Chapter 9: The Team Approach to health Care

Question 1

Select one

An effective team leader should:
- Help the team accomplish goals.
- Perform all difficult interventions.
- Command his or her team
- Refrain from any direct patient care

Answer 1

Help the team accomplish goals

Question 2

Select one

Emts and other health care providers function as a true team when they work:
- Interdependently
- Independently
- Dependently
- Under standing orders

Answer 2

Interdependently

Question 3

Select one

EMT’s arrive on scene of an ill person. The EMR, who arrived before the EMT’s, advises that the patient had a syncopal episode. The patient is concious and alert and remains so throughout transport. When transferring patient care to the emergency department nurse, the EMt should advise the nurse that:
- There is no evidence to support the syncopal episode
- The patient had a reported syncopal episode
- She should contact EMR about the incident
- The EMR was probably mistaken about the episode

Answer 3

The patient had a reported syncopal episode

Question 4

Select one

For patient handoff, it is important for EMT’s and hospital staff to use:
- Shared training
- Common goals
- Common language
- Mertric- sized tools

Answer 4

Common language

Question 5

Select one

Health care providers who infrequently work together can function effectively as a team if they work in an environement that supports and promotes:
- Discipline
- Collaboration
- Rigid protocalls
- Competition

Answer 5

Collaboration

Question 6

Select one

If a problem with a team member is not directly or immediately impacting patient care, the team leader should:
- Engage the team member at once
- Discuss the problem after the call
- Contact the medical director at once
- Ignore the problem to avoid conflict

Answer 6

Discuss the problem after the call

Question 7

Select one

In an independent group, you would have:
- Your own work area
- Parallel work
- Shared transportation
- A common set of tasks

Answer 7

Your own work area

Question 8

Select one

In an interdependent group, when one person fails:
- That person is fired
- Everyone fails
- Management will be changed
- Pay is withheld

Answer 8

Everyone fails

Question 9

Select one

In contrast to a health care group, a health care team:
- Works independently
- Is not assigned specific roles
- Works interdependently
- Does not function under protocols

Answer 9

Works interdependently

Question 10

Select one

Premature diagnosis during a call can be due to what error?
- Anchoring
- Streaming
- Overconfidence
- Bias

Answer 10

Anchoring

Question 11

Select one

The concept of consistent care across the entire health care team from first patient discharge is called:
- The continuum of care
- Patient care advocacy
- The standard of care
- The scope of practice

Answer 11

Continuum of care

Question 12

Select one

The effectiveness of pit crew CPR is dependent on:
- A team leader who is capable of performing all of the patient care tasks
- Defining clear roles and responsibilities before the call is recieved
- Protocols that allow the EMT to function without medical control
- Rapidly assessing the patient before assigning roles and responsibilities

Answer 12

Defining clear roles and responsibilities before the call is recieved

Question 13

Select one

To be a great EMT, strive for:
- Foundational knowledge
- Management work
- The chance to replace an EMR
- Retraining

Answer 13

Foundational knowledge

Question 14

Select one

When the EMT asssists a paramedic with an advanced intervention, he or she should recall that the focus of the intervention is on:
- Following local protocol
- Completing the procedure
- Learning to preform the skill
- Solving a clinical problem

Answer 14

Solving a clinical problem

Question 15

Select one

When working as an independent health group member, the EMT should expect that he or she:
- Will recieve no support or guidance from an EMS supervisor
- Does not have to wait for an assignmnet before preforming a task
- Will rely on the group leader for making virtually all decisions
- Will be specifically instructed on how to perform a specific task

Answer 15

Does not have to wait for an assignment before performing a task

Question 16

Select one

Which comes first in EMS decision making?
- Data interpretation
- Data gathering
- Team communication
- Planning

Answer 16

Data Gathering

Question 17

Select one

Which of the following would most likely facilitate accurate and effective verbal handoff report at the hospital?
- Providing the handoff report only to a physician
- Use of mutually agreed-upon handoff format
- Brief pause in care to provide the verbal support
- Clearly identifying your EMS certification level

Answer 17

Use mutually agreed-upon handoff format

Question 18

Select one

Which of the following would the EMT most likely be asked to do when assisting a paramedic with endotracheal intubation?
- Suction under direct laryngoscopy
- Preoxygen with a BVM
- Placement of the endotracheal tube
- Visualisation of the vocal cords

