Sim Lab - OB Emergencies Evaluation

As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

	5	4	3	2	1
Demonstrate basic principles of effective teamwork- leadership, role clarity and closed loop communication.	Demonstrate basic principles of effective teamwork- leadership, role clarity and closed loop communication. - 5	Demonstrate basic principles of effective teamwork- leadership, role clarity and closed loop communication. - 4	Demonstrate basic principles of effective teamwork- leadership, role clarity and closed loop communication. - 3	Demonstrate basic principles of effective teamwork- leadership, role clarity and closed loop communication. - 2	Demonstrate basic principles of effective teamwork- leadership, role clarity and closed loop communication. - 1
Explain the advanced principles of team dynamics- situational awareness and shared mental models.	Explain the advanced principles of team dynamics- situational awareness and shared mental models. - 5	Explain the advanced principles of team dynamics- situational awareness and shared mental models. - 4	Explain the advanced principles of team dynamics- situational awareness and shared mental models. - 3	Explain the advanced principles of team dynamics- situational awareness and shared mental models. - 2	Explain the advanced principles of team dynamics- situational awareness and shared mental models. - 1
Assess how human factors affect individual and team performance.	Assess how human factors affect individual and team performance. - 5	Assess how human factors affect individual and team performance. - 4	Assess how human factors affect individual and team performance. - 3	Assess how human factors affect individual and team performance. - 2	Assess how human factors affect individual and team performance. - 1
Summarize the impact of crisis resource management on patient safety and outcomes.	Summarize the impact of crisis resource management on patient safety and outcomes. - 5	Summarize the impact of crisis resource management on patient safety and outcomes. - 4	Summarize the impact of crisis resource management on patient safety and outcomes. - 3	Summarize the impact of crisis resource management on patient safety and outcomes. - 2	Summarize the impact of crisis resource management on patient safety and outcomes. - 1

How confident are you in your ability to *

5 = High level of confidence 4 = Moderately high level of confidence 3 = Average level of confidence 2 = Low level of confidence 1 = No level of confidence NA|Not applicable to my practice

	5	4	3	2	1	NA
Recognize obstetric hypertensive emergencies and initiate evidence-based treatment (antihypertensives and escalation) within your organization’s recommended time frame?	Recognize obstetric hypertensive emergencies and initiate evidence-based treatment (antihypertensives and escalation) within your organization’s recommended time frame? - 5	Recognize obstetric hypertensive emergencies and initiate evidence-based treatment (antihypertensives and escalation) within your organization’s recommended time frame? - 4	Recognize obstetric hypertensive emergencies and initiate evidence-based treatment (antihypertensives and escalation) within your organization’s recommended time frame? - 3	Recognize obstetric hypertensive emergencies and initiate evidence-based treatment (antihypertensives and escalation) within your organization’s recommended time frame? - 2	Recognize obstetric hypertensive emergencies and initiate evidence-based treatment (antihypertensives and escalation) within your organization’s recommended time frame? - 1	Recognize obstetric hypertensive emergencies and initiate evidence-based treatment (antihypertensives and escalation) within your organization’s recommended time frame? - NA
Implement the maternal hemorrhage plan orders and OB hemorrhage escalation process during an acute postpartum hemorrhage?	Implement the maternal hemorrhage plan orders and OB hemorrhage escalation process during an acute postpartum hemorrhage? - 5	Implement the maternal hemorrhage plan orders and OB hemorrhage escalation process during an acute postpartum hemorrhage? - 4	Implement the maternal hemorrhage plan orders and OB hemorrhage escalation process during an acute postpartum hemorrhage? - 3	Implement the maternal hemorrhage plan orders and OB hemorrhage escalation process during an acute postpartum hemorrhage? - 2	Implement the maternal hemorrhage plan orders and OB hemorrhage escalation process during an acute postpartum hemorrhage? - 1	Implement the maternal hemorrhage plan orders and OB hemorrhage escalation process during an acute postpartum hemorrhage? - NA
Use CRM and TeamSTEPPS (clear role assignment, closed-loop communication, shared mental model, and post-event debriefing) during an OB emergency scenario?	Use CRM and TeamSTEPPS (clear role assignment, closed-loop communication, shared mental model, and post-event debriefing) during an OB emergency scenario? - 5	Use CRM and TeamSTEPPS (clear role assignment, closed-loop communication, shared mental model, and post-event debriefing) during an OB emergency scenario? - 4	Use CRM and TeamSTEPPS (clear role assignment, closed-loop communication, shared mental model, and post-event debriefing) during an OB emergency scenario? - 3	Use CRM and TeamSTEPPS (clear role assignment, closed-loop communication, shared mental model, and post-event debriefing) during an OB emergency scenario? - 2	Use CRM and TeamSTEPPS (clear role assignment, closed-loop communication, shared mental model, and post-event debriefing) during an OB emergency scenario? - 1	Use CRM and TeamSTEPPS (clear role assignment, closed-loop communication, shared mental model, and post-event debriefing) during an OB emergency scenario? - NA

Regarding the scenario in which you participated, to what extend would you agree that: *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

	5	4	3	2	1
The content of the scenario was current and relevant to my practice.	The content of the scenario was current and relevant to my practice. - 5	The content of the scenario was current and relevant to my practice. - 4	The content of the scenario was current and relevant to my practice. - 3	The content of the scenario was current and relevant to my practice. - 2	The content of the scenario was current and relevant to my practice. - 1
The scenario was realistic.	The scenario was realistic. - 5	The scenario was realistic. - 4	The scenario was realistic. - 3	The scenario was realistic. - 2	The scenario was realistic. - 1

Regarding the debriefing, to what extent would you agree that: *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

	5	4	3	2	1
The debriefing encouraged open dialogue.	The debriefing encouraged open dialogue. - 5	The debriefing encouraged open dialogue. - 4	The debriefing encouraged open dialogue. - 3	The debriefing encouraged open dialogue. - 2	The debriefing encouraged open dialogue. - 1
I felt at ease throughout the debriefing discussion.	I felt at ease throughout the debriefing discussion. - 5	I felt at ease throughout the debriefing discussion. - 4	I felt at ease throughout the debriefing discussion. - 3	I felt at ease throughout the debriefing discussion. - 2	I felt at ease throughout the debriefing discussion. - 1
The debriefing helped me discover areas of improvement.	The debriefing helped me discover areas of improvement. - 5	The debriefing helped me discover areas of improvement. - 4	The debriefing helped me discover areas of improvement. - 3	The debriefing helped me discover areas of improvement. - 2	The debriefing helped me discover areas of improvement. - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

Would you recommend this course to your colleagues *

What did you take away from the debriefing process? In what ways did you benefit from the discussion? *

Give an example of how the debriefing discussion changed your perspective on how to apply crisis resource management in your clinical practice. *

Name

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Sim Lab - OB Emergencies Evaluation