Sizing Up the Iceberg: Exercise Sheet  TeamSTEPPS® Long-Term
Care Version, Module 8     As you answer the questions below,
consider the current state of your nursing home and the current
safety climate. In your group, answer the following questions
assigned to you by the instructor.  1. Do you have a "Fred" in
your organization? If so, how is this person treated?  Step 1: A
Sense of Urgency  2. What information do you have that may
indicate a need for change in your nursing home?  3. Where else
might you look for "hidden" information?  4. In the story, Fred
took to Alice to see and experience the potential dangers for
herself. How would you do that in your nursing home?  5. Have
you ever known a "Nono"? What impact has that person had on
change in your nursing home?  6. How is the need for change
communicated in your facility? What do you think is the most
appropriate way to communicate the need for change?  7. What can
you do to create a sense of urgency for change in the nursing
home?  Step 2: The Guiding T