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MEDS 580 - Team - Final > First Half Review Cards > Flashcards

First Half Review Cards Flashcards

1
Q

What is a work team?

A

work group with specific characteristics that make it a team

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2
Q

What are Defining Characteristics of a Work Team? (7)

A
  • Shared team goal
  • Shared responsibility for achieving said goal
  • Defined membership
  • Authority for taking action to achieve the goal
  • Interdependency of team members
  • Absence of larger sub-groups
  • Accountability to a larger organization
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3
Q

What is a competency?

A

an ability or skill; a skill needed to perform in a particular role, knowledge in a particular domain, or a value that can be expressed in action, or a combination of these 3

SKILL, KNOWLEDGE, VALUES

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4
Q

What is an example of skill, knowledge, values?

A

Consider a nurse taking care of a cancer patient

Skill: placing Ivs, listening to patient

Knowledge; experience with chemo drugs, knowing what to look for

Value: respect for patient’s feelings and preferences

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5
Q

What is a true team? Examples?

A
  • have all of the 7 defining characteristics in the previous slide + CLEAR LEADERS
  • Think: Clear leaders+ stable membership + care over extended period of time or repeated time limited episodes

Hospital team: IM doctor, residents, nurses, pharmacist, social worker

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6
Q

What is a template team? Examples?

A
  • have all of the 7 defining characteristics in the previous slide + CLEAR LEADERS
  • NO stable membership
  • time limited episodes of healthcare

Ex: code team

Think: all 7 characteristics, clear leaders but no stable membership

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7
Q

What is a knotwork team? Examples?

A

come together temporarily in order to care for a patient; these teams have NO CLEAR LEADER, NO stable membership

DON’T have all 7 characteristics but HAVE SHARED RESPONSIBILITY

provide care for specific need

think: coming together like a knot- aka outbreak teams

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8
Q

What is a network team? Example?

A

DON’T have any of the 7 characteristics

NO clear leader, NO stable membership, NO shared responsibility

They show cooperation and shared interests—ex: PCP referring to an oncologist who treats cancer and refers back to PCP

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9
Q

What is the name of the virus that causes smallpox?

A

poxvirus

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10
Q

T/F smallpox only causes disease in humans

A

TRUE

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11
Q

What are the steps of smallpox infection?

A
  • reproduces in the respiratory tract
  • spreads through blood (viremia) and lymphatic system
  • After this initial infection, a more intense viremia occurs
  • Spread to internal organs and skin, causing the characteristic “pocks” to erupt

Think: RESP TRACT–> BLOOD/LYMPH —> SKIN + other organs

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12
Q

What is eradication?

A

\permanently reducing the number of worldwide new infections to zero, with interventions no longer needed

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13
Q

What were the 5 strategies used for smallpox eradication?

A
  • Direct vaccination
  • Actively seeking out cases and containing outbreaks
  • Quarantine
  • Increased efficiency of delivery (development of bifurcated needle)
  • Use of jeeps and specialized vehicles to reach off road areas
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14
Q

Why was smallpox able to be eradicated? (4)

A
  • Human beings = only reservoir
  • No asymptomatic carrier state existed
  • An effective vaccine was available
  • Vaccination was effective in preventing disease
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15
Q

Primary and secondary ONET interests of physicians?

A

Investigative + Social

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16
Q

Primary and secondary ONET interests of pharmacists?

A

Investigative + Conventional

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17
Q

Primary and secondary ONET interests of nurses?

A

Social + Investigative

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18
Q

Primary and secondary ONET interests of social workers?

A

Social + Investigative

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19
Q

T/F Physician is the largest healthcare profession

A

FALSE, largest is NURSING

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20
Q

Primary ONET interests of health administrators?

A

Enterprising

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21
Q

T/F Patient centered care means fulfilling only a patient’s needs

A

FALSE

satisfying not only patients’ needs, which might be determined by the professionals using their views of what is needed, but also patients’ wants which they must state

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22
Q

Know values of doctors, nurses, social workers, pharmacist, health admin?

A

Doctors: dx and treat illnesses
Nurses: patient advocate and health education
Social worker: coordinate care-finances, etc
Pharmacists: essentially useless
Health admin: micro level decisions of larger organizational workings

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23
Q

What are the 3 main patient Decision Making Strategies?

A

Paternalism by Permission/Physician as Agent
Partnership
Patient In Charge

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24
Q

What is Paternalism by Permission/Physician as Agent?

