ch9 (team approach to healthcare) Flashcards
community paramedicine
a health care model where experienced paramedics receive advanced training to provide additional services to the prehospital environment like health evaluations
continuum of care
the concept of consistent patient care across the entire health care team from first patient contact to patient discharge
crew resource management (CRM)
a set of procedures for use in environments where human error can have disastrous consequences
-empowers everyone to communicate with one another
group
a collection of individual health care providers working independently to help the patient
mobile integrated healthcare (MIH)
providing health care within the community rather than at a physician’s office or hospital
situational awareness
knowledge and understanding of one’s surroundings and the ability to recognize potential risks to the safety of the patient or EMS team
team
a group of health care providers who are assigned specific roles and are working interdependently in a coordinated manner under a designated leader
team leader
provides role assignments, coordination, oversight, centralized decision making and support for the team to accomplish their goals and achieve desired results
what are the key goals of the EMS agenda?
minimize exposure to injury, infections, illness or stress
what is a just culture?
an approach to leadership that balances fairness and accountability and encourages people to report errors and near misses
-focus on risk management
the EMS system considers human error to be a function of three factors:
- a person intended to do the right thing but somehow committed an error (like choosing the wrong treatment)
- person performed a skill incorrectly
- person meant to do something but did not follow through
what is at-risk behavior?
when an EMT makes a choice to take a risk, believing that the adverse outcome is insignificant or it’s justified in the moment
what is reckless behavior?
a conscious disregard for a significant and unjustified risk (usually results in disciplinary action)
regular teams
EMTs consistency interact with the same partner or team and often train together
temporary teams
EMTs work with providers who they do not regularly interact with or may not even know
special teams
members have a particular knowledge, skills, or abilities to serve a specialized roles such a fire team or HazMat team
what are the 5 essential element of a group that people must share?
- a common goal
- an image of themselves as a “group”
- a sense of continuity in the group
- a set of shared values
- different roles within the group (often self-assigned)
dependent group
each individual is told what to do and how often to do it by his/her supervisor or group leader
independent groups
each individual is responsible for his/her own area
interdependent groups
each healthcare provider may be assigned to a particular area or task all of the providers work together with shared responsibilities, accountability, and a common goal (the best possible patient outcome)
what is a common goal?
the best possible patient outcome
the effectiveness of pit crew CPR is dependent on…
defining clear roles and responsibilities among team members
the bets way for a team to be effective during an emergency call is to…
- practice with one another
- become familiar with each other’s tools and preferences
what are the 4 important elements of team communication
- a clear message
- closed-loop communication
- courtesy
- constructive intervention
what is the difference between a team leader and a group leader?
a team leader helps the individual team members to do their jobs by working together with them and facilitating coordination
what does PACE stand for?
Probe
Alert
Challenge
Emergency
when is the team forced to move backward?
when incorrect information is handed off, information is miscommunicated or care is interrupted
what are the 5 general guidelines to keep in mind when coordinating the patient’s transfer of care?
- uninterrupted critical care
- minimal interference
- respectful interaction
- common priorities
- common language or system
it is the EMT’s individual responsibility to understand what is allowed by….
- the scope of practice
- standard of care
- local protocols where you work
when using any advanced tool or technique the focus is always on…
achieving a goal (solving a clinical problem)
what are the 4 steps for assisting with ALS skills?
- patient preparation
- equipment setup
- performing the procedure
- continuing care
what are the 5 things the team leader must do on call?
- gather data
- interpret that data
- develop a plan
- communicate the plan to the team and implement it
- evaluate the effect of the decision
what are the 2 categories that decision traps come in?
- the EMT either overestimating or underestimating the probability of disease or injury
- failure to consider all reasonable possibilities
what are traps that frequently lead to decision-making errors?
- bias
- anchoring
- overconfidence
bias
when an EMT remains locked into the bias and considers only one possible idea, ignoring or not seeking other data
anchoring
occurs when the EMT settles on one possible cause of the patient’s problems early and fails to consider other options
overconfidence
occurs when the EMT overestimates his or her ability
when conflict occurs what 5 techniques should you keep in mind?
- the patient comes first
- do not engage
- keep your cool
- separate the person from the issue
- choose your battles
