Developing situational awareness 2020

Question 1

Loss of situational awareness attributed to what percentile of maternal death and hypoxic brain injury?

Answer 1

50%

Question 2

3 levels of experience using NUPA acryonum

Answer 2

N = Notice level 1
U = understand level 2
PA = Project ahead level 3

Question 3

What are the reg flags for loss of situational awareness

Answer 3

Ambiguity: information from two or more resources that do not agree
Target fixation: focusing on any one thing to the exclusion of everything else
Confusion: uncertainty/lack of clarity about a situation (often accompanied by anxiety or psychological discomfort)
Failure to pay attention: being focused on unimportant activities
Failure to meet expected targets
Failure to adhere to SOPs
Failure to resolve discrepancies
Inability to resolve discrepancies because of contradictory data or personal conflicts
Failure to communicate fully and effectively: vague or incomplete statements

Question 4

4 categories within NOTTS

Answer 4

Situation awareness
Decision making
Communication and teamwork
Leadership

Question 5

3 elements within situation awareness in NOTTS

Answer 5

Gathering information
Understaning information
Projecting and anticipating information

Question 6

3 elements within decision making in NOTTS

Answer 6

Considering options
Selection and communication option
Implementing and reviewing decision

Question 7

3 elements within communication and teamwork in NOTTS

Answer 7

Exchanging information
Establishing a shared understanding
Coordinating team activity

Question 8

3 elements within leadership in NOTTS

Answer 8

Setting and maintaining standards
Support others
Coping with pressure

Question 9

Each is scored 1-4

Answer 9

Poor: Performance endangered or potentially endangered patient safety; serious remediation is required

Marginal: Performance indicated cause for concern; considerable improvement is needed

Acceptable: Performance was of a satisfactory standard but can be improved

Good: Performance was of a consistently high standard, enhancing patient safety, and could be used as a positive example for others.

Question 10

Examples where situational awareness can be lost

Answer 10

Target fixation
Excessive workload & task saturation
Distractions
Lack of communication, not sharing mental models
Lack of experience
Fatigue
Complacency