EMT Chapter 9 - Team Approach to Health Care
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Questions and Answers

An effective team leader should:

  • Help the team accomplish goals. (correct)
  • Command his or her team.
  • Perform all difficult interventions.
  • Refrain from any direct patient care.

EMTs and other health care providers function as a true team when they work:

  • Under standing orders.
  • Interdependently (correct)
  • Independently
  • Dependently

When transferring patient care to the emergency department nurse, the EMT should advise the nurse that:

  • The patient had a reported syncopal episode. (correct)
  • There is no evidence to support the syncopal episode.
  • The EMR was probably mistaken about the episode.
  • She should contact EMR about the incident.

For patient handoff, it is important for EMTs and hospital staff to use:

<p>Common language (B)</p> Signup and view all the answers

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

<p>Collaboration. (C)</p> 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:

<p>Discuss the problem after the call. (C)</p> Signup and view all the answers

In an independent group, you would have:

<p>Your own work area. (C)</p> Signup and view all the answers

In an interdependent group, when one person fails:

<p>Everyone fails. (D)</p> Signup and view all the answers

In contrast to a health care group, a health care team:

<p>Works interdependently. (A)</p> Signup and view all the answers

Premature diagnosis during a call can be due to what error?

<p>Anchoring. (B)</p> Signup and view all the answers

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

<p>The continuum of care. (C)</p> Signup and view all the answers

The effectiveness of pit crew CPR is dependent on:

<p>Defining clear roles and responsibilities before the call is received. (C)</p> Signup and view all the answers

To be a great EMT, strive for:

<p>Foundational knowledge. (D)</p> 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:

<p>Solving a clinical problem. (D)</p> Signup and view all the answers

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

<p>Does not have to wait for an assignment before performing a task. (B)</p> Signup and view all the answers

Which comes first in EMS decision making?

<p>Data gathering. (B)</p> Signup and view all the answers

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

<p>Use of mutually agreed-upon handoff format. (D)</p> 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?

<p>Preoxygenation with a BVM. (B)</p> Signup and view all the answers

Which step in EMS decision making comes after a patient has been transferred?

<p>Outcome evaluation. (C)</p> Signup and view all the answers

While caring for a patient, the EMT states to her partner, 'Why even splint the patient's leg if they're going to remove it in the ED?' This statement indicates that:

<p>The EMT's focus is not on the common goal. (A)</p> 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:

<p>Advise the team leader that immediate transport is more important than splinting. (D)</p> Signup and view all the answers

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

<p>BLS efforts must continue throughout the patient care continuum. (B)</p> Signup and view all the answers

Health care teams that infrequently train and work together:

<p>Can create delays in patient care. (C)</p> Signup and view all the answers

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

<p>The team leader assigns the EMT a task, and the EMT repeats the request back to the team leader. (D)</p> Signup and view all the answers

Which of the following would the paramedic be LEAST likely to ask the EMT to do?

<p>Intubate a patient. (B)</p> Signup and view all the answers

Flashcards

Effective Team Leader

A leader who focuses on team goals, prioritizing the entire team's success over individual achievements.

Interdependent Teams

EMTs and healthcare providers working together, relying on each other's skills and knowledge to achieve shared goals.

Patient Care Handoff

Communicating vital patient information clearly and accurately during care transitions, ensuring continuity of care.

Common Language in Handoffs

Using consistent language and terminology for effective communication among healthcare professionals.

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Collaboration in Diverse Teams

Collaboration is key, even when healthcare providers don't work together frequently.

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Addressing Team Issues Later

Addressing team member issues after the emergency call if they don't immediately impact patient care.

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Independent Group

A group where individuals work separately, responsible only for their own tasks.

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Interdependent Group

A group where individuals operate together, sharing responsibility for overall success.

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Roles in Healthcare Team

Members working interdependently, each with assigned roles for effective patient care.

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Data Gathering in EMS

The first crucial step in EMS decision-making, involving gathering relevant information about the patient and situation.

