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Table 2 Team Work and Communication Scenarios using Rapid Cycle Deliberate Practice (RCDP) Debriefing

From: Use of simulation as a needs assessment to develop a focused team leader training curriculum for resuscitation teams

CaseRhythmScenario
1PEA ArrestAdult patient was admitted overnight for deep tissue infection on left leg. He recently had a subclavian central line inserted. Breath sounds are decreased on right side of the chest one minute into the code.
• Cardiac Arrest starts with bedside nurse in the room doing compressions
• Code Team comes in with the resident team leader
• After two minutes the confederate Respiratory Care Provider comments that ventilating has gotten more difficult
2Slow V TachAdult patient is admitted for lumbar discectomy. He has peripheral IV access.
• Cardiac arrest starts with multiple nurses in the room
• Pads are on the chest
• CPR is in progress
• Defibrillator is in AED mode and is still on
• Code team comes in with the team leader
3PEA ArrestAdult patient was admitted overnight with concern for sepsis. He has peripheral IV access. Patient was noted to have elevated lactate levels as per bedside nurse report.
• Cardiac arrest starts with bedside nurse in the room
• No pads are on the patient
• Code team comes in with the team leader
• After the first rhythm check the MICU nurse states that the IV is lost and not working
  1. PEA – Pulseless Electrical Activity, V Tach – ventricular tachycardia, CPR – cardiopulmonary resuscitation, AED – automatic electrical defibrillator, IV – intravenous line