Interdisciplinary Studies

During a team meeting, two professionals are spending too much time discussing a conflict. Who is the main person responsible for progressing the team past this conflict?

• Energizer

• Process Analyst

• Initiator

• Timekeeper

To treat a patient’s heart disease, a pharmacist recommends a high dose of a medication, whereas a dietitian recommends a lower dose of the medication and a special diet. What approach

• Avoidance

• Adaptation

• Competition

• Cooperation

At the wards, an informed consent is required to proceed with an acute intervention procedure. However, the physician in charge of this patient will only become available in an hour. The team consists of a registered nurse, a newly-matched 1st-yr resident, a 3rd-yr clerk who is on-call, and a pharmacist. There are other physicians present who have never met the patient and are not involved in managing this patient. Can obtaining consent be delegated to any of these individuals? If so, to whom?

• No, delegation is absolutely not possible

• Yes, the 1st year resident can

• Yes, the nurse can

• Yes, the pharmacist can

• Yes, one of the other physicians can

Which of the following does not endanger patient safety in an interdisciplinary healthcare team setting?

• Medical prescription and/or administration error

• Inconsistency of patient information on electronic medical record (EMR)

• Nosocomial infections in hospital

• Hierarchical conflict amongst healthcare provviders

• None of the above

On a typical day as a physiotherapist, you suggest that a patient finish their treatment with ice on their knee injury; however, the patient sighs and says they wish it were heat. How do you proceed?

• Educate them on the benefits of ice for their condition and why you, as the informed clinician, want them to use it.

• Change your mind and apply heat instead, as the patient knows their own body and should be able to dictate what modality (ice or heat) is applied.

• Consult with other physiotherapists and health care providers in your clinic before proceeding.

• Change your mind and apply heat instead, as research indicates that abiding by patient preference for hot/cold will improve pain outcomes.

In clinical practice as a physiotherapist, you suspect another member of your interdisciplinary team may be following an outdated post-surgical protocol with one of your shared patients. Which INT D skill/activity will best help you deal with this situation?

• Conflict style inventory

• TOSCE preparation and completion

• Rapid Rounds

• CORBS/OBEFA feedback strategies

A patient comes into the community pharmacy displaying signs of anaphylaxis from eating a peanut cookie. They do not have their EpiPen with them. In this circumstance, what can the pharmacist do without additional prescribing authority (APA)?

• Tell the patient’s family to call 911 because a pharmacist cannot prescribe medication without APA despite the emergency

• Call the physician’s office next door to receive a phone order prescription of an EpiPen, then administer to the patient

• Administer an EpiPen from the pharmacy inventory without a physician prescription because pharmacists without APA can prescribe in emergencies.

An interprofessional team holds a meeting with the patient to discuss their suggestions for her care. However, many of the clinician suggestions did not fit into the patient’s lifestyle, or were incompatible with her current routine. What team role could have best improved this?

• Initiator

• Advocate

• Process Analyst

• Energizer

As a community health nurse in a small community, a child comes into your office who is 12 months old and they are refusing all solid foods and they are refusing two food groups. Whose job is it to assess the child?

• Physician for medical needs

• Dietician for dietary needs

• OT for sensory needs

• SLP for swallowing needs

• All of the above - TEAMWORK!

An SLP, has observed an occupational therapy assistant treating patients independently while the occupational therapist works out of another location. She is concerned when she sees the assistant performing evaluations and signing the therapist’s name, even when the therapist was not present. When the SLP asks about this, the assistant tells her to mind her own business and that he has been working in the office long enough to know what the patients need. What should she do?

scenario from: https://leader.pubs.asha.org/article.aspx?articleid=2531206

• Discuss your concerns with the OT

• Demand the assistant stop cause you have more power than they do

• Tell the OT that that is probably okay because they know more about their field than you do

• Stay out of it, it isn't your business