request/action, then 2nd team member confirm request fulfilled/action performed. 13 Contacts provider Does NOT contact provider 0 Contacts provider 2 14 Uses SBAR: Situation Does NOT communicate Situation to provider 0 Communicates Situation to provider partially 1 Communicates Situation to provider completely and 2 accurately 15 Uses SBAR: Background Does NOT communicate Background to provider 0 Communicates Background to provider partially 1 Communicates Background to provider completely and 2 accurately 16 Uses SBAR: Assessment Does NOT communicate Assessment to provider 0 Communicates Assessment to provider partially 1 Communicates Assessment to provider completely and 2 accurately 17 Uses SBAR: Does NOT communicate Recommendations to provider 0 Recommendations Communicates Recommendations Situation to provider 1 partially Communicates Recommendations Situation to provider 2 completely and accurately 18 Discusses Interventions with Does NOT discuss interventions with patient 0 Patient Discusses interventions with patient partially 1 Discusses interventions with patient 2 Implementing orders/interventions 19 Administers Benadryl Does NOT administer diphenhydramine 0 Administers diphenhydramine incorrectly 1 Administers diphenhydramine correctly 2 20 Administers Zantac Does NOT administer cimetidine correctly 0 Administers cimetidine incorrectly 1 Administers cimetidine correctly 2 21 Re-assesses patient and vital signs Does NOT re-assess patient and vital signs 0 throughout simulation Re-assess patient some of the time 1 Re-assesses patient and vital signs continually 2 22 Administers Oxygen Does NOT administer oxygen correctly 0 Administers oxygen correctly 2 Highest possible = 44 Total Score: Provider Learner Critical Actions Checklist Competing Team_______________ Red in the Face
request/action, then 2nd team member confirm request fulfilled/action performed. 13 Contacts provider Does NOT contact provider 0 Contacts provider 2 14 Uses SBAR: Situation Does NOT communicate Situation to provider 0 Communicates Situation to provider partially 1 Communicates Situation to provider completely and accurately 2 15 Uses SBAR: Background Does NOT communicate Background to provider 0 Communicates Background to provider partially 1 Communicates Background to provider completely and accurately 2 16 Uses SBAR: Assessment Does NOT communicate Assessment to provider 0 Communicates Assessment to provider partially 1 Communicates Assessment to provider completely and accurately 2 17 Uses SBAR: Recommendations Does NOT communicate Recommendations to provider 0 Communicates Recommendations Situation to provider partially 1 Communicates Recommendations Situation to provider completely and accurately 2 18 Discusses Interventions with Patient Does NOT discuss interventions with patient 0 Discusses interventions with patient partially 1 Discusses interventions with patient 2 Implementing orders/interventions 19 Administers Benadryl Does NOT administer diphenhydramine 0 Administers diphenhydramine incorrectly 1 Administers diphenhydramine correctly 2 20 Administers Zantac Does NOT administer cimetidine correctly 0 Administers cimetidine incorrectly 1 Administers cimetidine correctly 2 21 Re-assesses patient and vital signs throughout simulation Does NOT re-assess patient and vital signs 0 Re-assess patient some of the time 1 Re-assesses patient and vital signs continually 2 22 Administers Oxygen Does NOT administer oxygen correctly 0 Administers oxygen correctly 2 Highest possible = 44 Total Score: Provider Learner Critical Actions Checklist Competing Team_______________ Red in the Face
red_in_the_face_interprofessional_simulation_case_scenario.docx