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Introduction to the PA Profession > Quiz 4 Review: Physician Assistants as Part of the Medical Team > Flashcards

Quiz 4 Review: Physician Assistants as Part of the Medical Team Flashcards

1
Q

Define Team Strategies & Tools to Enhance Performance and Patient Safety (TeamSTEPPS)

A

Evidence-based framework to optimize team performance across the health care delivery system

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2
Q

TeamSTEPPS Framework and Competencies

A 
I) Knowledge 
- Shared mental model
II) Attitudes
- Mutual trust
- Team orientation
III) Performance 
- Adaptability
- Accuracy
- Productivity
- Efficiency
- Safety
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3
Q

What are the 4 teachable-learnable skills of TeamSTEPPS?

A

I) Communication
II) Leadership
III) Situation Monitoring
IV) Mutual Support

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4
Q

Define Team Structure

A

The components of a multi-team system that must work together effectively to ensure patient safety

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5
Q

Define Communication

A

Structured process by which information is clearly and accurately exchanged among team members

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6
Q

Define Leadership

A

Ability to maximize the activities of team members by ensuring that team actions are understood, changes in information are shared and team members have the necessary resources

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7
Q

Define Situation Monitoring

A

Process of actively scanning and assessing situational elements to gain information or understanding or to maintain awareness to support team functioning

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8
Q

Define Mutual Support

A

Ability to anticipate and support team members’ needs through accurate knowledge about their responsibilities and workload

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9
Q

What is the Multi-Team System for Patient Care?

A

Safe and efficient care involves the coordinated activities of a multi-team system

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10
Q

Team structure process involves…

A

Patient –> Core Team & Contingency Team –> Coordinating Team & Ancillary/Support Services –> Administration

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11
Q

Define SBAR

A

Technique for communicating critical information that requires immediate attention and action concerning a patient’s condition

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12
Q

Define Situation

SBAR

A

What is going on with the patient

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13
Q

Define Background

SBAR

A

What is the clinical background or context

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14
Q

Define Assessment (SBAR)

A

What do I think the problem is

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15
Q

Define Recommendation and Request (SBAR)

A

What would I do to correct it

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16
Q

Define Call-Out

A

Strategy used to communicate important or critical information

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17
Q

What are characteristics of Call-Out

A
  • Informs all team members simultaneously during emergent situations
  • Helps team members anticipate next steps
  • Important to direct responsibility to a specific individual responsible for carrying out the task
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18
Q

Define Check-Back

A

Using closed-loop communication to ensure that information conveyed by the sender is understood by the receiver as intended

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19
Q

What is the process of Check-Back?

A
  • Sender initiates the message
  • Receiver accepts the message and provides feedback
  • Sender double-checks to ensure that the message was received
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20
Q

Define Handoff

A

Transfer of information, authority or responsibility during transitions in care across the continuum

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21
Q

Handoff allows for opportunity to…

A

Ask questions, clarify and confirm

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22
Q

What is an example of Handoff

A

Shift changes

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23
Q

What is the process of Handoff called?

A

“I Pass the Baton”

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24
Q

Explain the process of Handoff

A
  • Introduction
  • Patient
  • Assessment
  • Situation
  • Safety concerns
  • Background
  • Actions
  • Timing
  • Ownership
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25
Q

What are responsibilities of effective team leaders?

A
  • Organize the team
  • Identify/articulate clear goals
  • Assign tasks and responsibilities
  • Monitor/modify the plan (communicate changes)
  • Review team’s performance and provide feedback
  • Manage/allocate resources
  • Facilitate information sharing
  • Encourage team members to assist one another
  • Facilitate conflict resolution in a learning environment
  • Model effective teamwork
26
Q

What are the steps of Team Events?

