Exam (elaborations)
N450 TeamSTEPP skills (1).
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N450 TeamSTEPP skills (1).
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N450 TeamSTEPP skillsSkills: Communication (4) - ANS-SBAR, Call Out, Check Back, Handoff
Skills: Leadership (3) - ANS-Brief, Huddle, Debrief
Skills: Situational Monitoring (2) - ANS-STEP, IMSAFE
Skills: Mutual Support (7) - ANS-Task, Assistance, Feedback, Assertive Statement,
Two-Challenge Rule, CUS, DESC
Core team - ANS-a group of care providers who work interdependently to manage a set of
assigned patients from point of assessment to disposition; have closest contact with the patient
Contingency team - ANS-A time-limited team formed
for emergent or specific
events and composed
of members from
various teams (ex. code team, disaster response team, RRT); composed of team members from
a variety of Core Teams
Coordinating teams - ANS-a team comprising of whose who are responsible for managing the
operational environment that supports the Core Team; they ensure max support for the Core
Team (ex. chief nurse/physician responsible for triage care, resource management for ICU,
department heads, supervisors)
Ancillary and Support Services - ANS-individuals who provide direct, task-specific, time-limited
care; often not located where the patient receives their routine care (ex. Xray, radiology,
pharmacy, housekeeping, HR, sterile processing)
Communication: SBAR - ANS-S: situation, what is going on with the patient
B: background, what is the clinical background or context
A: assessment, what do I think the problem is
R: recommendation, what would I recommend
is SBAR an effective handoff tool? - ANS-nO
Communication: Call Out - ANS--strategy used to communicate important or critical information
-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
, Communication: Check Back - ANS-= closed loop communication; sender initiates message -->
receiver accepts message and provides feedback communication --> sender verifies message
was received
Communication: Handoff - ANS-transfer of information during transitions in care across the
continuum; includes opportunities to ask questions, clarify, confirm, and review the information
what kind of information is included in Handoff? - ANS-patient's care, treatment and services,
current condition, and any recent or anticipated changes
Communication: IPASSTHEBATON - ANS-Introduction
Patient
Assessment
Situation
Safety
THE
Background
Actions
Timing
Ownership
Next
Communication: IPASSTHEBATON - I - ANS-Introduce: introduce self/role
Communication: IPASSTHEBATON - P - ANS-patient: identifiers, sex, age, location
Communication: IPASSTHEBATON - A - ANS-assessment: present chief complaint, VS,
symptoms, diagnosis,
Communication: IPASSTHEBATON - S1 - ANS-situation: current status, code status, level of
uncertainty, recent changes and response to treatment
Communication: IPASSTHEBATON - S2 - ANS-safety: critical lab values, SES, allergies and
alerts (falls, isolation)
Communication: IPASSTHEBATON - B - ANS-background: comorbidities, previous episodes,
current meds, family history
Communication: IPASSTHEBATON - A2 - ANS-actions: what actions were taken or are
required? provide a brief rationale
Communication: IPASSTHEBATON - T - ANS-timing: level of urgency, explicit timing and priority
of actions
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