Chapter 9: Team Approach to Healthcare

Question 1

What phrase or word matches this definition?

A method of delivering health care that involves providing health care within the community rather than at a physician’s office or hospital.

Answer 1

Mobile Integrated Healthcare (MIH)

Question 2

What phrase or word matches this definition?

The team member who provides role assignments, coordination, oversight, centralized decision making, and support for the team to accomplish their goals and achieve desired results.

Answer 2

Team Leader

Question 3

List the stages of effective decision making and describe what happens in each.

Answer 3

1. Prearrival
   
   1. Mentally rehearse steps in care that may be needed.
   2. Designate a clear leader.
   3. Assign roles.
   4. Decide on equipment to bring in.
2. ​Arrival
   
   1. ​Scene Size-Up
   2. Request for additional resources.
   3. Position equipment in standard location.
   4. Consider / Treat life threats.
   5. Rule out worse case scenario.
3. During Call
   
   1. Gather data
   2. Interpret data
   3. Develop plan
   4. Communicate plan / implement it
   5. Evaulate effect of decision
4. After Call
   
   1. Debrief
   2. Cleanup
   3. Restock

Question 4

What phrase or word matches this definition?

A set of procedures for use in environments where human error can have disastrous consequences. It empowers people within a team to communicate effectively with one another with a goal of improving team situational awareness, patient and crew safety, and overall communication.

Answer 4

Crew Resource Management (CRM)

Question 5

What phrase or word matches this definition?

A healthcare model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment, such as health evaluations, monitoring of chronic illnesses or conditions, and patient advocacy.

Answer 5

Community Paramedicine

Question 6

What phrase or word matches this definition?

In the context of EMS, a group of health care providers who are assigned specific roles and are working interdependently in a coordinated manner under a designated leader.

Answer 6

Team

Question 7

What are the 5 essential elements a team must share to be effective?

Answer 7

1. A shared goal.
2. Clear roles and responsibilities.
3. Dvierse and competent skill sets.
4. Effective collaboration and communication.
5. Supportive and coordinated leadership.

Question 8

Explain the PACE mnemonic.

Answer 8

Probe = Look or ask to confirm the problem or make sense of the situation.

Alert = Communicate the problem to the team leader.

Challenge = If the issue is not corrected, then clearly challenge the team’s current course of action that is leading to the problem and suggest an alternative plan.

Emergency = If the problem is clear and critical, then immediately communicate the emergency to the entire team.

Question 9

What are the 5 essential elements are group must share according to the Research Center for Group Dynamics?

Answer 9

1. A common goal.
2. An image of themselves as “a group”.
3. A sense of continuity of the group.
4. A set of shared values.
5. Different roles with the group.

Question 10

What phrase or word matches this definition?

Knowledge and understanding of one’s surroundings and the ability to recognize potential risks to the safety of the patient or EMS team.

Answer 10

Situational Awareness

Question 11

What are the three main decision making traps in EMS?

Answer 11

Biases (fixed belief)

Anchoring (settling on one possible cause too early / failing to consider other causes)

Overconfidence

Question 12

List the 4 elements necessary to ensure effective transfer of patient care between providers.

Answer 12

1. Uninterrupted critical care - those giving / receiving report should not be involved in critical care.
2. Minimal interference - should occur in a place where other tasks / people will interfere.
3. Respectful interaction.
4. Common priorities.
5. Common language or system.

Question 13

What phrase or word matches this definition?

The concept of consistent patient care across the entire health care team from first patient contact to patient discharge; working together with a unified goal results in improved individual and team performance, better patient and provider safety, and improved patient outcome.

Answer 13

Continuum of Care

Question 14

What steps can a team take to troubleshoot conflicts?

Answer 14

1. Prioritize the patient first.
2. Don’t engage if the conflict does not directly and immediately affect patient care. Bring it up after the call.
3. Keep your cool.
4. Separate the person from the issue.
5. Choose your battles.

Question 15

What phrase or word matches this definition?

In the context of EMS, a collection of indvidual health care providers working independently to help the patient.

Answer 15

Group

Question 16

List the 5 steps a receivng healthcare provider should perform when taking a Patient Care Report (PCR).

Answer 16

1. Make eye contact with individual giving report.
2. Make every effort to create or move to an environment that is quieter and less distracting.
3. Ask questions to ensure understanding.
4. Quickly summarize key components.
5. Obtain any relevant paperwork or other materials that will be helpful in communicating information to next set of health care providers.

Question 17

What advantages do groups posses that groups do not?

Answer 17

Better interaction, performance, and patient outcomes.