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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
Q

What is Partnering On Decision Making ?

A
  • Patient participates in care but is not in charge
  • Shared decision making
  • discussion or risks and benefits
26
Q

What is Patient In Charge?

A

-Patient wishes to make the decisions themselves after being properly informed

27
Q

T/F Patients and physician have veto power during discussions of options

28
Q

What is a surrogate?

A

decision making capacity can be delegated to someone else: family member, etc

29
Q

How can surrogates make decisions for patient (which 2 models can they use)?

A

patient in charge or the partnership model

30
Q

What is an advanced directive? In what type of situation could it be used?

A

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
Q

Palliative vs. Hospice care?

A

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
Q

6 aims of effective teams? (set by the Institute of Medicine)

A 
Safety 
Effectiveness
Patient-centeredness
Timeliness
Efficiency
Equity
33
Q

C diff: gram positive or negative? spore forming or non spore forming? shape?

A

Gram positive anaerobic spore forming bacillus

34
Q

What are the functions of the 2 toxins C diff produces?

A 
Toxin A (enterotoxin): destroys tight cell junctions--> increased permeability--> diarrhea
Toxin B (cytotoxin) -> destroys cell cytoskeleton
35
Q

Main risk factors for developing C Diff? (6)

A
  • 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
Q

Which 5 attributes can teams be described by?

A
  • 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
Q

How does orientation differ depending on social climate vs task? What are the names for these teams?

A

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
Q

Group entiativity vs group identity:

A

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
Q

What is trachoma?

A

A contagious eye infection caused by Chlamydia trachomatis

40
Q

T/F Trachoma is only a human reservoir

41
Q

Leading cause of ____ worldwide

A

preventable blindness

42
Q

Which region is trachoma mainly a problem?

A

Sub Saharan Africa

43
Q

2 stages of trachoma?

A
  • active trachoma (inflammation)

- cicatricial disease (scarring)–> blindness

44
Q

WHO goal for trachoma elimination?

A

<5 percent prevalence of active disease in children 1 to 9 years of age

45
Q

What does SAFE intervention stand for (trachoma elimination)?

A

S-surgery
A- abx
F-facial cleanliness
E-environmental improvements

46
Q

What was the main surgical intervention implemented in Morocco for trachoma?

A

Trained 200 professionals in the technique of bilamellar tarsal rotation

47
Q

3 ways team leaders can be chosen?

A

elected, appointed, emerged with time

48
Q

T/F The team leader creates the team and establishes its goal

A

FALSE

The team sponsor does this

49
Q

What are roles of a team leader?

A
  • 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
Q

The process of coaching as a team leadeR?

A

Gather info about performance –> evaluate –> provide feedback

51
Q

What is in the Tuckman model of team development?

A

Form, Storm, Norm, Perform, Adjourn

52
Q

What is the IECP

A

Sought to bring focus onto the “Triple Aim”

Improving care experience, improving population health, and reducing health care cost

53
Q

Competencies for team MEMBERS?

A

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
Q

What shape is Staph aureus? gram pos or neg?

A

Gram positive cocci (spherical shape)

55
Q

T/F all persons have staphylococci present on their skin

56
Q

What are the 2 disease causing processes of staph aureus?

A
  • Toxin mediated (toxic shock syndrome)

- Bacterial growth mediated (pneumonia)

57
Q

Main toxin of S aureus and how it works?

A

Toxin alpha, cell lysis

58
Q

What is MRSA?

A

Methicillin resistant Staphylococcus aureus

cannot treat with penicillin

59
Q

Resistance is mediated by what protein? encoded by what gene?

A
  • PBP-2a protein, which is a penicillin-binding protein

- Encoded by the mecA gene

MEDS 580 - Team - Final (10 decks)

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