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ILS Course - A to E Training & Solutions Ltd > Non-technical Skills in Resuscitation > Flashcards

Non-technical Skills in Resuscitation Flashcards

1
Q

What are non-technical skills?

A
  1. Cognitive, social & personal skills
  2. That complement technical skills
  3. Lead to safe & efficient task performance

Things that affect our personal performance

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2
Q

What are 4 key elements of non-technical skills?

A

1. Situational awareness
2. Decision-making
3. Team-work including leadership
4. Task Mx

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3
Q

What is situational awareness?

A
  1. Awareness of what is happening in the current environment
  2. Understanding of how your actions may impact on future events
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4
Q

3 key areas needed in Situtational awareness:

A
  1. Information gathering
  2. Interpretation
  3. Future planning
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5
Q

3 key areas needed in Situtational awareness - Information gathering - What is important?

A
  1. Location of arrest
  2. Info on events leading up to arrest
  3. Actions taken
  4. Who is present - name, skills, roles, team leader
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6
Q

3 key areas needed in Situtational awareness - Interpretation - What is important?

A
  1. Confirm Dx of arrest
  2. Check monitors attached to interpret rhythm
  3. Determine necessary actions
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7
Q

3 key areas needed in Situtational awareness - Future Planning - What is important?

A
  1. Consider impact of interventions
  2. Plan next steps
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8
Q

Situational awareness - What info needed early into resus?

A
  1. Hx - Info about events leading up to arrest
  2. Dx - Confirm cardiac arrest
  3. Team - Who is present & what skills they have
  4. Action - Identify priorities & implement immediate necessary actions
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9
Q

What is the essence behind Decision making?

A
  1. Choosing the right interventions
  2. At the right time
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10
Q

Examples of Decision making needed during resus:

A
  1. Confirming cardiac arrest
  2. Calling for help
  3. Starting CPR
  4. Choosing shock energy
  5. Choosing drugs to be given
  6. How long to resus for
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11
Q

Examples of good team-work:

A
  1. Knowing the names of the team
  2. Supporting each other in their roles
  3. Communicating clearly - asking for help & raising concerns.
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12
Q

Characteristics of good team member:

A
  1. Competence
  2. Commited
  3. Communicates well
  4. Creative
  5. Supportive
  6. Accountable
  7. Prepared to admit when help is needed
  8. Participates in feedback
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13
Q

A good team leader has several important attributes such as:

A
  1. Knowledge, skills and experience
  2. Good role model
  3. High level of situational awareness
  4. Strong communication skills
  5. Stays calm
  6. Empathetic towards team
  7. Ability to delegate to team members
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14
Q

Role of team leader during resus:

A
  1. Follow guidelines
  2. Consult with team or other seniors if unsure themselves
  3. Allocate roles & tasks
  4. Plan tasks in advance
  5. Play to strengths of team
  6. Consider safety of team
  7. Thank team
  8. Support relatives
  9. Complete documentation
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15
Q

Who is responsible for task Mx?

A
  1. Team leader
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16
Q

Examples of task Mx at a cardiac arrest:

A
  1. Prioritise team’s actions correctly
  2. Making sure that everyone is safe before a shock is delivered
  3. Mx team conflict
  4. Observing the team for fatigue & stress (changing for compressions)
17
Q

What does SBARD stand for?

A

1. Situation
2. Background
3. Assessment
4. Recommendation
5. Decisions

18
Q

SBARD - How to describe Situation?

A
  1. Introduce yourself
  2. Check you are speaking to the correct person.
  3. Identify the pt. you are talking about (who and where).
  4. Say what you think the current problem is
  5. State what you advice you need

Hi, I’m Dr Smith the medical F2.

I am calling about Mr Brown on acute medical admissions who I think has a severe pneumonia and is septic.

He has an oxygen saturation of 90% despite high-flow oxygen and I am very worried about him.

19
Q

SBARD - How to describe Background?

A
  1. Background info/demographics about pt.
  2. Reason for admission
  3. Relevant PMH

He is 55 years
Previously fit & well.
He has had fever and a cough for 2 days.
He arrived 15 minutes ago by ambulance.

20
Q

SBARD - How to describe Assessment?

A
  1. Use ABCDE approach
  2. Include specific observations & vital signs values
  3. Include early warning score

He looks very unwell and is tiring

Airway – he can say a few words

Breathing – RR is 24, he has bronchial breathing on the L side. His O2 sats is 90% on high-flow O2. I am getting a blood gas & CXR

Circulation – his PR is 110, his BP is 110/60

Disability – he is drowsy but can say a few words

Exposure – he has no rashes

21
Q

SBARD - How to describe Recommendation?

A
  1. State exactly what you want the person you are calling to do

I am going to start the following treatment; is there anything else you can suggest?

I don’t think I can do anymore; I would like you to see the patient urgently.

I am getting ABx ready and he is on IVF. I need help – please can you come & see him straight away.

22
Q

SBARD - How to describe Decisions?

A
  1. Summarise what has been decided

We have agreed that you will come & R/V the pt. straight away.

In the meantime I will repeat the BP reading.

23
Q

What resus team should do at start of their duty?

A
  1. Introduce themselves
  2. ID skills & experience
  3. Allocate team leader
  4. Allocate roles
  5. R/V any high risk pt’s

ILS Course - A to E Training & Solutions Ltd (12 decks)

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