ECC ECC Team Dynamics & Leadership 1 — Questions and Answers
Question 1: In the AHA High-Performance CPR team model, what is the primary role of the team leader?
- Performing chest compressions
- Coordinating all team member roles and ensuring protocol adherence (Correct answer)
- Managing the defibrillator
- Documenting all interventions
Correct answer: Coordinating all team member roles and ensuring protocol adherence
The team leader directs and coordinates all resuscitation activities, delegates tasks, and maintains situational awareness without performing procedures when possible.
Question 2: Closed-loop communication in an ECC team means:
- Only the team leader speaks during resuscitation
- The receiver repeats back the order and confirms task completion (Correct answer)
- All communication is written to avoid confusion
- Orders are given only at the start of resuscitation
Correct answer: The receiver repeats back the order and confirms task completion
Closed-loop communication requires the receiver to repeat the order back to the sender, then confirm when the task is completed, reducing medication and procedural errors.
Question 3: What does the AHA recommend for CPR compressor rotation intervals to maintain compression quality?
- Every 10 minutes
- Every 5 minutes or sooner if fatigued
- Every 2 minutes (with rhythm checks) (Correct answer)
- Only when the compressor requests a switch
Correct answer: Every 2 minutes (with rhythm checks)
Compressors should rotate approximately every 2 minutes, ideally during rhythm checks, because compression quality degrades rapidly with fatigue.
Question 4: Which of the following best describes 'mutual respect' within an ECC resuscitation team?
- Only senior clinicians may question the team leader's decisions
- All team members may voice safety concerns regardless of hierarchy (Correct answer)
- Team members should not interrupt the team leader during resuscitation
- Disagreements should be resolved after the patient is stabilized only
Correct answer: All team members may voice safety concerns regardless of hierarchy
All team members, regardless of role or rank, are encouraged to speak up about safety concerns to prevent errors during resuscitation.
Question 5: During a cardiac arrest, a team member notices the wrong dose of epinephrine being drawn up. What is the BEST action?
- Remain silent to avoid disrupting the team leader
- Wait until the rhythm check to bring it up
- Immediately speak up using clear, direct communication (Correct answer)
- Note it in the documentation and address it after the code
Correct answer: Immediately speak up using clear, direct communication
Immediately voicing a medication error concern is a core ECC team principle; safety trumps hierarchy and delays can be fatal.
Question 6: What is 'constructive intervention' in the context of ECC team dynamics?
- A technique to restart a stopped resuscitation
- A team member respectfully correcting an error or unsafe action (Correct answer)
- The team leader taking over all tasks during a crisis
- Documentation of all resuscitation events
Correct answer: A team member respectfully correcting an error or unsafe action
Constructive intervention is when a team member respectfully and assertively points out an error or protocol deviation to improve patient outcomes.
ECC ECC Team Dynamics & Leadership 1
In the AHA High-Performance CPR team model, what is the primary role of the team leader?