Karen, experienced nurse, newly hired by the hospital to support patient care ward.

What do you think is going on with this patient?
(everyone to answer)

Initial Assessment ( ~3 min)

Patient Mr X deteriorating, seems to be in some distress

Share what you are most concerned about.
(everyone to answer)

How to escalate using TeamSTEPPS 2 Challenge Rule
- Reference Pocket Guide
Practice with each other to refine:
- the "Call for Help"
- challenge to the need of the Bolus
Have the team create a "Call for Help" using TeamSTEPPS SBAR and CUS words:
- Charge Nurse
- Resident
Facilitated Practice (~8 min)
What systems do we have in place to prevent this?
(every team member to answer)
What system issues might have contributed to this outcome?
(every team member to answer)
Systems Discussion (~5 min)
Issues:
- patient advocacy
- team communication
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