Tanner Feedback

Tanner’s Model	Possible Questions or Guidance to Promote Clinical Judgment	Positive Examples of Dialogue
Reflecting	What went well? How did the patient respond? What else needs to be done for the patient's situation?	Tyler: "After starting the IV, what went well, and what could we do differently next time?" Jalen: "I think I did well with the insertion technique, but I could improve on my communication with the patient to help them feel more at ease."
Noticing Cues	Tell me about your patient. What do you see/hear/think? What do you think it means?	Tyler: "Jalen, did you notice the patient's veins seem more prominent in their left arm?" Jalen: "Yes, I noticed that too. It looks like it could be a good site for an IV."
Interpreting and Prioritizing	What else do you need to know? What do you think is going on? What is the most important thing to do next? What are you expecting to happen with that intervention?	Tyler: "Jalen, based on the patient's history of difficult venous access, what do you think might be the best approach for starting the IV?" Jalen: "I think that maybe we should try warming the patient's arm with a warm towel to vasodilate the veins before attempting the IV insertion."
Responding	What supplies will you need for this intervention? Talk me through the steps you are about to do.	Tyler: "Do you think you have everything you need? Should we double-check the supplies?" Jalen: "I think I’d also like to talk through the order in which I’ll use the supplies."