|
Task Management
|
Planning and Preparing
|
Starting to intubate the patient, while the intubation materials are not prepared
|
Timely preparation of medication (e.g., Amiodarone) before needing to administer it
|
|
Prioritizing
|
Actively attending to the patients family member during complicated tasks
|
Mentioning the order in which tasks need to be performed (i.e., after defibrillation, I would like to intubate the patient)
|
|
Providing and Maintaining Standards
|
Not checking whether anyone touches the bed while defibrillating
|
Double check of medication
|
|
Identifying and Utilizing Resources
|
Not checking the capabilities of the co-workers and therefore not making use of their skills
|
Call for the resuscitation team
|
|
Team Working
|
Coordinating Activities with Team
|
Not giving specific orders to one person, but giving several tasks to the whole team in general
|
Asking the team members who they are, e.g., are you the intern?
|
|
Exchanging Information
|
Starting with tasks without explaining what s/he is doing and why s/he is doing the task
|
Mentioning the patients status, e.g., we need to resuscitate the patient
|
|
Using Authority and Assertiveness
|
Forgets to give team members tasks and tries to perform all the tasks him/herself
|
Clearly indicates the next steps and who needs to perform which tasks, e.g., if we still do not have a sinus rhythm after defibrillation, I want you to prepare 300 mg adrenaline.
|
|
Assessing Capabilities
|
Gives orders to the intern, without checking whether s/he has sufficient knowledge to perform the task correctly
|
Asking the intern whether s/he knows how to give basic life support?
|
|
Supporting Others
|
Negative or defensive tone when answering the team members’ questions
|
Complimenting team members
|
|
Situation Awareness
|
Gathering Information
|
Actively conducting tasks while not paying attention to the patient’s situation
|
Regularly checking the monitor, asking team members what they know about the patient
|
|
Recognizing and Understanding
|
Not noticing that the patient is intubated incorrectly
|
Immediately recognizing that the patient needs to be resuscitated
|
|
Anticipating
|
Not preparing for potential problems or possible next steps
|
Mentioning the next steps, e.g., in 2 min, we will defibrillate again; until then, I would like you to call the on-call cardiologist.
|
|
Decision Making
|
Identifying Options
|
Not mentioning options when decisions need to be made
|
Considering reasons why the patient has a VT/VF
|
|
Balancing Risks and Selecting Options
|
No verbal considerations about the options and risks of the options
|
Initiates discussion on what to do next
|
|
Re-evaluating
|
Does not show any verbal re-evaluation of the situation
|
Evaluates the situation and considers treatment options
|
