EMT Chapter 41: Crew Resource Management Quiz & Flashcards

Questions and Answers

Health care providers who infrequently work together can function effectively as a team if they work in an environment that supports and promotes?

collaboration

In contrast to a health care group, a health care team works?

interdependently

Which of the following is an example of closed loop communication?

The team leader assigns the EMT a task and the EMT repeats the request back to the team leader.

During a resuscitation attempt, the team leader asks the EMT to ventilate the patient at a rate of 20 breaths/min, and the EMT replies, 'Actually, sir, the correct ventilation rate is 10 breaths/min.' This is an example of?

constructive intervention Signup and view all the answers

While providing care to a patient, the EMT informs her partner that a shotgun is leaning against the wall in the corner of the room. In making this observation, the EMT has demonstrated?

situational awareness Signup and view all the answers

Which of the following would MOST likely facilitate an accurate and effective verbal handoff report at the hospital?

Use of a mutually agreed-upon handoff format Signup and view all the answers

After assuming care of a cardiac arrest patient from an EMT, the paramedic should remember that?

BLS efforts must continue throughout the patient care continuum Signup and view all the answers

While preparing to intubate a patient, the paramedic asks the EMT to perform apneic oxygenation of the patient. This means that?

high-flow oxygen via nasal cannula is provided during intubation Signup and view all the answers

Which of the following additional pieces of equipment would be the MOST important to have available when assisting with endotracheal intubation?

Supraglottic airway device Signup and view all the answers

When positioning a patient for endotracheal intubation, the EMT should?

ensure that the patient's ear canal is level with the sternal notch Signup and view all the answers

If the paramedic's intubation attempt is unsuccessful, the EMT should?

resume ventilation with a BVM Signup and view all the answers

A drip set that delivers 1 mL for every ____ drops will allow for the MOST rapid delivery of intravenous fluid.

10 Signup and view all the answers

The process of using techniques and procedures to help ensure that pathogens are not introduced into the body during an invasive procedure is called?

aseptic technique Signup and view all the answers

The concept of continuum of care is best demonstrated when?

providers work as a unified team Signup and view all the answers

You are organizing a group of EMTs to provide triage in a mass-casualty exercise. In order for the group to be successful, it is essential that?

individuals have an understanding of how the group will accomplish its goals Signup and view all the answers

You are at the scene of a patient in cardiac arrest. In order for the resuscitation team to work successfully?

each provider knows what is expected of him or her Signup and view all the answers

You are at the scene of a motor vehicle collision with a critical trauma patient, and there are several EMS providers present. A system of Crew Resource Management (CRM) allows for?

the team leader to listen to critical information and incorporate it into his or her decision-making Signup and view all the answers

You are attending to a patient who has fallen at a local sporting event. The patient appears to have sustained an injury to his lower left leg. You are met by a first responder at the scene who wishes to provide you with a patient care report. Your best course of action is to?

maintain eye contact and listen to the report Signup and view all the answers

You are attending to an unresponsive trauma patient who was the driver of a vehicle involved in a motor vehicle collision. As you extricate the patient and immobilize her with a cervical collar and backboard, an Advanced Life Support (ALS) provider arrives on scene and the transfer of care is made. The decision is made to intubate the patient; however, the ALS provider cannot visualize the vocal cords and asks you to open the collar. Based on this information, you should?

open the collar and maintain cervical spine immobilization as required Signup and view all the answers

You are attending to an elderly female patient complaining of chest pain. The patient is in a public park and there are several bystanders. As you begin your assessment and provide the patient with oxygen, another unit arrives and one of the other EMTs tells you that you should 'forget all that stuff and just take her to the hospital.' Your best course of action would be to?

acknowledge the comment and request that they discuss this further after the call Signup and view all the answers

You are called to the scene of a 56-year-old female patient who was the driver of a car that struck a telephone pole. The patient is sitting in her vehicle with her seat belt on and the air bag has deployed. A bystander approaches as you arrive and informs you that he is an off-duty firefighter and was first on the scene. The bystander wishes to provide you with a patient care report. You should:

Ask your partner to perform the primary survey while you listen to the report. Signup and view all the answers

Which of the following would indicate that the endotracheal tube is NOT in the trachea?

Decreased resistance when ventilating Signup and view all the answers

A team of EMTs is caring for a critically injured patient. The team leader advises the EMT that transport will not begin until the patient's closed forearm fracture is splinted. Utilizing the crew resource management model, the EMT should:

Advise the team leader that immediate transport is more important than splinting. Signup and view all the answers

You are attending to a 46-year-old male patient complaining of chest pain. Shortly after you begin to render care, an ALS unit arrives and the transfer of care is made. The decision is made to start an intravenous line and administer medication. You should:

Clear space and, if necessary, explain the procedure to the patient. Signup and view all the answers

You are attending to a patient who was experiencing abdominal pain at a local shopping mall. The patient is sitting on a bench and appears in moderate distress. You are met by a first responder at the scene who wishes to provide you with a patient care report. Your best course of action is to:

Listen to the responder while your partner performs a primary survey. Signup and view all the answers

Which of the following would the EMT MOST likely be asked to do when assisting a paramedic with endotracheal intubation?

