Block 4 Flashcards

1
Q

Who is the Command for worldwide Aeromedical Evacuation?

A

B. Air Mobility Command

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2
Q

Air Force Instruction (AFI) implement Air Force Policy Directives. AFI 48-307, Volume 1 provides _____.

A

B. Clinical information and guidelines to promote safe and effective en-route care for Department of Defense beneficiaries

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3
Q

The Patient Movement Request (PMR) contains all of the information below, EXCEPT _____.

A

C. Departure times

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4
Q

What is the classification for a litter patient who is able to sit in a seat and should be able to ambulate with assistance in the event of an emergency?

A

C. 2B

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5
Q

You are transporting a psychiatric patient on your AE mission today. The patient is in retrains, sedated, and has a medical attendant with him. The patient classification is:

A

A. 1A

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6
Q

For a patient with “Priority” precedency movement should commence within _____ of a validated Patient Movement Request (PMR)?

A

C. 24 Hours

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7
Q

If an ACLS-credentialed staff member is not available from the destination Military Treatment Facility (MTF), an ACLS-credentialed AECM will obtain/maintain custody and care of the patient to teh destination MTF>

A

A. True

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8
Q

The appropriate vehicle support, personnel, and equipment Unit Type Code (UTC) must be tasked to the En-Route Patient Staging (ERPS)

A

A. True

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9
Q

______ communication is an interactive process of effectively relaying current patient-specific information from one caregiver to another to ensure the continuity of patient care.

A

C. Hand-off

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10
Q

A Non-Medical Attendant (NMA) is responsible for everything below, EXCEPT

A

A. Documenting on the 3899 series

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11
Q

The primary survey is accomplished at the scene or when th epatient is initially seen by the medical personnel at a first aid station, Military Treatment Facility, En-Route Patient Staging, or at the flight line. Life threatening conditions are identified and management begins before flight. In the AE Environment, what are the most reliable primary assessment skills?

A

C. Inspection and Palpation

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12
Q

Any position, even the most comfortable one, may have an adverse effect on a patient over time. Knowing this, patients should be re-positioned at least every )_____.

A

B. 2 hours

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13
Q

The __________ is used throughout the DoD Medical Service to identify patients at risk for developing skin breakdown or pressure ulcers.

A

B. Braden Scale

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14
Q

Litters will be prepared with the following, EXCEPT ________.

A

Four litter straps

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15
Q

Patient Movement Items (PMI) will remain with the patient to the destination Military Treatment Facility (MTF), whether it is an intra- or Inter-theater transfer.

A

A. Trus

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16
Q

During an AE mission, when is it appropiate to triage patients?

A

D. All of the above

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17
Q

What form is utilized by the Aeromedical Evacuation Crew Members (AECM) when determining the location of the Emergency Get-Down Litter, Emergency Equipment Litter, medications, crew member seats, and patient placement on the aircraft?

A

B. AF Form 3905, Patient Positioning Plan

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18
Q

During the transfer of patient care, it is essential to limit interruptions and distractions to allow time for questions and responses if operationally feasible.

A

A. True

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19
Q

In the I-SBAR mnemonic, the “S’’ represents ________.

A

C. Situation

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20
Q

AECMs will document a(an) ________ as the first clinical entry for each mission on the

A

A. Trip Segment

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21
Q

Focus-DART charting is a systematic approach to documentation, using medical terminology to describe the patient’s health status, interventions, treatments, and patient education. The “t” in DART represents _________.

A

C. Teaching

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22
Q

When verbal orders are created in EHR, they must be given an expiration date. The order expires ______ after it is created.

A

B. 5 Days

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23
Q

Patient movement documentation is mandatory for all patients in the patient movement system. All times must be documented in Zulu, types or printed legibly using blue or black ink. Which of the following forms is a legal medical document and part of the patient’s permanent medical treatment records?

