chap 20 Flashcards
clinical reasoning
determining, preventing and managing patient problems
contemplative approach
a patient care approach in which history and physical assessment are obtained before providing patient care
factors that affect patient assessment
medics attitude, patient co op, distracting injuries, bias and tunnel vision, environment, compliance, crew
team leader
direct conversation with patients, make the clinical decisions
patient care person
talks to family and is hands on with patient
CRM philosophy
responsibility of patient belongs to all on call
each team memeber can voice concerns
CRM advocacy stage
team affirms actions for the patient plan and says so if they are not
PACE
probe, alert, challenge, emergency
CRM conflict resolution
safety sensitive situation to resolve what is best
CRM decison
set emptions aside and realise why a conflict was raised
CRM reflection
occurs throughout, how well is plan working and how to make it better
the right stuff
having all the correct materials at the patients side
specialty take in equipment
special things for certain calls like mass casualty bag or peds bag
resesutive approach
immediate need for patients in life threatening emergency
contemplative approach
no immediate life threats
multitasking
developed through experience
clinical reasoning system
faster but easier to make an error
analytical reasoning system
slow but less mistakes
stages of critical thinking process
concept formation, data interpratation, application of principles, evaluation and application
assessment based patient assessment
huge responsibility on medic as he finds out the chief complaint and the plan
6 R
read the patient and scene, react reevaluate, revise management plan, review performance
patient handoff
face to face, over the phone or radio, in writing
effective hand off
concise no longer than 1 min, free of medical jargon, same basic info pattern, standard format, includes pertinent positive and negatives
