Nursing Practice/TeamSTEPPS

Question 1

Communication

Answer 1

A technique for communicating critical information that requires immediate attention and action concerning a patient’s condition.
- written or verbal

Question 2

SBAR mnemonic

Answer 2

situation
background
assessment
recommendation

Question 3

SBAR is a

Answer 3

• written or verbal
  purpose provide essential, concise information usually during critical situations

Question 4

Situation

Answer 4

focus on the seriousness of the situation with the exact circumstances explained
Name, Unit, Pt Name, and Room Number

Question 5

Background

Answer 5

essential info related to only to current situation
age and gender
admitted date and for
presented with
Hx

Question 6

Assessment

Answer 6

precise statement of data related to the situation, VS and findings
qualified staff
significant labs
clinical concerns

Question 7

Recommendation

Answer 7

resolving issue based on findings
orders, meds, radiology, lab, therapies, consult, evaluate pt

Question 8

How to receive a verbal order?

Answer 8

Sender initiates the message
Receiver accepts message and provide feedback
sender reads back order to ensure correct message received
Write Dr’s, NP’s, and RN’s name

Question 9

Team Goal of Quality Improvement

Answer 9

DESIRED PT OUTCOMES (MAXIMIZE QUALITY OF CARE)

Question 10

Sentinal event

Answer 10

state reportable incident and includes investigation into hospital neglect
a broken bone or worse

Question 11

Define “Team”

Answer 11

people working together for a common goal

Question 12

If a medication is prescribed for pain and you know that it also lowers fever, can you give that medication for fever even though it says PRN for pain?

Answer 12

No, not prescribed for that

Question 13

Leadership is who

Answer 13

Is anyone seen as a leader because we are all advocating for the pts

Question 14

Team Stepps Triangle

Answer 14

The center is Pt care team with these skills
-leadership
-situation monitoring
-mutual support
-communication
The 3 corners with arrows in and out are
Knowledge
Attitudes (trust and team orient)
Performance (adapt, accurate, productive, efficiency, and safety

Question 15

TeamSTEPPS has what 5 key principles?

Answer 15

team structure
communication
leadership
sitaution monitoring
mutual support

Question 16

Model for Improvement PDSA

Answer 16

Plan - idea for action
Do - make a change
Study - test and collect data
Act - adjust based on results

Question 17

National Pt Safety Goals 2022

Answer 17

ID Pt correctly
Improve staff communication
Use med safety
Alarms safely
Prevent infections
Id pt safety risk
Improve equity

Question 18

Multi-Team System for Patient Care Triangle (tip to base)

Answer 18

Pt and family
Core team and Contigency
Coordinating team and ancillary and support
Administration

Question 19

Magnet

Answer 19

Designation that empowers nurses through shared governance to provide the best nursing care and outcomes
Measures the strength and quality of Nursing
Empowerment
Shared decision-making
Accountability

Question 20

Magnet Culture

Answer 20

Visionary nursing leadership
Strong nursing representation at the top levels of management
Building an environment that encourages participation
Empowering nurses in patient care
Showing superior patient outcomes

Question 21

Magnet Culture of Excellence

Answer 21

great leaders
great structures
great nurses
knowledge and innovation
great outcomes

Question 22

Health Info Technology

Answer 22

Computers, mobile devices, and Telehealth (global help)
Medication administration applications
Computerized provider order entry
Protected health Information (PHI) – document accurate in EHR
Electronic health record (EHR) – direct access to pts chart, decrease Med ERRORS, decreased duplicate orders, decrease errors in handwritten orders
Protect confidentiality of patient’s protected health information
Document appropriately in electronic health records
Use communication technologies to coordinate patient care
Respond correctly to clinical decision-making alerts – LAB VALUES AND CORRECTION

Question 23

HIPPA

Answer 23

includes your own medical record or friends/family medical records
Tier 1-4 = $100-50000 per violation

Question 24

What does professional nursing look like to you?

Answer 24

Communication
Punctual
Integrity
Accountable
Team player
Compassionate
Honest
Accurate charting

Bad is the opposite of them

Question 25

Why does Nursing Practice/Team Stepps Matter question back?

Answer 25

does this support the goals or values of nursing

Question 26

How can we prevent medical errors

Answer 26

Communication CUS
advocacy and assertion
research

Question 27

“I am Concerned!”
“I am Uncomfortable!”
“This is a Safety Issue”

Answer 27

Stop the line

Question 28

How to assert a coorective action in a firm and respectful manner?

Answer 28

Make an opening.
State the concern.
State the problem (real or perceived).
Offer a solution.
Reach agreement on next steps.
Two-Challenge Rule
Empowers all team members to “stop the line” if they sense or discover an essential safety breach.

Question 29

When an initial assertive statement is ignored:

Answer 29

It is your responsibility to assertively voice concern at least two times to ensure that it has been heard.
The team member being challenged must acknowledge that concern has been heard.
If the safety issue still hasn’t been addressed:
Take a stronger course of action.
Utilize supervisor or chain of command.

Question 30

The following are responsibilities of effective team leaders:

Answer 30

*Organize the team.
*Identify and articulate clear goals (i.e., the plan).
*Assign tasks and responsibilities.
*Monitor and modify the plan; communicate changes.
*Review the team’s performance; provide feedback when needed.
*Manage and allocate resources.
*Facilitate information sharing.
*Encourage team members to assist one another.
*Facilitate conflict resolution in a learning environment.
*Model effective teamwork.

Question 31

Brief

Answer 31

Short session prior to start to share the plan, discuss team formation, assign roles and responsibilities, establish expectations and climate, anticipate outcomes and likely contingencies.

Question 32

Huddle

Answer 32

Ad hoc meetings to re-establish situational awareness, reinforce plans already in place, and assess the need to adjust the plan.
Monitoring and Modifying the Plan

Question 33

Debrief

Answer 33

Reviewing the Team’s Performance
Informal information exchange session designed to improve team performance and effectiveness through lessons learned and reinforcement of positive behaviors.

Question 34

Situation monitoring is the process of

Answer 34

continually scanning and assessing a situation to gain and maintain an understanding of what’s going on around you.

Question 35

Situation awareness is the

Answer 35

state of “knowing what’s going on around you.”

Question 36

Shared mental model results from

Answer 36

each team member maintaining situation awareness and ensures that all team members are “on the same page.“

Question 37

STEP means

Answer 37

status of pt
team members
environment
progress toward goal

Question 38

Status of the Pt

Answer 38

Patient History
__ Vital Signs
__ Medications
__ Physical Exam
__ Plan of Care
__ Psychosocial Issues

Question 39

Team Members

Answer 39

__ Fatigue
__ Workload
__ Task Performance
__ Skill
__ Stress

Question 40

Environment

Answer 40

__ Facility Information
__ Administrative Information
__ Human Resources
__ Triage Acuity
__ Equipment

Question 41

Progress toward goal

Answer 41

__ Status of Team’s Patient(s)?
__ Established Goals of Team?
__ Tasks/Actions of Team?
__ Plan Still Appropriate?

Question 42

TeamStepps Debriefing AQuestions asked

Answer 42

Was communication clear?
Were roles and responsibilities understood?
Was situation awareness maintained?
Was workload distribution equitable?
Was task assistance requested or offered?
Were errors made or avoided?
Were resources available?
What went well?
What should improve?