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. 2011 Jul;82(7):835–844. doi: 10.1016/j.resuscitation.2011.03.009

Table 2.

All exemplars for anaesthetists, physicians, and nurses with mean ratings by specialty experts (S) and non-specialty expert (N-S). Behaviours subsequently reviewed shaded in grey with initiating score.

Behaviour Anaesthetists (A)
Physicians (P)
Nurses (N)
Exemplar S N-S Exemplar S N-S Exemplar S N-S
Communication Informs team whether patient making respiratory effort 3.8 3.8 Reviews patient history and notes, and communicates details clearly to team 3.6 3.8 Provides clear information about arrest events on arrival of arrest team 3.8 3.8
Informs team of any other relevant clinical signs 3.8 3.2 Clear instructions communicated to the team regarding arrest protocol 3.8 4 Senior nurse proved clear audible requests to junior nurse 3.6 3.8
Communication to team that they plan to intubate the patient 4 3.8 Talks to the team to encourage communication from sub-teams 3.2 3 Instructs other nurses on ward clearly how to assist arrest, or other ward duties 3.2 2.8
Co-operation A-group provides information on request from P-group 3.8 3.8 Responds to questions from other team members about decisions made 3.4 3.8 Provide support and assistance to A-group and P-group when needed 3.6 3.8
A-group assists P-group in decision mating in difficult scenarios 4 3.8 Provides assistance to N-group in setting up fluid giving sets, etc. 2.2 2.8 Help P-group locate items required not routinely stocked or missing from trolley 3.8 3.8
Assists voluntarily with non-airway tasks if airway secure and >1 A-group present 3.4 3.4 Supports less experienced members of P-group, and compensates for them 3 3.6 Assist P-group with extra tasks, e.g. blood bottle labeling 2.8 3.2
Co-ordination Junior anaesthetist prepares drugs and equipment for senior 3.4 2.8 Notifies N and A groups of anticipated further requirements for resuscitation 3.4 3.6 Prepare resus trolley for use by team by bringing to bedside 3.4 3.8
Information provided about changes in patient condition as they occur 4 3.6 Assists in transfer of patient 2 3.2 Prepare further drugs, in readiness for their next required use, e.g. adrenaline 3.8 2.8
A-group co-ordinate team to move patient 3.8 3.2 Within P-group co-ordinates tasks such as taking of bloods, etc. 3.4 3.6 A senior nurse is always present to provide back-up to staff nurse 3.6 3.4
Leadership Advises team on best management and contingency plans for patient 3.6 3.2 Takes a lead and clearly instructs assistants with requirements for arrest 4 3.8 Takes a lead with initial basic life support attempts until arrest team arrives 3.8 4
Anaesthetist assertively takes a lead in Airway Control on arrival 3.8 3.6 Supervision given to staff lacking experience or familiarity with tasks 3.4 3.4 Assertive in controlling noise and distractions during resuscitation 3.2 2.8
Lead Anaesthetist supervises and supports staff lacking familiarity 3.6 3.2 Instructs N-group of additional requirements, e.g. blood results 2.6 3 Supervision and support given to junior or inexperienced members of N-team 3.2 3.2
Monitoring Maintains monitoring of patient condition 4 3.6 Monitors progress of other teams 2.6 3.6 Monitors progress closely, and documents drugs given carefully 3.2 3
Checks ventilation adequate with ABG analysis, amends ventilation accordingly 3.6 3.2 Monitors progress of resuscitation protocol, checking times, etc. 3.6 4 Monitors patient dignity and considers well-being of other patients nearby 3 2.8
Checks all drugs, monitoring, and equipment prior to use 3.4 3 Checks team condition, e.g. monitors for fatigue 3.2 3.6 Monitors the needs of P and A groups 3.2 3
Decision-Making Prompt identification of the problem 4 3.4 Rapidly decides an appropriate course of action for resuscitation 3.8 4 Prompt decision making during initial resuscitation attempts 4 4
Rapidly and clearly outlines a strategy or plan, and asks for equipment 4 3.6 Uses the team as a whole to help develop options 3.6 3.4 Anticipates potential problems A and P teams may encounter 3.6 3.2
Anticipates potential problems and prepares accordingly 3.6 3.4 Timely and appropriate decision regarding when to stop if unsuccessful 3.8 4 Appropriate decision making regarding timing of when to put out arrest call 3.8 4