CHSOS practice question · Domain IV · Professional Role: Behavior, Capabilities, and Leadership

During a scenario, the team leader says: Give 1 mg epinephrine IV. Which reply shows closed-loop communication?

  1. 1 mg epinephrine IV, giving now. Then: 1 mg epinephrine given.
  2. Okay.
  3. Silent action with a nod
  4. Someone should give epinephrine.

Choose the one best answer, then open the explanation.

Show answer and explanation

Best answer: A. 1 mg epinephrine IV, giving now. Then: 1 mg epinephrine given.

Closed-loop communication repeats the order back and confirms completion. Okay and nods give no confirmation. Unassigned statements cause diffusion of responsibility.

Reference: AHRQ TeamSTEPPS Pocket Guide.

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