A

B. AF Form 3899 Patient Movement Record

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24
Q

All patient movement Requirement Centers are to report all class A, and Class B events to USTRANSCOM/SG immediately. The completed DD Form 2852, Aeromedical Evacuation Event/Near Miss Report, for class A, B and C events must be faxed or submitted within how many hours of the event?

A

B. 24 Hours

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25
Q

At the end of a mission, the MCD submits all completed DD Form 2852s, Patient Movement Event/Near Miss Report, to the Unit or Squadron Patient Safety Managers, detachment or as locally defined to be entered into the TRAC2ES reporting system. Once submitted, the DD Form 2852 will then be places in the patient’s permanent medical record.

A

B. False

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26
Q

who is responsible for appointing a squadron Patient Safety monitor and ensures members receive proper training?

A

A. Commander

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27
Q

What command is responsible for the implementation and oversight of a Patient Movement Patient Safety (PMPS) program within their theater?

A

C. Geographic Combatant Coammnd

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28
Q

The patient’s ______________ will be used on the radio or telephone to identify the patient due to HIPPA regulations?

A

B. Cite Number

29
Q

Minors under the age of ____ will have an attendant.

A

B. 14

30
Q

If an active duty service member requests to leave the AE system, the MCD may release active duty patients/attendant only upon the recommendation and concurrence from whom?

A

C. Competent medical authority’s recommendation and concurrence of the active duty member’s commander

31
Q

While flying on an AE mission to Andrews Air Force Base, Maryland, there was an apparent patient death in flight. If a physician is onboard during the flight, he/she may NOT pronounce death in flight

A

B. False

32
Q

The pilot notifies you that engine three is down and that there is an estimated mission delay of four hours. As an AECM, you expect the next course of action to be _______.

A

D. Move the patients to the nearest medical facility.

33
Q

Conflicts should be resolved at the lowest level possible prior to elevating to C2.

A

A. True

34
Q

Use _______ precautions when handling blood and blood products.

A

D. Standard

35
Q

Dry ice, salted wet ice, water frozen in polyurethane bags, super cooled canned ice, and commercial “blue ice” containers will not be used for re-icing liquid blood product shipments.

A

A. True

36
Q

AE Clinical protocols are standing orders that have been signed by AMC/SGKC (En-Route Care Medical Director)

A

A. True

37
Q

The AECM will document the use of any AE Clinical Protocol on the ___________.

A

B. AF Form 3899, Patient Movement Record series

38
Q

while flying on an AE mission, you receive a needle stick from a needle that was just used on a patient. utilizing the Aeromedical Evacuation Clinical Protocol: Health Care Worker Blood and Body Fluid Post Exposure Plan, you know that the two medications you need to take as soon as operationally possible are ______.

A

C. Raltegravis (Isentress; RAL) & Truvada

39
Q

Who is responsible for operational planning, scheduling and execution of intra-theater AE missions?

A

C. Aeromedical Evacuation Control Team (AECT)

40
Q

Air Force Instructions (AFI) implement Air Force Policy Directive AFI 48-307, Volume 1 provides _______.

A

B. Clinical information and guidelines to promote safe and effective en-route care for Department of Defense beneficiaries.

41
Q

What is the purpose of the Patient Movement Request (PMR)?

A

D. All of the above

42
Q

On AE missions, who will the MCD contact for guidance or coordination for patient concerns during the patient movement process?

A

D. Patient Movement Requirement Center

43
Q

What is the classification for a litter patient who is able to sit in a seat an should be able to ambulate with assistance in the event of an emergency?

A

C. 2B

44
Q

You are tranporting a 2 y/o patient on your AE mission today. The patient’s mother will be traveling with you. The mother will be classified as _____.

A

D. 6B

45
Q

What is the precedence for a patient that requires patient movement to save his/her life, limb, eyesight or prevent serious complications of injury or existing medical condition?

A

A. Urgent

46
Q

Whose responsibility is it to identify, create and submit a Patient movement Request (PMR) and supply approved equipment, supplies, and medications required to monitor and treat the patient throughout the AE system?