A

Asking Someone Else to Make Decisions

Pt can make decision on who

25
What is Partnering On Decision Making ?
- Patient participates in care but is not in charge - Shared decision making - discussion or risks and benefits
26
What is Patient In Charge?
-Patient wishes to make the decisions themselves after being properly informed
27
T/F Patients and physician have veto power during discussions of options
TRUE
28
What is a surrogate?
decision making capacity can be delegated to someone else: family member, etc
29
How can surrogates make decisions for patient (which 2 models can they use)?
patient in charge or the partnership model
30
What is an advanced directive? In what type of situation could it be used?
Legal document clarifying patient’s goals, values, and beliefs and inform physicians about care choices/decisions the patient would make ***good for decisions "in the moment" - ex during a code
31
Palliative vs. Hospice care?
Palliative: provided at any stage of illness for pain relief+ support--not curative , ex: nausea meds, pain meds Hospice: specifically for those who are dying
32
6 aims of effective teams? (set by the Institute of Medicine)
``` Safety Effectiveness Patient-centeredness Timeliness Efficiency Equity ```
33
C diff: gram positive or negative? spore forming or non spore forming? shape?
Gram positive anaerobic spore forming bacillus
34
What are the functions of the 2 toxins C diff produces?
``` Toxin A (enterotoxin): destroys tight cell junctions--> increased permeability--> diarrhea Toxin B (cytotoxin) -> destroys cell cytoskeleton ```
35
Main risk factors for developing C Diff? (6)
- antibiotic exposure--- especially clindamycin and fluoroquinolones (Cipro, Levaquin) - proton pump inhibitors - gastrointestinal surgery/manipulation - long length of stay in healthcare settings - a serious underlying illness - advanced age
36
Which 5 attributes can teams be described by?
- Structure - Focus of the team on the patient - Orientation of team members to the team - social climate vs. task - Collaborative work done by the team - interdepedence - Management of the team - good social climate, training, support, and performance Think: I went to SFO to C my Mom
37
How does orientation differ depending on social climate vs task? What are the names for these teams?
High task high social climate- functional team Low task low social climate-dysfunctional team High task low social climate-- coldly efficient team Low task high social climate- comfortable team
38
Group entiativity vs group identity:
belief by the people in a group that they actually are a group or team vs. belief by people in a group that membership is important to who they are
39
What is trachoma?
A contagious eye infection caused by Chlamydia trachomatis
40
T/F Trachoma is only a human reservoir
TRUE
41
Leading cause of ____ worldwide
preventable blindness
42
Which region is trachoma mainly a problem?
Sub Saharan Africa
43
2 stages of trachoma?
- active trachoma (inflammation) | - cicatricial disease (scarring)--> blindness
44
WHO goal for trachoma elimination?
<5 percent prevalence of active disease in children 1 to 9 years of age
45
What does SAFE intervention stand for (trachoma elimination)?
S-surgery A- abx F-facial cleanliness E-environmental improvements
46
What was the main surgical intervention implemented in Morocco for trachoma?
Trained 200 professionals in the technique of bilamellar tarsal rotation
47
3 ways team leaders can be chosen?
elected, appointed, emerged with time
48
T/F The team leader creates the team and establishes its goal
FALSE | The team sponsor does this
49
What are roles of a team leader?
- Enable: remind team members of the team's goal, clarify it when necessary - Maintain conditions for team to be able to function effectively - Build and maintain capacity to do its work - Coach team
50
The process of coaching as a team leadeR?
Gather info about performance --> evaluate --> provide feedback
51
What is in the Tuckman model of team development?
Form, Storm, Norm, Perform, Adjourn
52
What is the IECP
Sought to bring focus onto the “Triple Aim” Improving care experience, improving population health, and reducing health care cost
53
Competencies for team MEMBERS?
Focus - respect patients Orientation- social climate and team identity Collaboration- interdependent Management- contribute to building and effectiveness of team Same as the ones for team leaders except structure
54
What shape is Staph aureus? gram pos or neg?
Gram positive cocci (spherical shape)
55
T/F all persons have staphylococci present on their skin
TRUE
56
What are the 2 disease causing processes of staph aureus?
- Toxin mediated (toxic shock syndrome) | - Bacterial growth mediated (pneumonia)
57
Main toxin of S aureus and how it works?
Toxin alpha, cell lysis
58
What is MRSA?
Methicillin resistant Staphylococcus aureus | cannot treat with penicillin
59
Resistance is mediated by what protein? encoded by what gene?
- PBP-2a protein, which is a penicillin-binding protein | - Encoded by the mecA gene

MEDS 580 - Team - Final (10 decks)

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