Preoxygenation with a BVM Signup and view all the answers

Hyperventilation during the preoxygenation phase of endotracheal intubation:

Can cause gastric distention and hypotension. Signup and view all the answers

In dependent groups:

Each individual is told what to do by his or her supervisor or group leader. Signup and view all the answers

During the transfer of patient care:

When possible, the team member giving the patient care report should hand off lifesaving care. Signup and view all the answers

Health care teams that infrequently train and work together:

Can create delays in patient care. Signup and view all the answers

EMTs arrive at the scene of an ill person. The EMR, who arrived before the EMTs, advises that the patient had a syncopal episode. The patient is conscious and alert and remains so throughout transport. When transferring patient care to the emergency department nurse, the EMT should advise the nurse that:

The patient had a reported syncopal episode. Signup and view all the answers

You are organizing a group of EMTs to provide triage in a mass-casualty exercise. In order for the group to be successful, it is essential that:

Individuals have an understanding of how the group will accomplish its goals. Signup and view all the answers

You are attending to a 68-year-old female patient in cardiac arrest. An ALS provider arrives shortly after you do and the transfer of care is made. The ALS provider asks that you assist in the endotracheal intubation. As part of this process, you may be required to:

Help position the patient for a better view of the airway during the procedure. Signup and view all the answers

After spiking a bag of IV fluid for the paramedic, the EMT notices that the drip chamber is too full. The EMT should:

Invert the IV bag and squeeze the drip chamber. Signup and view all the answers

The effectiveness of pit crew CPR is dependent on:

Defining clear roles and responsibilities before the call is received. Signup and view all the answers

When the EMT assists a paramedic with an advanced intervention, he or she should recall that the focus of the intervention is on:

Solving a clinical problem. Signup and view all the answers

If a problem with a team member is not directly or immediately impacting patient care, the team leader should:

Discuss the problem after the call. Signup and view all the answers

You are attending to a 66-year-old male patient in cardiac arrest. As you gather history and begin the resuscitation, an Advanced Life Support (ALS) provider arrives on scene. You should:

Ensure that CPR is ongoing by the other providers present and then provide a patient care report off to the side. Signup and view all the answers

Assisting with vascular access may include:

Spiking the IV bag. Signup and view all the answers

You are at a mass-casualty scene and in the process of organizing a group to be responsible for ongoing patient care. In order for the group to be successful:

Individuals have an understanding of how the group will accomplish its goals. Signup and view all the answers

The Microdrip administration delivers 1 mL of fluid for every ____ drops.

60 Signup and view all the answers

When working as an independent health care group member, the EMT should expect that he or she:

Does not have to wait for an assignment before performing a task. Signup and view all the answers

In order for a team to function effectively:

Each member knows what is expected of him or her. Signup and view all the answers

The concept of consistent care across the entire health care team from first patient contact to patient discharge is called:

The continuum of care. Signup and view all the answers

Assisting with endotracheal intubation may include:

Ventilation and preoxygenation. Signup and view all the answers

Study Notes

Team Dynamics in Healthcare

Health care providers can function effectively as a team if collaboration is prioritized, even if they infrequently work together.
A health care team operates interdependently versus a health care group which may not have this same dynamic.

Communication and Team Roles

Closed loop communication involves tasks being repeated back to verify understanding, enhancing efficiency and safety.
Constructive intervention occurs when team members respectfully correct each other, promoting better patient care.

Situational Awareness and Handoff Reports

Situational awareness is critical; EMTs must be alert to their environment and potential hazards, such as weapons.
Effective verbal handoff reports can be facilitated through a mutually agreed-upon format to ensure continuity of care.

Patient Care Continuum

Basic Life Support (BLS) must be maintained throughout the entire patient care continuum during transfers or changes in care.
The concept of a continuum of care emphasizes a unified approach where providers understand and execute their roles collectively.

Team Organization and Emergency Response

In mass-casualty scenarios, EMTs must have clarity on group goals and individual responsibilities to ensure successful triage and care.
For effective teamwork, it is important that each provider knows what is expected of them to avoid confusion during emergencies.

Advanced Life Support (ALS) Collaboration

Upon transfer of care, EMTs must clearly communicate relevant patient history and support ongoing life-saving procedures.
Events during procedures, such as endotracheal intubation, require teamwork; EMTs may assist by preoxygenating the patient or positioning them for the best airway access.

IV Fluid Administration and Techniques

A drip set delivering 1 mL for every 10 drops is preferable for rapid intravenous fluid delivery.
Aseptic techniques must be utilized to prevent infections during invasive procedures, ensuring patient safety.

Problem Resolution and Leadership

Team leaders should address issues with team members after calls to maintain focus on patient care during emergencies.
Defining clear roles and responsibilities pre-call enhances the pit crew CPR model's effectiveness, ensuring rapid and coordinated response.

Patient Interaction and Care Reports

Engaging with bystanders while maintaining patient care—listening to reports while performing assessments—improves patient management.
It's crucial to convey any changes, such as observed patient conditions, during the care transition to other providers.

Endotracheal Intubation and Ventilation Techniques

Preoxygenation with a Bag-Valve Mask (BVM) is essential in preparing patients for intubation, ensuring they have adequate oxygen reserves.
Continuous ventilation must occur, and if an intubation attempt fails, resuming BVM ventilation is imperative.

General Principles of Effective Teamwork

Team effectiveness hinges on clear communication, shared goals, and understanding client care protocols across all levels of healthcare practitioners.
Consistent terminology and documentation during patient care transitions establish a clear record of treatments as part of the continuum of care.

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Description

Test your knowledge on the concepts from EMT Chapter 41, focusing on the importance of collaboration and effective teamwork in healthcare. This quiz includes definitions and examples related to teamwork and communication within health care settings.

EMT Chapter 41: Team Approach to Healthcare