Chapter 9 Workbook

Question 1

Each individual is told what to do

Answer 1

Dependent groups

Question 2

Each individual is responsible for his or her own area

Answer 2

Independent groups

Question 3

The knowledge and understanding of one’s surroundings

Answer 3

Situational awareness

Question 4

A team member who provides role assignments, coordination, oversight, etc.

Answer 4

Team leader

Question 5

Health care is provided in the community rather than at a physician’s office or hospital

Answer 5

MIH model

Question 6

Consists of individual health care providers working independently to help the patient

Answer 6

Group

Question 7

A(n) ___ consists of a group of health care providers who are assigned specific roles and are working interdependently in a coordinated manner under a designated leader.
A. group
B. team
C. dependent group
D. independent group

Answer 7

B. team

Question 8

The “C” in the PACE mnemonic stands for:
A. choose
B. communication
C. challenge
D. clear

Answer 8

C. challenge

Question 9

A(n) ___ consists of individual health care providers working independently to help the patient.
A. group
B. team
C. dependent group
D. independent group

Answer 9

A. group

Question 10

When conflicts arise among health care teams, you should remember all of the following EXCEPT:
A. that the patient comes first
B. to separate the person from the issue
C. to choose your battles
D. it is acceptable to shout at other providers

Answer 10

D. it is acceptable to shout at other providers

Question 11

______ entails emergency health care providers recognizing that by working together as a unified team from first patient contact to patient discharge, it is possible to improve individual and team performance, patient and provider safety, and ultimately, patient outcome.
A. Mobile integrated health care
B. Standard of care
C. Continuum of care
D. Community paramedicine

Answer 11

C. Continuum of care

Question 12

In the ______ model, health care is provided within the community rather than at a physician’s office or hospital.
A. fire-based EMS
B. continuum of care
C. mobile integrated health care
D. team health care

Answer 12

C. mobile integrated health care

Question 13

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.
A. rapidly identify
B. prioritize
C. take over
D. rapidly identify, prioritize, and take over

Answer 13

D. rapidly identify, prioritize, and take over

Question 14

The best way for a team to be effective during an emergency call is to practice with one another and become familiar with each other’s ______ and preferences.
A. tools
B. techniques
C. capabilities
D. tools, techniques, capabilities

Answer 14

D. tools, techniques, capabilities

Question 15

It is your responsibility to understand what is allowed by the ______ where you work.
A. scope of practice
B. standard of care
C. local protocols
D. scope of practice, standard of care, and local protocols

Answer 15

D. scope of practice, standard of care, and local protocols

Question 16

In ______, each individual is told what to do, and how often to do it, by his or her supervisor or group leader.
A. groups
B. teams
C. dependent groups
D. independent groups

Answer 16

C. dependent groups

Question 17

The team is NOT forced to move backward, resulting in a loss of valuable time and effort, if:
A. incorrect information is handed off
B. information is miscommunicated
C. care is interrupted
D. a proper transfer of patient care occurs

Answer 17

D. a proper transfer of patient care occurs

Question 18

The “P” in the PACE mnemonic stands for:
A. practice
B. probe
C. prepare
D. provide

Answer 18

B. probe

Question 19

Assisting with an ALS skill does NOT include:
A. patient preparation
B. equipment set up
C. continuing care
D. performing skills for which you are not authorized

Answer 19

D. performing skills for which you are not authorized

Question 20

All of the following are special teams EXCEPT:
A. HazMat team
B. MIH technicians
C. Extracurricular EMS team
D. EMS bike team

Answer 20

C. Extracurricular EMS team

Question 21

Team members who train and work together infrequently rarely need more explicit verbal direction to accomplish their tasks.

Answer 21

False

Question 22

Temporary teams are composed of crew members who regularly work together.

Answer 22

False

Question 23

EMS providers often have varying levels of certification or licensure.

Answer 23

True

Question 24

When using any advanced tool or technique, the focus is always on achieving a goal rather than on simply completing a procedure.

Answer 24

True

Question 25

If a conflict arises from the behavior of another team member and the conflict cannot be delayed or avoided, then focus on the individual rather than on the behavior itself.

Answer 25

False

Question 26

To successfully stabilize and treat the patient’s condition, you must carefully coordinate your efforts with the advanced tools and techniques used by ALS providers.

Answer 26

True

Question 27

Excellent communication skills and teamwork are essential elements of emergency medicine.