A

I) Sharing the plan
II) Monitoring/modifying the plan
III) Reviewing the team’s performance

27
Q

Define Brief

component of sharing the plan

A

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

28
Q

Define Huddle (component of monitoring/modifying the plan)

A

Meeting to re-establish situational awareness and reinforce plans already in place

29
Q

Define Debrief (component of reviewing the team’s performance)

A

Informal information exchange session designed to improve team performance and effectiveness through lessons learned and reinforcement of positive behaviors

30
Q

What is the Situation Monitoring Process?

A

Situation Monitoring (individual skill) –> Situation Awareness (individual outcome) –> Shared Mental Model (team outcome)

31
Q

Define Situation Monitoring

A

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

32
Q

Define Situation Awareness

A

State of “knowing what’s going on around you”

33
Q

Define Shared Mental Model

A

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

34
Q

Define STEP

A

Tool for monitoring situations in the delivery of healthcare

35
Q

What are the components of STEP

A

I) Status of the patient
II) Team members
III) Environment
IV) Progress toward goal

36
Q

Components of Status of the Patient

A
  • Patient history
  • Vital signs
  • Medications
  • Physical exam
  • Plan of care
  • Psychosocial issues
37
Q

Components of Team Members

A
  • Fatigue
  • Workload
  • Task performance
  • Skill
  • Stress
38
Q

Components of Environment

A
  • Facility information
  • Administrative information
  • Human resources
  • Triage acuity
  • Equipment
39
Q

Components of Progress Toward Goal

A
  • Status of team’s patient(s)
  • Established goals of team
  • Tasks/actions of team
  • Plan still appropriate
40
Q

Define Cross-Monitoring

A

A harm error reduction strategy

41
Q

Cross-Monitoring involves…

A
  • Monitoring actions of team members
  • Providing a safety net within the team
  • Ensuring that mistakes/oversights are quickly and easily resolved
42
Q

What are the characteristics of an I’M SAFE checklist?

A
  • Illness
  • Medication
  • Stress
  • Alcohol and Drugs
  • Fatigue
  • Eating and Elimination
43
Q

Define Task Assistance

A

Helping others with tasks builds a strong team

44
Q

Team members protect each other from work __________ situations.

A

Overload

45
Q

Effective teams place all ________ and __________ for assistance in the context of __________ safety.

A

Offers; requests; patient

46
Q

T/F Team members foster a climate where it is expected that assistance will be actively sought and offered

A

True

47
Q

Define Feedback

A

Information provided to team members for the purpose of improving team performance

48
Q

What are the components that make up Feedback?

A

Being…

  • Timely
  • Respectful
  • Specific
  • Directed
  • Considerate
49
Q

You must be an ___________ for the patient.

A

Advocate

50
Q

As physicians you must assert a…

A

Corrective action in a firm and respectful manner

51
Q

How can a physician accurately assert a corrective action?

A
  • Make an opening
  • State the concern
  • State the problem
  • Offer a solution
  • Reach agreement on next steps
52
Q

Define Two-Challenge Rule

A

Empowers all team members to “stop the line” if they sense of discover an essential safety breach

53
Q

The Two-Challenge Rule occurs when…

A

An initial assertive statement is ignored

54
Q

How do you conduct a Two-Challenge Rule?

A
  • Assertively voice concern at least TWO TIMES to ensure that it has been heard
  • Team members being challenged must acknowledge that concern has been heard
55
Q

Define CUS

A

Assertive Statements

56
Q

What does CUS stand for?

A
  • I am CONCERNED
  • I am UNCOMFORTABLE
  • This is a SAFETY ISSUE
57
Q

Define DESC Script

A

A constructive approach for managing and resolving a conflict

58
Q

Define D in DESC Script

A

Describe the specific situation or behavior

59
Q

Define E in DESC Script

A

Express how the situation makes you feel/what your concerns are

60
Q

Define S in DESC Script

A

Suggest other alternatives and seek agreement

61
Q

Define C in DESC Script

A

Consequences should be stated in terms of impact on established team goals (strive for consensus)

Introduction to the PA Profession (6 decks)

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