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Communication and Planning in EMS

Effective communication and planning alongside data gathering, integral to good EMS decision-making.

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Role Definition and Rapid Assessment in EMS

Clear role definition and rapid assessment are crucial for a well-coordinated response, similar to a pit crew during CPR.

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Standardized Handoff Format

Using a standardized format for verbal handoffs, ensuring clear and consistent communication at hospitals

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Closed-Loop Communication

Confirming tasks by repeating requests back to the person assigning them, demonstrating clarity in communication.

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Focus on Clinical Problem Solving

Focusing on solving clinical problems rather than simply completing procedures when assisting with advanced interventions.

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EMT Role in Advanced Interventions

EMTs assisting paramedics in tasks like preoxygenation, while complex skills like intubation are usually performed by paramedics.

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Continuum of Care

Providing consistent patient care throughout the entire healthcare process, from discharge to all stages of care.

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Anchoring Bias

Relying too heavily on initial information, leading to premature diagnosis and potential errors.

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Undermining Team Goals

Statements that undermine team goals, demonstrating a lack of focus on collaborative objectives.

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Impact of Lack of Training on Team Performance

Ineffective collaboration among teams that rarely train together can lead to delays in patient care.

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Importance of BLS throughout Care Continuum

Recognizing the importance of basic life support interventions throughout the entire care process.

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Supporting Paramedics without Taking Over

EMTs should assist paramedics but should not be expected to take over complex paramedic skills.

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Collaborative Communication in Interdependent Teams

A medical team working interdependently must have clear communication, even if working with each other for the first time.

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Team Leadership Focus

A good team leader prioritizes team goals and collaboration instead of individual interventions.

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Study Notes

Team Leadership and Roles

  • An effective team leader prioritizes helping the team accomplish its goals over individual interventions.
  • EMTs and health care providers function optimally when working interdependently rather than independently.

Patient Care Handoff

  • Proper handoff involves communicating that the patient had a syncopal episode when transferring care to the emergency department nurse.
  • Using a common language enhances the effectiveness of patient handoff between EMTs and hospital staff.

Collaboration and Team Dynamics

  • Teams made up of health care providers who do not frequently work together can still be effective if collaboration is encouraged.
  • Issues with team members should be addressed after the emergency call if they do not immediately impact patient care.

Group Dynamics

  • An independent group allows individual workspaces, while an interdependent group requires sharing accountability for outcomes.
  • In a health care team, roles are assigned, and members work interdependently for effective patient care.

EMS Decision Making

  • Data gathering is the first step in the EMS decision-making process, followed by communication and planning.
  • Clear role definition and rapid patient assessment are essential for effective team responses, such as during pit crew CPR.

Communication Strategies

  • Effective verbal handoffs at hospitals are facilitated by using a mutually agreed-upon format for communication.
  • Closed-loop communication is demonstrated when team members confirm tasks by repeating requests back to the person assigning them.

Advanced EMT Skills

  • When assisting with advanced interventions, the focus should remain on solving clinical problems rather than simply completing procedures.
  • EMTs are expected to assist paramedics, particularly in tasks like preoxygenation with a BVM, while complex skills like intubation are less likely to be assigned to them.

Continuum of Care

  • The concept of the continuum of care refers to consistent patient care from the time of discharge through all stages of health care.

Patient Care Challenges

  • Premature diagnosis can stem from errors such as anchoring, where a provider relies too heavily on initial information.
  • Statements that undermine team goals, like questioning the necessity of a splint, indicate a lack of focus on collaborative objectives.

Team Performance

  • Ineffective collaboration among health care teams who infrequently train together can lead to delays in patient care.
  • Recognizing BLS efforts as crucial throughout the care continuum ensures proper lifesaving procedures are maintained in conjunction with ALS interventions.

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Description

This quiz focuses on Chapter 9 of EMT training, emphasizing the importance of teamwork in providing health care. It includes flashcards that explain key concepts such as the roles of team leaders and the collaborative functioning of EMTs and other health care providers.

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