CH9: Team Approach to Health Care

an effective team leader should:

a. command his or her team

b. help the team accomplish goals

c. refrain from any direct patient care

d. perform all difficult interventions

help the team accomplish goals

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

a. interdependently

b. under standing orders

c. dependently

d. independently

interdependently

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:

a. she should contact the EMR about the incident

b. the EMR was probably mistaken about the episode

c. there is no evidence to support the syncopal episode

d. the patient had a reported syncopal episode

the patient had a reported syncopal episode

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

a. common goals

b. common language

c. shared training

d. metric-sized tools

common language

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

a. discipline

b. rigid protocols

c. collaboration

d. competition

collaboration

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

a. engage the team member at once

b. contact the medical director at once

c. discuss the problem after the call

d. ignore the problem to avoid conflict

discuss the problem after the call

in an independent group, you would have

a. shared transportation

b. your own work area

c. a common set of tasks

d. parallel work

your own work area

in an interdependent group, when one person fails

a. management will be changed

b. pay is withheld

c. that person is fired

d. everyone fails

everyone fails

in contrast to a health care group, a health care team

a. works independently

b. does not function under protocols

c. works interdependently

d. is not assigned specific roles

works interdependently

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

a. streaming

b. bias

c. anchoring

d. overconfidence

anchoring

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

a. the scope of practice

b. patient care advocacy

c. the standard of care

d. the continuum of care

the continuum of care

the effectiveness of pit crew CPR is dependent on

a. a team leader who is capable of performing all of the patient care tasks

b. rapidly assessing the patient before assigning roles and responsibilities

c. defining clear roles and responsibilities before the call is received

d. protocols that allow the EMT to function without medical control

defining clear roles and responsibilities before the call is received

to be a great EMT, strive for

a. retraining

b. management work

c. the chance to replace an EMR

d. foundational knowledge

foundational knowledge

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

a. following local protocol

b. completing the procedure

c. learning to perform the skill

d. solving a clinical problem

solving a clinical problem

when working as an independent health care group member, the EMT should expect that they

a. will receive no support or guidance from an EMT supervsor

b. will rely on the group leader for making virtually all decisions

c. does not have to wait for an assignment before performing a task

d. will be specifically instructed on how to perform a specific task

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

which comes first in EMS decision making?

a. data gathering

b. team communication

c. planning

d. data interpretation

data gathering

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

a. clearly identifying your EMS certification level

b. providing the handoff report only to a physician

c. brief pause in care to provide the verbal report

d. use of a mutually agreed-upon handoff format

use of a mutually agreed-upon handoff format

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

a. placement of the endotracheal tube

b. preoxygenation with a BVM

c. suction under direct laryngoscopy

d. visualization of the vocal cords

preoxygenation with a BVM

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

a. data gathering

b. outcome evaluation

c. planning

d. team communication

outcome evaluation

while caring for a patient, the EMT states to her partner. “why even splint the patient’s leg if they’re only going to remove it in the ED?” this statement indicates that

a. the patient’s leg does not require splinting

b. the EMT is being realistic in her thinking

c. the EMT does not trust the hospital staff

d. the EMT’s focus is not on the common goal

the EMT’s focus is not on the common goal