CDC Extended/Craftsman

En Route Critical Care Team

• Physician works under operational direction

• Medical crew director- mission management

• Aircraft Commander- operational management

AF Medical Readiness Agency

• Assists AF Surgeon General

• development and execution of operational policy and plans impacting AF medical service operational readiness mission

Evidence based Practice

(Ask Clinic Questions)

• P- patient population of interest

• I- Intervention (worthwhile to see in practice) Treatment/Diagnostic

• C- Comparison of interest. Intervention to be compared with

• O- outcomes

• T- Time

Translation Research

• studies tests implementation strategies

• which strategies work best to promote use of EBP

• Goal- improve patient care and health outcomes

Center for Clinical Inquiry

• aligns evidence-based practice experts, and clinical research scientists

• Support Air Force clinicians integrating science and evidence as the foundation for patient centered care.

ASIMS

• Real time statues of IMR

• Unit commanders

PHA

• Deployment lasting longer than 190 days must accomplish PHA within 120 days of departure

Contingency situations

• DD form 1380

• If evacuated Form 3899

DD Form 2796

• Post-Deployment Health Assessment

• done by member

Defense Health Agency (DHA) and Decision Support Division (DSD) 

• Health care scientists

• Collect info to measure beneficiary and staff satisfaction

Protocols

• permit action in a situation that is recognized as a standard operating procedure for the facility

Blind Patient walking

• place his or her hand in the crook of your arm

• walk slightly ahead of him or her in an unhurried pace

• describe where you are going

• Inform him or her of narrow hallways, doors, tables, chairs, steps, or inclines

Diabetes mellitus

• pancreas does not release enough insulin or none at all

Geriatrics

• -          study of aging and its physiological and pathological effects on mankind. 

Normal Heart Rates of Infants and Children

Age	Resting beats/minute (awake)	Resting beats/minute (sleeping)
Newborn	100–180	80–160
1 week to  3 months	100–220	80–200
3 months to  2 years	80–150	70–120
2 years to  10 years	70–110	60–90
10 years to adult	55–90	50–90

Rectal Temperatures

• 1 inch in rectum

Kids BP formulas

• Systolic

  • 1 to 7 yrs: age + 90

  • 8-18 yrs: age + 83

• Diastolic

  • 1 to 5 yrs: 57

  • 6 to 18 yrs: age + 52

Tepid Bath

• Warm then cool water

• 20-30 minutes

Glascow coma scale

• Mild- (13-15) (LOC 0-30min) (PTA less 24 hrs.)

• Moderate- (9-12) (LOC over 30min less than 24 hrs.) (PTA Over 24 hrs. less that 7 days)

• Severe- (3-8) (LOC over 24 hrs) (PTA over 7 days)

Airfield Management Operations

• control and manage the flight line

UMD

• Supervisors review for accuracy and currency

UPMR

• Commander’s use

AF Form 55

• Name of Trainee

• Type of Training conducted

• Date training was conducted

Documentation (CFETP Part 2 minimum)

• Start date

• Training completed

• Trainee initials

• Certifier initials

Section F CFETP

• specific to medical AFSCs

Duty Task List (DTL)

• comprehensive listing of all tasks performed within the 4N0X1 career field

• list of all tasks required for a given duty position

STS (Specialty Training Standard)

• trainees’ technical ability to perform tasks taught in technical school will be evaluated

Back-order

• more than 30 days contact medical logistics

Reports

• establish and manage equipment maintenance activity

• provide data required for assigned property custodians, medical logistics, and higher headquarters. (DMLSS system)

Community health

• educating the community about overall primary health

• promotes care outside the traditional institution such as a hospital

• goal- increase life expectancy and quality of life

limbic system

• info perceived from the five senses

• other sensory information (temperature, balance, pain) to make sense of the world around us. 

Eye

•    Outer Tunic- Cornea and sclera

•    Middle Tunic- choroid coat, ciliary body (Thickest), iris (Color), lens

Eye Muscle (6)

o   Superior rectus- upward and toward midline

o   Inferior rectus- downward and toward midline

o   Medial rectus- toward the midline

o   Lateral rectus- away from the midline

o   Superior oblique – downward and away from midline

o   Inferior oblique- upward and away from midline

Pharynx (3 parts)

• Nasopharynx- 2 eustachian tubes that connect to middle ear, adenoids

• Oropharynx-Tonsils

• Laryngopharynx- anterior opening into larynx and posterior opening to esophagus

Phrenic nerves

• control action of the diaphragm and the intercostal nerves

Diaphragm

• main muscle of respiration

Neuron Types (3)

• Bipolar- one axon extending from one end of the soma and one dendrite extending from the other end.

