ASC Interprofessional Collaboration 3 — Questions and Answers
Question 1: Which model of interprofessional practice specifically emphasizes role clarification, team functioning, collaborative leadership, and interprofessional communication as core competencies?
- LEAN methodology
- Canadian Interprofessional Health Collaborative (CIHC) framework (Correct answer)
- Donabedian quality model
- Six Sigma DMAIC
Correct answer: Canadian Interprofessional Health Collaborative (CIHC) framework
The CIHC framework outlines six domains including role clarification and collaborative leadership that define interprofessional competency in healthcare.
Question 2: A stroke patient is transitioning from acute care to inpatient rehabilitation. Who should lead the interprofessional discharge conference?
- The emergency department triage nurse
- The stroke coordinator or case manager facilitating communication among all disciplines (Correct answer)
- The radiologist who interpreted the initial CT
- The patient's insurance case manager exclusively
Correct answer: The stroke coordinator or case manager facilitating communication among all disciplines
The stroke coordinator or case manager is best positioned to facilitate communication, coordinate goals, and ensure a smooth care transition across settings.
Question 3: During a debriefing after a missed stroke alert, the team discovers that a CNA observed early facial droop but did not escalate. What system improvement best addresses this?
- Disciplinary action for the CNA
- Implementing a structured escalation pathway that empowers all staff to report stroke signs (Correct answer)
- Restricting stroke alert authority to RNs only
- Replacing the CNA with a registered nurse for all patient monitoring
Correct answer: Implementing a structured escalation pathway that empowers all staff to report stroke signs
A structured escalation pathway that empowers every team member to report concerns removes hierarchical barriers and prevents future missed alerts.
Question 4: In a stroke unit, which interprofessional practice is MOST effective at reducing hospital-acquired complications such as pneumonia and pressure injuries?
- Individual discipline rounding without shared documentation
- Daily interprofessional bedside rounds with standardized bundle checklists (Correct answer)
- Monthly team meetings to review outcomes
- Restricting patient mobility until physician order
Correct answer: Daily interprofessional bedside rounds with standardized bundle checklists
Daily interprofessional rounds using standardized bundles (e.g., HOB elevation, oral care, turning schedules) have strong evidence for reducing hospital-acquired complications.
Question 5: A pharmacist on the stroke team identifies a potentially dangerous drug interaction in a new stroke patient's medication reconciliation. What should the pharmacist do FIRST?
- Wait for the next scheduled team meeting to report
- Immediately contact the prescribing physician and document the interaction in the medical record (Correct answer)
- Dispense the medication and note the interaction on the label
- Consult the patient independently without notifying the physician
Correct answer: Immediately contact the prescribing physician and document the interaction in the medical record
Urgent direct communication with the prescribing physician followed by documentation ensures the interaction is addressed promptly and safely.
Question 6: A stroke team wants to measure the effectiveness of their interprofessional collaboration. Which outcome metric most directly reflects team performance?
- Individual provider satisfaction scores
- Door-to-needle time and adherence to stroke care bundles (Correct answer)
- Number of team meetings held per month
- Total number of clinical staff credentialed in stroke care
Correct answer: Door-to-needle time and adherence to stroke care bundles
Door-to-needle time and bundle adherence are evidence-based performance metrics that directly reflect how well the interprofessional team executes coordinated stroke care.
Question 7: Which element of TeamSTEPPS is specifically designed to ensure team members maintain situational awareness and can speak up about safety concerns?
- Huddle
- Debrief
- Two-challenge rule (Correct answer)
- SBAR
Correct answer: Two-challenge rule
The two-challenge rule in TeamSTEPPS requires any team member to voice a safety concern at least twice if initially ignored, empowering all staff to stop unsafe actions.
ASC Interprofessional Collaboration 3
Which model of interprofessional practice specifically emphasizes role clarification, team functioning, collaborative leadership, and interprofessional communication as core competencies?