TAMECT Clearing Review

Scope of Practice

activities a healthcare provider performs during patient care, as limited by their license and education/demonstrated competency

Duty to Act

as a Tamect Volunteer, it is your duty to provide care without abandonment while working events, regardless of patient

Abandonment

termination of care to patient without entrusting the patient to someone of equal or higher training

Expressed Consent

verbal or nonverbal gestures that implies consent

Implied Consent

if patient is unresponsive or has AMS, you’d want to act under the notion that they’d want medical care/treatment in their normal condition

HIPAA

Health Insurance and Portability of Accountability Act - Federal Law that establishes basic privacy protections to all patients to which they are entitled to have.

PHI

Protected Health Information - any healthcare information that can be linked to a single patient

What should you say before any skill during clearing???

BSI SCENE IS SAFE!!!

What are the XCABCDE’s?? And what type of assessment is this?

Primary Assessment

X- exsanguiation (severe bleeding)

C- c-spine

A- Airway

B-breathing

C-circulation

D- Disability

E-exposure

What does AVPU stand for?

A- Alert

V-Verbal

P- Pain

U-Unresponsive

What is A&O x4?

Person, place, time, event

What does SAMPLE stand for? What type of assessment is this?

Secondary assessment!

S-signs and symptoms

A- allergies

M- medications

P-Past medical history

L-last oral intake

E-events

What does OPQRST stand for? What part of SAMPLE does it cover?

Helps diagnose the Symptoms in SAMPLE!

O- onset

P- provocation

Q-Quality

R-Radiation

S-Severity

T-time

Respiratory Distress

Tripod positioning: hand overs knees while sitting up

dyspnea, shortness of breath

retractions

respiratory failure

decreasing SpO2 (oxygen saturation)

cyanosis

AMS

nasal cannula

1-6 L/min

nebulizer

6-8 L/min

Non-rebreather

10-15 L/min

bag-valve mask

15+ L/min

hypovolemic

lack of volume

hemorrhagic

lack og blood

cardiogenic

heart problem

obstructive

blocked blood flow

distributive

extreme vasodilation

neurologic, septic, anaphylatic

CNS, infection, allergies

myocardial infarction (heart attack)

blockage in the heart, crushing chest pain (circulation problem)

Asthma

inflammation and narrowing of bronchial tubes

Appendicitis

acute condition with the inflammation of the appendix

abdominal aortic aneurysm (AAA)

swelling and bulge in the abdominal-aorta, distention

Ectopic Pregnancy

non-viable pregnancy that develops outside the uterus

Anaphylaxsis

severe allergic reaction

urticaria

hives

dyspnea

wheezing

hypoglycemia

below 60 mg/dL

hyperglycemia

over 250 mg/dL

hypothermia

below 95 degrees Fahrenheit

hyperthemia

→ heat cramps

→ heat exhaustion

→ heat stroke

temperature above normal

cramps- lack fluids/electrolytes

exhaustion- overheating, fatigue, N/V

stroke- temp over 104, anhidrosis (no sweat), AMS and seizures

cardiac arrest

CPR!!! when patient is pulseless, heart stops beating

aspirin

chest pain

acetaminophen

tyenol, pain and fever, better for headaches and pain

cetirizine

seasonal allergies, not for anaphylaxsis

diphenhydramine

urticaria/hives, drowsiness

duoneb

for dyspnea with wheezing

epinephrine

anaphylaxsis, syringe or epipen

ibuprofen

pain and fever, muscle pains and inflammation

oral glucose

hypoglecmic patients, eat food afterwards

top pocket

splints, bandages/bandaids, adaptic, guaze, PPE

inside top pouch (left and right)

left- oxygen adjuncts

right- trauma equipment (A, T, G, C)

main pouch inside

medications, glucometer w/ oral glucose, o2 tank, c-collars, safety blanket, cold packs

inside left flap

bp cuff, stethescope, pulse oximeter, light pen

inside right flap

airway adjuncts

outside/front right flap

for severe bleeding, tourniquets, gauze, goggles, pads

outside/front left flap

miscellanous, tweezers, emesis bags, hand sanitizer, biohazard bags