HCB 101.2-3 Flashcards
Define TCRM
using risk management concepts when time and resources are limited
A
asses the situation
B
balance resources
C
communicate with others
D
do and debrief
ABCD Model of TCRM
focus individuals, increase their situational awareness, and improve their performance in time critical environment
relationship between core values and tcrm
the support the orm process
honor and tcrm
ethical conduct, integrity, responsibility for actions, keeping word, encourage new ideas, and deliver bad news forthrightly
courage and tcrm
mental and moral strength to do whats right, meet challenges of profession and mission
commitment
work together to improve work. exhibit moral character, professional excellence, quality, and competence
`red block
policies, procedures, and routines
green block
checklist
aqua block
automation
yellow block
briefings and external sources
gray block
knowledge, skill, and attitude
risk green
little chance of serious error
risk yellow
higher chance of serious error
risk red
very high chance of serious error
swooshing arrow
return to good situational awareness
caduceus
rating insignia for HM
sickbay
where sick and injured men and women were taken for care
cockpit
another name for sickbay
surgeon steward
first enlisted rate requiring specific qualification
medal of honor
highest military decoration awarded. given to members who distinguish themselves through gallantry and intrepidity at risk of life above and beyond cod
distinguished service cross
second highest decoration only to be rewarded to Army for extraordinary heroism
navy cross
second highest decoration awarded to navy, marine corps, and coast guard operating under authority of navy for extraordinary heroism
silver star
third highest award in armed forces for gallantry in action
bronze star
fourth highest award to those serving in capacity or military after 6 Dec 1941 by heroic or meritorious achievement while engaged in action against an enemy
first direction given
1775 to organization of navy medicine
article 16
a convenient place for sick/ hurt men to be removed with bedding and hammocks. crew appointed to attend and serve them
ships surgeon
trained physician
surgeon’s mate
physician’s subordinate
2 March 1799
newly commissioned warships contained cockpit
loblolly know for:
1814 became an official rate
- maintain cleanliness in cockpit
loblolly served during:
- quasi-war in France (1797-1800)
- barbary war (1801-1805)
John Wall
navy’s first loblolly boy
John Domyn
first loblolly pow
Joseph Anderson
first african american loblolly boy
surgeon steward known for:
- ranked second in seniority among shipboard petty officers
- first enlisted rate requiring specific qualifications
nurse known for:
- junior enlisted medical personnel
- served with surgeon steward
baymen known for:
- replaced title of “nurse” for junior enlisted
- “who manned the sickbay”
apothecary is known as:
a “pharmacist”
cornelius o’ leary
HM with 38 year experience
robert stanley
first HM recipient of the MOH
birthday of hospital corpsman:
17 June 1898
WAVES
women accepted for volunteer emergency service
flagship hospital for navy medicine & year:
Bethesda Naval Hospital, 11 November 1940
the two navy hospital ships:
Mercy & Comfort
number of HM medal of honor recipients:
22
number of navy crosses:
182
number of distinguished service medals:
33
silver stars:
946
bronze stars:
1582
consent:
patient’s expressed or implied agreement to submit examination or treatment
informed consent:
give patient all info necessary for knowledgeable decision
lawful consent:
decision with full awareness of consequences
freedom of information act:
a doc. governs full disclosure of docs. maintained by government agencies
protected health information (PHI)
individually identifiable health information in paper, electronic, or oral form
moral and legal responsibility
to render services to individual without regard to race, creed, gender, political view, or social status
privacy act 1974
public’s right to know and government protected rights and interests
HIPPA
protect the use and disclosure of PHI
health record (HREC):
documents all active duty members care provided during career
inpatient record (IREC):
documents care provided to patient that takes up a bed at MTF or ship
outpatient record (OREC):
documents ambulatory treatment received by anyone other than active duty
in a primary record:
- HREC
- OREC
- dental
- IREC
in a secondary record:
- convenience record
- temporary record
- ancillary record
convenience record:
kept at clinic for increase access of care
temporary record:
becomes part of primary record once treatment is concluded
ancillary record:
document withheld from HREC or OREC. for a need to know basis only
opening health records:
once an individual becomes a navy, marine, retired to active, or original record lost or destroyed.
written in pencil:
pencil entries so it can be updated or changed
black marker used for:
all identifying data
color jacket corresponded by:
- second to last number of SSN
- preprinted number on jacket
black cellophane tape over:
- last digit of SSN top of jacket
- inside back cover of HREC
members who don’t have a SSN:
use “9” for last 4 and assign first 5
red cellophane tape for:
right edge of back cover for active duty members
primary number:
last two of SSN
- ex: 123-45-67(89)
secondary number:
first two in last sequence of SSN
- ex: 123-45-(67)89
third number:
first five numbers of SSN
- ex: (123-45)-6789
FMP active duty:
20
FMP spouse:
30+
FMP son or daughter:
01+
FMP of civilian:
98
type of filing system used by NMD
terminal digit filing system (TDFS)
NAVMED 6150/7:
pink card used for charged out control of medical records
how long patient records can be checked out:
5 days
verification of records done:
annually at the least when members report, detach, and at any time of physical examinations
HREC or OREC lost or destroyed:
- marked “replacement”
- circumstances marked on sf 600
HREC or OREC illegible or deteriorates:
- duplicate record as close to original
- marked “duplicate record”
loose forms discovered:
1 year to retain and locate
part 1:
- summary of care and immunizations
part 2:
- chronological documentation of care
part 3:
- examinations
- screenings
- overseas
part 4:
- ancillary records
-
SF 502:
- treatment received in period of hospitalization
- includes procedures, diagnosis, and operation report
SF 513:
- outpatients referred for other examinations. assessment and result will be listed
NAVMED 6600/3:
dental health questionnaire
