Communication & Escalation ESCAPE GAME

Communication & Escalation ESCAPE GAME

start

THE MISSION

To escape this game, you will need to identify appropriate communication skills when addressing a concern with a provider, identify appropriate process for initiating chain of resolution and effective use these skills in a situation requiring escalation of the chain of resolution.

THE base

Find the clue you need to keep moving forward

QUESTION 1/3

Full SBAR report

You are preparing to call the physician about some concerning changes in your patient's condition. How should you communicate this information?

Communicate only your concerns

QUESTION 2/3

Recommendation

SBAR stands for Situation Background Assessment ________

Reinforce

QUESTION 3/3

True, SBAR is for nurse to physician communication only.

SBAR should only be used to communicate concerns to a provider.

False, SBAR is a communication tool that can be used in many situations.

THE base

Find the clue you need to keep moving forward

QUESTION 1/3

often

The Joint Commission found that when sentinel events (severe temporary harm, permanent harm, or death) occur, a member of the team ______ knew that the event was about to happen and they didn't say anything.

never

occassionally

QUESTION 2/3

It is best because it will prevent conflict.

If no one speaks up when there is a concern...

patient safety errors may occur.

this is best because the physician is the one in charge.

QUESTION 3/3

The nurse wants to prove the physician wrong.

The nurse decides she is going to speak up about a concern. Which of these is NOT a reason why the nurse should speak up?

Ensure consistent and safe delivery of patient care.

Allows staff to learn from their mistakes.

the base

Find the clue you need to keep moving forward

QUESTION 1/3

PASS

The nurse used SBAR to communicate the changes in her patient's condition she was worried about. The physician states he will round on the patient tomorrow. What communication tool can be used to emphasize the urgency of the situation.

CUS

HIPPA

QUESTION 2/3

stupid decision

To use CUS, state:I am Concerned. I am Uncomfortable. This is a _________.

state violation

Safety issue

QUESTION 3/3

that you are Mad!!

When you speak the signal words of the CUS tool, this alerts the provider and cues him to clearly understnad not just the issue, but also

the potential severity or magnitude of the issue.

that the provider will be reported to administration.

the base

Find the clue you need to keep moving forward

QUESTION 1/3

Keep calling the provider over and over again.

Tell the patient / family the provider is not concerned so everything must be fine.

When the CUS tool is used, if the provider does not address the concern satisfactorally (like coming to the bedside), then the safety issue must still be addressed. What should you do?

Nothing, the provider must know more than you.

Escalate the concern by activating the Chain of Command.

QUESTION 2/3

Charge Nurse

MD Department Chief

The nurse knows she must now activate the chain of command. Typically, the first person to notify is _____.

Hospital CEO

the patient / family

QUESTION 3/3

varies by facility

is standardized.

The experienced nurse knows all of the following statements about Chain of Command are true except

may vary on weekends, nights, and holidays.

varies by department / hospital unit.

the base

Find the clue you need to keep moving forward

QUESTION 1/3

R-Recommendation

B-Background

The nurse is caring for an infant that begins having retractions, nasal flaring, and grunting at 2 hours old. The nurse calls the provider and gives a thorough SBAR report. The nurse thinks the provider needs to evaluate the infant. Where should this be included in the SBAR?

S-Situation

A-Assessment

QUESTION 2/3

Enter a notification, reporting the MD's behavior.

Emphasize the urgency by using the CUS tool.

The provider states he will round on the infant at the end of his day, in about 3 hours. The nurse feels this is unappropriate care. What should she do?

Hang up and ask her supervisor to handle the issue.

Nothing, the MD knows best.

QUESTION 3/3

Beg the provider to plese listen and come ASAP!

Tell the family there is no concern and everything will be fine because the provider isn't concerned.

The nurse uses the CUS tool to communicate the urgency of the issue to the provider. The provider responds that he thinks it's fine and he will be there, when he has time after he's done in the office, in 3 hours. What should the nurse do?

Let the provider know she is activating the chain of command. Next notify the charge nurse.

Call the CNO and CMO ASAP!

Mission Complete

Communication & Escalation Passcode: CUS

START OVER?

Are you sure you want to go out?

You will lose progress

exit

back

MISSION FAILED

You've destroyed the base......

try again