Introduction To Crisis Resource Management

1. Explaining to the team what you are thinking and what is likely to occur in the near future is an example of

Mind melting

Good leadership

Creating a shared mental model

Ineffective resource utilization

B and C

None of the Above

Talking out loud to the team about what you think is going on and what needs to be done is a good example of good leadership. This allows the team to have a shared mental model and work more effectively as a team.

Explanation

Talking out loud to the team about what you think is going on and what needs to be done is a good example of good leadership. This allows the team to have a shared mental model and work more effectively as a team.

2. An American Heart Association ACLS treatment card would be an example of which of the following?

Cheat sheet

Cognitive aid

Learning aid

Something a resident might use but would be expected to be memorized by an attending

A cognitive aid is a resource such as a checklist or protocol that helps the provider remember the steps in managing a particular event.

Explanation

A cognitive aid is a resource such as a checklist or protocol that helps the provider remember the steps in managing a particular event.

3. Calling for help...

Should be done early enough to make a difference

Can be viewed by your colleagues as a sign of weakness

Can take people away from other important tasks and should only be done if absolutely necessary

Should be considered if you are not sure what is happening to the patient

A and D

All of the Above

It is important to call for help early enough to make a difference and it should be done if you are uncertain what is happening to your patient or if you need additional hands or resources to manage the crisis.

Explanation

It is important to call for help early enough to make a difference and it should be done if you are uncertain what is happening to your patient or if you need additional hands or resources to manage the crisis.

4. "Someone start CPR" is an example of which of the following?

Closed loop communication

Explicit communication

Force full communication

Thin air communication

This is an example of thin air communication since it is directed at no particular individual. The team under crisis conditions often ignores this type of command.

Explanation

This is an example of thin air communication since it is directed at no particular individual. The team under crisis conditions often ignores this type of command.

5. Having a nurse monitor the patient's vital signs while you are placing an arterial line in an unstable patient would be an example of which of the following?

Allocation of attention

Workload distribution

Inappropriate delegation secondary to the nurse's skill set

A and B

Since your ability to monitor the patient and do a procedure at the same time is limited having the ability to reassign monitoring to a nurse is an example of workload distribution. It also allows for appropriate allocation of attention yours to the procedure and the nurses to the patient’s condition.

Explanation

Since your ability to monitor the patient and do a procedure at the same time is limited having the ability to reassign monitoring to a nurse is an example of workload distribution. It also allows for appropriate allocation of attention yours to the procedure and the nurses to the patient’s condition.