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BLS 2015 Team Dynamics (Part 4)

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echoecho's version from 2016-06-16 18:15

Section

OVERVIEW:
Question Answer
Successful team dynamics are critical because _____ communication can negatively affect performance?poor
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CHEST COMPRESSION FRACTION:
Question Answer
What is chest compression fraction?is the proportion of time that chest compressions are performed during a cardiac arrest
What is the recommended chest compression fraction?60% is recommended but a goal of 80% is often achievable with good teamwork
Shorter duration of _______ in chest compressions is associated with a greater likelihood of return of spontaneous circulation, shock success and survival in hospital discharge?interruptions
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EFFECTIVE TEAM DYNAMICS:
Question Answer
Successful multirescuer team members not only have medical expertise and mastery of resuscitation skills, but also practice what?good communication
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ELEMENTS OF EFFECTIVE TEAM DYNAMICS
Question Answer
The elements of team dynamics can be grouped into what 3 categories?1) roles during a resuscitation attempt 2) what to communicate 3) how to communicate
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ROLES DURING A RESUSCITATION ATTEMPT
CLEAR ROLES AND RESPONSIBILITIES:
Question Answer
What is the team leader's role?to clearly define and delegate tasks according to each team member's skill level
List the 6 person high performance teams roles?1) Compressor 2) AED / Monitor / Defibrillator 3) Airway 4) Team leader 5) administer medications 6) timer / recorder
What does the compressor do?1) assesses the patient 2 ) does 5 cycles of chest compressions 3) alternates with AED / Monitor / Defibrillator every 5 cycles or 2 minutes (or earlier if signs of fatigue set in)
What does the AED / Monitor / Defibrillator do?1) brings and operates the AED / monitor / defibrillator 2) alternates with compressor every 5 cycles or 2 minutes (or earlier if signs of fatigue set in), ideally during rhythm analysis 3) if a monitor is present, places it in a position where it can be seen by the Team Leader (and most of the team)
What does the Airway do?1) opens and maintains the airway 2) provides ventilation
What does the team leader do?1) every resuscitation team must have a definite leader 2) assigns roles to team members 3) makes treatment decisions 4) provides feedback to the rest of the team as needed 5) assumes responsibility for roles not assigned
What does the administer med do?1) an ALS provider role 2) administers medications
What does the Timer/recorder do?1) records the time of interventions and medications (and announces when these are next due) 2) records the frequency and duration of interruptions in compressions 3) communicates these to the team leader (and the rest of the team)
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KNOWING YOUR LIMITATIONS:
Question Answer
Every member on the team should know their limitations and do what?ask for assistance and advice early and not when the situation starts to get worse
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CONSTRUCTIVE INTERVENTION:
Question Answer
What are the protocols for constructive intervention?1) be tactful 2) any person on the team should stop someone from making a mistake regardless of that person's role on the team
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WHAT TO COMMUNICATE
KNOWLEDGE SHARING:
Question Answer
What is knowledge sharing?1) team leaders should ask frequently for observations and feedback 2) get good ideas for management and observations from possible oversights
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SUMMARIZING AND REEVALUATING:
Question Answer
List the 3 reasons by summarizing and reevaluating out LOUD is helpful during a resuscitation attempt?1) provides an ongoing records of treatment 2) acts as a way to reevaluate the victim's status, the interventions performed, and the team's progress within the algorithm of care 3) helps team members respond to the victim's changing condition
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HOW TO COMMUNICATE
CLOSED-LOOP COMMUNICATION:
Question Answer
What should the team leader do in close-loop communication?1) call each team member by name and make eye contact when giving an instruction 2) don't assign additional tasks until you are sure that the team member understands the instructions
What should the team member do in close-loop communication?1) confirm that you understand each task to which you are assigned by verbally acknowledging the task 2) tell the team leader when you are finished with the task
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CLEAR MESSAGES:
Question Answer
Using clear, concise language helps prevent what?misunderstandings
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How should the tone of the voice be? loud enough to hear, calm, confident
MUTUAL RESPECT:
Question Answer
What should be shown despite skill level or training?mutual respect
How should the team leader speak?in a friendly, controlled voice and avoid shouting or aggression
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DEBRIEFING:
Question Answer
When is debriefing important during or after the attempt?both (during and after)
List the 2 benefits of debriefing?1) helps individual team members to perform better 2) aids in identification of system strengths and deficiencies
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EDUCATION IS WHY:
Question Answer
What is the number 1 cause of death in the world (17 million per year)?heart disease
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REVIEW QUESTIONS:
1) After performing high-quality CPR for 5 minutes, the team leader frequently interrupts chest compressors to check for a pulse even though the victim has no organized rhythm when the AED analyzes the rhythm. Which action demonstrates constructive intervention?
a) ask another rescuer what he thinks should be done
b) say nothing that contradicts the team leader
c) suggest to resume chest compressions without delay
d) wait until the debriefing session after to discuss it
Answer: c
2) The team leader asks you to perform bag-mask ventilation during a resuscitation attempt, but you have not perfected that skill. What would be the appropriate action to acknowledge your limitations?
a) pick up the bag-mask device and give it to another team member
b) pretend you did not hear the request and hope the team leader chooses someone else to do it
c) tell the team leader that you are not comfortable performing that task
d) try to do it as best as you can and hope another team member will see you struggling and take over
Answer: c
3) What is the appropriate action to demonstrate closed-loop communication when the team leader assigns you a task?
a) repeat back to the team leader the task you were assigned
b) nod your head as an acknowledgment of the assigned task
c) start performing the assigned tasks, but do not speak, to minimize noise
d) wait for the team leader to address you by name before acknowledging the task
Answer = a