chap 20

Question 1

clinical reasoning

Answer 1

determining, preventing and managing patient problems

Question 2

contemplative approach

Answer 2

a patient care approach in which history and physical assessment are obtained before providing patient care

Question 3

factors that affect patient assessment

Answer 3

medics attitude, patient co op, distracting injuries, bias and tunnel vision, environment, compliance, crew

Question 4

team leader

Answer 4

direct conversation with patients, make the clinical decisions

Question 5

patient care person

Answer 5

talks to family and is hands on with patient

Question 6

CRM philosophy

Answer 6

responsibility of patient belongs to all on call
each team memeber can voice concerns

Question 7

CRM advocacy stage

Answer 7

team affirms actions for the patient plan and says so if they are not

Question 8

PACE

Answer 8

probe, alert, challenge, emergency

Question 9

CRM conflict resolution

Answer 9

safety sensitive situation to resolve what is best

Question 10

CRM decison

Answer 10

set emptions aside and realise why a conflict was raised

Question 11

CRM reflection

Answer 11

occurs throughout, how well is plan working and how to make it better

Question 12

the right stuff

Answer 12

having all the correct materials at the patients side

Question 13

specialty take in equipment

Answer 13

special things for certain calls like mass casualty bag or peds bag

Question 14

resesutive approach

Answer 14

immediate need for patients in life threatening emergency

Question 15

contemplative approach

Answer 15

no immediate life threats

Question 16

multitasking

Answer 16

developed through experience

Question 17

clinical reasoning system

Answer 17

faster but easier to make an error

Question 18

analytical reasoning system

Answer 18

slow but less mistakes

Question 19

stages of critical thinking process

Answer 19

concept formation, data interpratation, application of principles, evaluation and application

Question 20

assessment based patient assessment

Answer 20

huge responsibility on medic as he finds out the chief complaint and the plan

Question 21

6 R

Answer 21

read the patient and scene, react reevaluate, revise management plan, review performance

Question 22

patient handoff

Answer 22

face to face, over the phone or radio, in writing

Question 23

effective hand off

Answer 23

concise no longer than 1 min, free of medical jargon, same basic info pattern, standard format, includes pertinent positive and negatives