PEARS Resuscitation Team Dynamics 2 — Questions and Answers
Question 1: Which team role is responsible for ensuring that medications are drawn up correctly and given at the right time during a pediatric resuscitation?
- Team leader
- Compressor
- Medication nurse (Correct answer)
- Recorder
Correct answer: Medication nurse
The medication nurse is responsible for preparing, verifying, and administering medications accurately during resuscitation.
Question 2: What should a team member do if they notice the team leader has given an incorrect drug dose during resuscitation?
- Remain silent to avoid conflict
- Speak up respectfully using the 'I'm concerned' technique (Correct answer)
- Administer the dose anyway and document it
- Leave the room to find a supervisor
Correct answer: Speak up respectfully using the 'I'm concerned' technique
Team members must voice safety concerns assertively and respectfully, using structured language to alert the leader without disrupting care.
Question 3: During a resuscitation, the team leader asks for epinephrine but does not specify the dose. What is the correct action for the medication nurse?
- Administer a standard adult dose
- Clarify the dose with the team leader before administering (Correct answer)
- Delay administration until a physician arrives
- Give the maximum pediatric dose to be safe
Correct answer: Clarify the dose with the team leader before administering
Before acting on an incomplete order, the medication nurse must clarify specifics to prevent dosing errors.
Question 4: What is the primary purpose of assigning roles before a resuscitation begins?
- To establish a hierarchy for legal documentation
- To reduce confusion and improve efficiency during the event (Correct answer)
- To identify who will speak with the family
- To decide which team member will write the incident report
Correct answer: To reduce confusion and improve efficiency during the event
Pre-assigning roles prevents task overlap and confusion, allowing the team to function efficiently under stress.
Question 5: In PEARS, which concept describes a team environment where all members feel safe to voice concerns without fear of punishment?
- Role accountability
- Psychological safety (Correct answer)
- Situational dominance
- Hierarchical deference
Correct answer: Psychological safety
Psychological safety allows team members to speak up about errors or concerns, which is critical for patient safety in resuscitation.
Question 6: What is meant by 'situational awareness' in the context of pediatric resuscitation team dynamics?
- Knowing the layout of the resuscitation room
- Maintaining an ongoing understanding of the patient's status and team performance (Correct answer)
- Being aware of which supplies are available
- Recognizing when to call a code blue
Correct answer: Maintaining an ongoing understanding of the patient's status and team performance
Situational awareness means continuously monitoring the patient, team actions, and environment to anticipate needs and adjust the plan.
Question 7: During a resuscitation, team members are performing tasks simultaneously but not communicating. What team dynamic principle is being violated?
- Resource management
- Closed-loop communication (Correct answer)
- Role distribution
- Knowledge sharing
Correct answer: Closed-loop communication
Closed-loop communication requires that team members acknowledge orders and report task completion, preventing silent errors.
PEARS Resuscitation Team Dynamics 2
Which team role is responsible for ensuring that medications are drawn up correctly and given at the right time during a pediatric resuscitation?