Answer 18

Preoxygenation with a BVM

Question 19

Select one

Which step in EMS decision making comes after a patient has been transferred?
- Data gathering
- Team communication
- Planning
- Outcome evaluation

Answer 19

Outcome evaluation

Question 20

Select one

While caring for a patient, the EMT states to her partner, “why even splint the patients leg if theyre going to remove it in the ED?” This statement indicated that:
- The EMT is being realistic in her thinking
- The patients leg deos not require splinting
- The EMTs focus is not on the common goal
- The EMT does not trust the hospital staff

Answer 20

The EMT’s focus is not on the common goal

Question 21

Select one

A team of EMTs is caring for a critically injured patient. The team leader advises the EMT that transport will not begin until the patients closed forearm fracture is splinted. Utilizing the crew resource management model, the EMT should:
- Repeat the question back to the team leader and then splin the patients arm
- Advise the team leader that immedieate transport is more important than splinting
- Disregard the team leaders request and contact medical control for guidance
- Ensure that the entire team is aware that transport will be delayed for splinting.

Answer 21

Advise the team leader that immediate transport is more important than splinting

Question 22

Select one

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
- ALS interventions are the core interventions around which BLS care is provided
- The BLS care provided by the EMT is the “First steps” of ALS care
- ALS interventions are fundamentally more critical than BLS interventions

Answer 22

BLS efforts must continue throughout the patient care continuum

Question 23

Select one

Health care teams that infrequently train and work together:
- Need less-explicit verbal direction
- Can create delays in patient care
- Often work better under pressure
- Are unable to accomplis their tasks

Answer 23

Can create delays in patient care

Question 24

Select one

Which of the following is an example of a closed-loop communication?
- EMTs decide not to attempt resuscitation because the patietn has rigor mortis and is cold to the touch
- The EMT requests permission from medical control to assist a patient with his perscribed nitroglycerin
- The leam leader assigns the EMT a task, and the EMT repeats the request back to the team leader.
- The EMT corrects the team leader, who states that chest compressions should be greater than three inches deep.

Answer 24

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

Question 25

# Select one Which of the following would the paramedic be least likely to ask the EMT to do? - Apply a tourniquet - Assess blood glucose - Intubate a patient - Obtain vital signs

Answer 25

Intubate a patient

Question 26

The PACE mneumonic stands for:

Answer 26

Probe Alert Challenge Emergency

Question 27

# Select one A(n)____ consists of a group of health care providers who are assignes with specific roles and are working interdependently in a coordinated manner under a designated leader. - Group - team - dependent group - independent group

Answer 27

team

Question 28

# Select one The C in PACE mneumonic stands for: - Choose - Communication - Challenge - Clear

Answer 28

Challenge

Question 29

# Select one A(n) ________ consists of individual health care providers working independently to help the patient. - group - team - dependent group - independent group

Answer 29

Group

Question 30

# Select one When conflicts arise amonth health care teams, you should remember all of the following EXCEPT: - That the patient comes first - To seperate the person from the issue - to choose your battles - It is acceptable to shout at other providers

Answer 30

It is acceptable to shout at other providers

Question 31

# Select one ________ entails emergency health care providers recognizing that by working together as a unified team from the first patient contact to patient discharge, it is possible to improve individual and team performance, patient and provider safety, and ultimately, patient outcome. - Mobile integrated health care - Standard of care - Continuum of care - Community paramedicine

Answer 31

Continuum of care

Question 32

# Select one In the ________ model, the health care is provided whithin the community rather than at a physicians office or hospital. - Fire-based EMS - Continuum of care - Mobile integrated health care - Team health care

Answer 32

Mobile integrated health care

Question 33

# Select one Pit crew CPR consists of defining each intervention that needs to be addressed during cardiac arrest and training providers before the call to ________ any areas that are not being addressed as soon as they arrive on scene. - Rapidly identify - Prioritize - take over - rapidly identify, prioritize, and take over

Answer 33

Rapidly identify, prioritize, and take over

Question 34

# Select one The best way for a team to be effective during an emergency call is to practice with one another and become familiar with eachothers ________ and preferences. - Tools - Techniques - Capabilities - Tools, techniques, and capabilities

Answer 34

Tools, techniques, and capabilities

Question 35

# Select one It is your responsibility to understand what is allowed by the ________ where you work. - Scope of practice - Standard of care - Local protocols - Scope of practice, standard of care, and local protocols

Answer 35

Scope of practice, standard of care, and local protocols