Exam 1 WK3 Flashcards

1
Q

Team STEPPS

A

To improve safety by improving teamwork and communication
evidence-based framework to help team performance in healthcare

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2
Q

Key components?

A

team structures, leadership, situation monitoring, mutual support, communication

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3
Q

Team structure:

A

Everything we do is about the pt - they are at the tip of the pyramid
Administration: foundation of the pyramid - they support the rest of the team
Core team: team members on the floor
Contingency team: rapid response

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4
Q

Leadership
Job responsibilities

A

○ Must organize the team
○ Articulate clear goals
○ Make decisions through the input of the rest of the team
○ Empower members to speak up + challenge + ask necessary questions
○ promote/facilitate good teamwork
○ Be skillful in conflict resolution

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5
Q

How to promote good teamwork

A

Brief: occurs prior to the start of the workday
Huddle: creates situational awareness + reinforces plans already in place + assess the need to adjust the plan
(done as needed)
Debrief:follow up
informal information exchange session that occurs after the work is done

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6
Q
A
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7
Q

a) Situational monitoring?
b) Cross monitoring?

A

a) process of continually scanning + assessing what is going on around you
b) error reduction strategy that involves monitoring the actions of other team members, provides a safety net within the team + ensures mistakes are caught (watching each other’s backs)
watching each other’s back”

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8
Q

What is the STEP stands for?

A

S: status of the pt (pt hx, VS, meds, physical exam, POC, psychosocial)
T: team members (fatigue, workload, task performance, skills, stress)
E: environment (facility info, admin info, HR, triage acuity, equipment)
P: progress toward goal (status of pts, established goals of teams, is plan still appropriate?)

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9
Q

IM SAFE/stands for?
self-checklist that needs to be performed
to make sure that you are practicing responsibly

A

llness,medication, stress, alcohol ,fatigue,emotion

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10
Q

Mutual support:

A

if you need help, ask for it and provide help to others who are struggling

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11
Q

a) What is the idea about team stepps?
b) What is team work essential for?

A

a) The idea is that teams will make less mistakes than individuals
b) patient care, quality and safety
A team should…
Collaborate, Cooperate, and Coordinate

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12
Q

b) Task assistance
c) Feedback

A

b) team members help prevent work overload situations, the focus is patient safety
c) information that helps to improve team performance – should be timely, respectful, specific, directed towards
improvement, considerate

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13
Q

Two-challenge rule?

A

cEmpowers all team members to “stop the line” if they sense or discover a safety breach.
A person must be assertive with their concern at least 2x to make sure it has been heard
A team member being challenged MUST acknowledge the concern
If the outcome is still not accepted, take a stronger course of action + utilize the chain of command

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14
Q

CUS?

A
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15
Q

SBAR?
○ Situation: current issues w/ pt
○ Background: clinical background/context
○ Assessment: what do you think the problem is based on findings?
○ Recommendation: what should be done for this pt?

A
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16
Q

DESC?

A

used to manage/resolve conflict
D: describe the specific situation/behavior
E: express how the situation makes you feel + what your concerns
S: suggest alternative + seek agreement
C: consequences should be stated in terms of impact on established team goals

17
Q

Call-out:

A

informs all team members simultaneously during emergent situations (acknowledging that you heard what someone said)

18
Q

Check back?

A

repeating the order to ensure that the information was conveyed correctly + understood

19
Q

Handoff

A

Transfer of info during transitions of care – allows for an opportunity for questions, clarification, confirmation (shift changes, pt transfers)

20
Q

a) Accountability
b) Responsibility

A

a) RN is legally responsible for their actions + is answerable on legal level
b) e/c person is responsible for + obligated to perform at acceptable level (training, role + setting)

21
Q

a) Delegation
b) Assignment

A

a) selected nursing task to a qualified, competent individual able to perform the task.
(Texas:RN to unlicenced person)
b) process of assigning duties + all aspects of care to the pt

22
Q

5 rights of delegation

A

1. Right task: task can be delegated safely
2. Right circumstance: appropriate pt setting, available resources, pt is stable, outcome is predictable
3. Right person: person has necessary knowledge + skills + performs the tasks on the right pt
4. Right direction/communication: respectful, clear, concise description of task including limits + expectations – appropriate instructions are given
5. Right supervision: appropriate monitoring, evaluation, intervention is given w/ feedback

23
Q

What can NOT be delegated?

A

Assessment(adminition assessment has to done by RN)
Analysis
Nursing DX
Overall plan
Exrtensive teacing,counseling
Evalutation
Unstable patient

24
Q

a) Barriers in thre delegator
b) Barriers in thre delegatee

A

a) attitudes
Oraganization skills
uncertainty
comminication skill
b) inexperience,incompetence,disorganization

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30
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