A

C. Originating Military Treatment Facility

47
Q

At a minimum, Military Treatment Facility commanders will ensure personnel complete the following tasks for all Remain overnight (RON) patients at or near the facility, EXCEPT ___________.

A

C. Direct on the loading process of patients onto the aircraft

48
Q

A verbal report will include, but is not limited to __________.

A

D. All of the above

49
Q

The mnemonic associated with the Primary Assessment is CABD (Circulation, Airway, Breathing, and Disability). When assessing the “Disability” clinicians are assessing for _______.

A

C. Patients level of consciousness

50
Q

The ____________ assessment is a brief, systematic process to identify ALL injuries, obtain history and mechanism of injury as well as maintaining core body temperature, obtaining a complete set of vital signs, and the insertion of adjuncts such as a urinary catheter and nasogastric tube, as required.

A

D. Secondary

51
Q

The Flight Surgeon, with the assistance of the ________, determines whether each patient can remain in the En-Route Patient Staging (ERPS) or must be transferred to the Military Treatment Facility (MTF) for medical care.

A

D. ERPS Nurse

52
Q

In the Health Record time, will be recorded as _______ time.

A

A. Zulu

53
Q

AECMs will document a(an) as the first clinical entry for each mission on the AF Form 3899A.

A

A. Trip Segment

54
Q

Patient Handoff is essential to continuity of care and risk mitigation. Clinicians must use the I-SBAR handoff. Patient handoff tolls should be placed in the patient’s medical records.

A

B. False

55
Q

When documentation is contained in both paper and electronic health record (EHR) the paper document should be reference in the EHR

A

A. True

56
Q

The attending physician enters all required treatments and medications that are to be administered to the patients while in the patient movement system. Which patient movement documentation is used to annotate new orders or to change previous physician orders for en route care.

A

A. AF Form 3899B, Patient Movement Orders

57
Q

Oxygen management documentation is a critical task for all Aeromedical Evacuation Crew Members to ensure sufficient oxygen is available for the mission. Oxygen management documentation includes: total patient oxygen requirements, total pre-mission, mid-mission and post-mission therapeutic oxygen levels. This information is gathered and documented on which form?

A

D. AF Form 3829, Summary of Patients Evacuated By Air

58
Q

Which event category is used if the event did not result in patient harm, but did increased monitoring is required?

A

C. Medical Class D

59
Q

What Command is responsible for the implementation and oversight of a Patient Movement Patient Safety (PMPS) program within their theater?

A

C. Geographic Combatant Command (GCC)

60
Q

Do Not Resuscitate (DNR) orders will not be written more than ____ before the originating flight?

A

D. 72 hours

61
Q

When performing an Engine Running Off-load (ERO), patients will have all items EXCEPT _______.

A

C. Personal Survival Equipment

62
Q

Patients requesting release from the AE system should be advised that signing the AF Form 3841, Certificate of Release, does not prohibit the individual from receiving future AE services

A

A. True.

63
Q

If during mission planning, it is identified that the in-flight fueling is required, whose approval is needed to perform this action?

A

D. Validating Flight Surgeon

64
Q

If care is indicated during low or no light conditions use ______ lamps (flashlight or head-lamp) unless otherwise directed by the Pilot in Command (PIC)

A

C. Green

65
Q

Your patient’s Non-Medical Attendant suddenly becomes unresponsive. Even though they are not a manifested patient, you have treated their medical emergency and initiated an AF Form 3899 series. What additional forms are necessary to adjust or complete for this new patient?

A

D. All of the above.

66
Q

All blood products will be packed IAW _____ protocols.

A

A. Sending facility

67
Q

Blood transfusion reactions usually occur within the first ______

A

50-100 ml

68
Q

AE Clinical protocols are standing orders that have been signed by AMC/SGKC (En-Route Care Medical Director)

A

A. True