  • Bipolar neurons are found in the eyes, nose and ears.

• Unipolar-single fiber extending from the soma. 

  • Masses of nerves (ganglia) outside spinal cord and brain

• Multipolar-one axon and many dendrites extending from the soma.

  • Found in brain and spinal cord.

Clear Liquid Diet

• fat-free broth

• coffee

• tea

• carbonated beverages

• clear fruit juices (apple juice)

• gelatin

• fruit ices

• popsicles

Full Liquid

• ice cream

• cream soups

• custards

• all fruit juices.

Dysphagia stages

• Thickened Liquids (Clear and Full)

• scrambled eggs

• pureed meats

• vegetables

• fruits

• mash potatoes.

Potassium Restricted

• Ordered for KIDNEY DISEASE

Eating Meals

Sitting at a 90-degree angle

Gastric Gavage

• feeding a patient through a tube inserted through the mouth or nose and into the stomach

• Lefdt in for several days

Bladder irrigation

• 2 types closed and open

• remove and flush out any blood, bacteria and waste products that may remain post-surgery.

• Foley, catheter system

Closed Bladder irrigation

• dorsal recumbent position

• supine knees up and feet flat on floor

Pulse Oximetry/Oxygen Saturation

• measures the amount of arterial blood that is saturated with oxygen in the body by measuring the percentage of hemoglobin (blood) that is bound with oxygen.

Body Weight

• Technicians stand in front or behind scale

• nearest quarter pound

Forced Vital Capacity

• air expelled when a patient takes a deep breath and then forcefully exhales.

Forced Expiratory Volume

• - determines air expelled during specific time intervals of the forced vital capacity test.

Testing Procedures for Spirometry

• At least one hour must have passed since the examinee has either smoked or administered a bronchodilator

• at least two hours since his or her last meal.

EKG lead placements

• V1- 4th intercostal space (R sternal border)

• V2- 4th intercostal space (L sternal border)

• V3- midway between V2 and V4

• V4- 5th intercostal midclavicular

• V5- 5th intercostal anterior axillary line

• V6- 5th intercostal mid axillary line

Form 520

• Electrocardiograph Record cover sheet

Procedures

• Verify Doctors Order and Patient name first

Specimen Collections

• gather equipment

• perform hand hygiene,

Collection for Wound culture

1. Verify doctor’s order and verify specific culture

2. Gather supplies

3. Correct Patient

Skin puncture

• diabetic tests

• wipe away first drop (epithelial cells)

Pain medication in recovery room

• check performed every 15 minutes

Supine Position

Dorsal Recumbent

Clinic adverse action (Privileged Providers)

• Abeyance (suspension) for 30 days

• Provider is notified in writing, reason, and term (how long)

• Summary suspension after and can last 6 months

if extension is needed needs

• Service Level approval

Clinic adverse action (Non-Privileged Providers)

• Reports sent to state licensing agencies

Adverse Action Appeal

• 10 calendar days

Provider is a member of a different Service, where will a copy of all adverse action documents will be sent to

• member's SG office for review and comment prior to the SG final action and report.

MEB (Medical Evaluation Board)

• Condition prevents from performing duties

• Can’t return to duty for a full year

DD form 2870

• Authorization for Disclosure of Medical or Dental Information

Temporary disability retired list

• further observe unfit members whose disability has not stabilized and for whom the physical evaluation board cannot accurately assess the degree of severity, percent of disability, or final disposition.

• Examination completed every 18 months

TDRL Initiate

• Reevaluate process within 16 months

TDRL Discharge w/severance Pay

• Less than 30% and has less than 20 years

TDRL Permanent Retirement

• Has 30% rating and over 20 years’ service

IM injections

• 90 degrees

• Multiple injections separate by 1 inch

Subcutaneous route

• 45-degree angle

Shred OUTS

• B shred- Neurodiagnostic

• C Shred- IDMT

• D Shred- AI

• F Shred- FOMT

• G Shred- AE

• H Shred- Paramedic

SEI

• 455- special operations

• 486- hemodialysis

• 487- Critical Care

• 490- Hyperbaric

• 480- LPN