Answer 27

True

Question 28

The National Incident Management System defines a(n) __________ as “the organizational level that divides the incident according to functional levels of operation.”

Answer 28

group

Question 29

Team members who frequently __________ and __________ together are more likely to move smoothly from one step in the procedure to the next, performing as one seamless unit.

Answer 29

train, work

Question 30

__________ __________ __________ is a way for team members to work together with the team leader to develop and maintain a shared understanding of the emergency situation.

Answer 30

Crew resource management

Question 31

While each provider may still be assigned to a particular area or task, everyone in a(n) __________ __________ works together, with shared responsibilities, accountability, and a common goal, as opposed to focusing on the goals of their own individual areas.

Answer 31

interdependent group

Question 32

The __________ __________ is the team member who provides role assignments, coordination, oversight, centralized decision making, and support for the team to accomplish its goals and achieve desired results.

Answer 32

team leader

Question 33

__________ __________ and mobile integrated health care teams may be the best example of the team concept of continuum of care.

Answer 33

Community paramedicine

Question 34

Short Answers List the five techniques for handling team conflicts.

Answer 34

1. The patient comes first. 2. Do not engage. 3. Keep your cool. 4. Separate the person from the issue. 5. Choose your battles.

Question 35

Short Answers List the five essential elements of a group that people must share, as defined by the Research Center for Group Dynamics.

Answer 35

1. A common goal 2. An image of themselves as “a group” 3. A sense of continuity of the group 4. A set of shared values 5. Different roles within the group

Question 36

Ambulance Calls The following case scenarios provide an opportunity to explore the concerns associated with patient management and to enhance critical thinking skills. Read each scenario and answer each question to the best of your ability: You are dispatched to assist with a patient who is experiencing chest pain and dizziness. You notice another EMT on the scene assisting with the application of the ECG. As the paramedic’s attention is focused on starting an intravenous (IV) line, you see that the EMT has forgotten to attach one of the leads. The paramedic now begins assessing the patient’s cardiac rhythm, but he appears confused by what he sees. How would you best manage this situation?

Answer 36

Do not be afraid to inform the paramedic that the leads have not been appropriately attached. You can save valuable time by simply relaying what you have seen. Sometimes, EMTs can feel intimidated by the presence of paramedics and become afraid to speak out when they see something that doesn’t appear right. Do not underestimate your ability to help because sometimes you may notice things that the paramedic does not. Everyone has the same goal of patient care, and it is pertinent to point out those things that may interfere with this goal.

Question 37

Ambulance Calls You are dispatched to a pulseless, apneic 45 year old man. After assessing the patient, your paramedic partner decides to perform endotracheal intubation. This is the first field intubation that your partner has attempted. Your partner tells you that he “thinks” he passed through the cords. As you auscultate the chest, you do not hear breath sounds, but you do hear gurgling over the epigastrium. How would you best manage this situation?

Answer 37

If successful intubation has occurred, you will hear equal, bilateral breath sounds and no sounds over the epigastrium. This endotracheal tube should be removed, and the patient should be ventilated with high-flow oxygen via a bag-mask device and the placement of an oral airway. Secondary placement devices should be utilized when assessing placement of the ET tube. Direct visualization of the ET tube passing through the cords along with the use of a waveform end-tidal capnography device to ensure that successful placement has been accomplished. If endotracheal intubation is not possible, consider the use of supraglottic airways such as the i-gel airway device, King LT airway, or laryngeal mask airway. Always follow local protocols.

Question 38

Ambulance Calls You are in the patient compartment with your AEMT partner who is caring for a patient with congestive heart failure. Your partner has initiated IV therapy and is now giving a radio report to the receiving hospital. You notice that the IV tubing is still running wide open and that nearly the entire liter of fluid has been administered over a few minutes. The patient states his shortness of breath is worsening. How would you best manage this situation?

Answer 38

You should immediately suggest slowing the IV to a TKO rate, raise the patient’s head, and apply high-flow oxygen (or increase the current L/min). You may also suggest considering the use of CPAP if the patient is alert enough to follow orders. Notify the receiving facility of the error. Healthy adults can handle the sudden influx of intravenous fluids without detrimental effects, but individuals who have diseased or otherwise weakened hearts, lungs, or kidneys do not possess the ability to cope with the fluid overload. To avoid this occurrence, check and double-check the drip chamber/flow rate to prevent accidental fluid boluses. Continuously monitor the patient.