121 EXAM #1 (MODULE 1 & 2) QUESTIONS WITH
ACCURATE ANSWERS
"I PASS THE BATON" correct answer I Introduction Introduce yourself and your
role/job (include patient)
P :Patient Name, identifiers, age, sex, location
A: Assessment Present chief complaint, vital signs, symptoms, and diagnoses
S :Situation: Current status/circumstances, including code status, level of
(un)certainty, recent changes, and response to treatment
S:Safety Concerns :Critical lab values/reports, socioeconomic factors, allergies,
and alerts (falls, isolation, etc.)
THE
B: Background Comorbidities, previous episodes, current medications, and family
history
A:Actions Explain what actions were taken or are required. Provide rationale.
T: Timing Level of urgency and explicit timing and prioritization of actions
O: Ownership Identify who is responsible (person/team), including patient/family
members
,N: Next What will happen next? Anticipated changes? What is the plan? Are there
contingency plans?
3. Call-Out correct answer Def: Strategy used to communicate important or
critical information
Informs all team members simultaneously during emergent situations
Helps team members anticipate next steps
Important to direct responsibility to a specific individual responsible for carrying
out the task
Example during an incoming trauma:
Leader: "Airway status?"
Resident: "Airway clear"
Leader: "Breath sounds?"
Resident: "Breath sounds decreased on right"
Leader: "Blood pressure?"
Nurse: "BP is 96/62"
3. Discuss a culture of safety in healthcare settings including standardized
communication tools to promote safety including but not limited to: SBAR,
TeamSTEPPS, AIDET, checklists and other standardized handoff tools.
Focus on TeamSTEPPS correct answer TeamSTEPPS: Team Strategies & Tools to
Enhance Performance and Patient Safety
, TeamSTEPPS has five key principles. It is based on team structure and four
teachable-learnable skills: Communication, Leadership, Situation Monitoring, and
Mutual Support.
Skills:
Knowledge- shared mental model
Attitudes- mutual trust and team orientation
3. SBAR correct answer Def: A technique for communicating critical information
that requires immediate attention and action concerning a patient's condition
S- Situation: What is going on with the patient?
B- Background: What is the clinical background or context?
A- Assessment: What do I think the problem is?
R- Recommendation: What would I do to correct it?
4. Check-Back correct answer Def: Using closed-loop communication to ensure
that information conveyed by the sender is understood by the receiver as
intended
The steps include the following:
1. Sender initiates the message
2. Receiver accepts the message and provides feedback
3. Sender double-checks to ensure that the message was received
ACCURATE ANSWERS
"I PASS THE BATON" correct answer I Introduction Introduce yourself and your
role/job (include patient)
P :Patient Name, identifiers, age, sex, location
A: Assessment Present chief complaint, vital signs, symptoms, and diagnoses
S :Situation: Current status/circumstances, including code status, level of
(un)certainty, recent changes, and response to treatment
S:Safety Concerns :Critical lab values/reports, socioeconomic factors, allergies,
and alerts (falls, isolation, etc.)
THE
B: Background Comorbidities, previous episodes, current medications, and family
history
A:Actions Explain what actions were taken or are required. Provide rationale.
T: Timing Level of urgency and explicit timing and prioritization of actions
O: Ownership Identify who is responsible (person/team), including patient/family
members
,N: Next What will happen next? Anticipated changes? What is the plan? Are there
contingency plans?
3. Call-Out correct answer Def: Strategy used to communicate important or
critical information
Informs all team members simultaneously during emergent situations
Helps team members anticipate next steps
Important to direct responsibility to a specific individual responsible for carrying
out the task
Example during an incoming trauma:
Leader: "Airway status?"
Resident: "Airway clear"
Leader: "Breath sounds?"
Resident: "Breath sounds decreased on right"
Leader: "Blood pressure?"
Nurse: "BP is 96/62"
3. Discuss a culture of safety in healthcare settings including standardized
communication tools to promote safety including but not limited to: SBAR,
TeamSTEPPS, AIDET, checklists and other standardized handoff tools.
Focus on TeamSTEPPS correct answer TeamSTEPPS: Team Strategies & Tools to
Enhance Performance and Patient Safety
, TeamSTEPPS has five key principles. It is based on team structure and four
teachable-learnable skills: Communication, Leadership, Situation Monitoring, and
Mutual Support.
Skills:
Knowledge- shared mental model
Attitudes- mutual trust and team orientation
3. SBAR correct answer Def: A technique for communicating critical information
that requires immediate attention and action concerning a patient's condition
S- Situation: What is going on with the patient?
B- Background: What is the clinical background or context?
A- Assessment: What do I think the problem is?
R- Recommendation: What would I do to correct it?
4. Check-Back correct answer Def: Using closed-loop communication to ensure
that information conveyed by the sender is understood by the receiver as
intended
The steps include the following:
1. Sender initiates the message
2. Receiver accepts the message and provides feedback
3. Sender double-checks to ensure that the message was received
