Nurse Q has contacted Dr. H regarding Mrs. C's condition. No orders were given and Dr. H responded rather inappropriately to Nurse Q's inquiry. According to the guidelines provided by Calfee (1998), how should Nurse Q document this interaction?
a. Document the call in the chart, the information relayed, and the fact that no orders were given.
b. Contact the supervisor and complete a peer review committee report.
c. Complete an incident report and route the report to the chief of the medical staff and medical ethics committee.
d. Complete a physician's order and send the patient to the emergency room physician to obtain the needed orders.
Question 2Which of the following is one of the elements used in the acronym SBARR?
a. Scenario c. Awareness
b. Background d. Resolution
Question 3The SBARR technique (situation, background, assessment, recommendation, response) is designed to improve communication among healthcare personnel. Which of the following is an example of a recommendation?
a. I'm calling about Ms. Smith in 414.
b. Ms. Smith has decreased peristalsis, abdominal discomfort, and is on a narcotic analgesic.
c. Can we start her on Colace 2 bid and add magnesium citrate if no BM within 8 hours?
d. Ms. Smith hasn't had a bowel movement in two days, which she states is unusual for her.
Question 4What is the primary goal of Crew Resource Management?
a. enhanced communication
b. enhanced ability to function under stressful situations
c. enhanced situational awareness
d. enhanced ability to overcome fatigue
Question 5Nurse X has a newly admitted 67-year-old male patient (Mr. Z) who has a diagnosis to rule out MI. She telephones Mr. Z's physician and tells him, Mr. Z has a pulse of 160. Which step of Crew Resource Management did she use?
a. opening or attention getter c. state the problem as you see it
b. state your concern d. obtain agreement (or buy-in)
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