Chapter 9: The Team Approach to Healthcare

Question 1

Define: community paramedicine

Answer 1

a healt care 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 pt advocacy

Question 2

Define: continuum of care

Answer 2

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

Question 3

crew resource mangement (CRM)

Answer 3

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

Question 4

Define: group

Answer 4

in the context of EMS, a collection of individual health care providers working independently to help the pt

Question 5

Define: mobile integrated healthcare (MIH)

Answer 5

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

Question 6

Define: situational awareness

Answer 6

knowledge and understanding of one’s surroundings and the ability to recognize potential risks to the safety of the pt or EMS team

Question 7

Define: team

Answer 7

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

Question 8

Define: team leader

Answer 8

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

Question 9

What is “just culture”?

Answer 9

an approach to leadership in organizations that balances fairness and accountability and encourages people to report errors and near misses. Focuses on risk management

Question 10

What is the 4-step process that assisting generally follows?

Answer 10

1. pt preparation
2. equipment setup
3. performing the procedure
4. continuing care

Question 11

What is the goal of an EMS team?

Answer 11

Solving the clinical problem, not simply completing a procedure
(all members should have wider goal in forefront of mind)

Question 12

List and describe the 3 common decision-making traps in EMS

Answer 12

1. Bias: considering only one possible idea and ignoring or not seeking other data - not considering other things
2. Anchoring - EMT settles on one possible cause of problem or early fails to assume other options - EMT has already decided
3. Overconfidence - EMT ignores others when they disagree w a decision

Dont get tunnel vision!