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 |