructive intervention
Answer
c. mutual respect
Rationale
B. Rationale: The communication skill used in this scenario would be a constructive intervention that directs team members to openly inform another team member of a pending mistake.
Question
Which of the following communication techniques is used to suggest to a team member that a performed procedure is incorrect?
a. hierarchical intervention
b. constructive intervention
c. closed-loop communication
d. MYOB protocol
Answer
b. constructive intervention
Rationale
C. Rationale: The members of a 6-person high-performance advanced cardiac life support team include the following (1) compressor, (2) AED/monitor/defibrillator, (3) airway, (4) team leader, (5) IV medications, and (6) timer/recorder.
Question
Which of the following is NOT a role on a 6-person high-performance team?
a. team leader
b. compressor
c. supervisor
d. timer
Answer
c. supervisor
Rationale
C. Rationale: There are eight techniques for successful communication before, during, and after performing resuscitation. These include: (1) being clear about roles and responsibilities, (2) knowing limitations, (3) performing constructive intervention, (4) communicating knowledge and sharing, (5) summarizing and re-evaluating, (6) using closed-loop communication, (7) using clear messages, and (8) practicing mutual respect.
Question
Which of the following is one of the eight techniques of successful communication?
a. assuming all responsibilities
b. practicing seniority
c. closed-loop communication
d. commanding self-respect
Answer
c. closed-loop communication
Rationale
D. Rationale: The priority-based multiple-rescuer response protocol provides a seamless transition of roles as each team member arrives on the scene. Before participating in the resuscitation, each team member has already been assigned their roles. However, it is possible that not all team members will arrive on the scene at the same time. Therefore, the leader prioritizes the sequence of events, particularly following the Circulation-Airway-Breathing sequence/order of importance. Roles are then adjusted as each member arrives on the scene.
Question
Which one of the following is a technique used to provide a seamless transition of roles as members of the resuscitation team arrive on the scene?
a. time-sensitive integrated team-based protocol
b. first-come role assumption protocol
c. priority-based role protocol
d. priority-based multiple-rescuer response protocol
Answer
d. priority-based multiple-rescuer response protocol