EMT- Chapter 9- The Team Approach To Health Care

An effective team leader should:

A. help the team accomplish goals.
B. perform all difficult interventions.
C. command his or her team.
D. refrain from any direct patient care.

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

A. interdependently
B. independently
C. dependently
D. under standing orders.

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. there is no evidence to support the syncopal episode.
B. the patient had a reported syncopal episode.
C. she should contact EMR about the incident.
D. the EMR was probably mistaken about the episode.

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

A. shared training.
B. common goals.
C. common language
D. metric- sized tools.

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. collaboration.
C. rigid protocols.
D. competition.

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. discuss the problem after the call.
C. contact the medical director at once.
D. ignore the problem to avoid conflict.

In an independent group, you would have:

A. your own work area.
B. parallel work.
C. shared transportation.
D. a common set of tasks.

In an interdependent group, when one person fails:

A. that person is fired.
B. everyone fails.
C. management will be changed.
D. pay is withheld.

In contrast to a health care group, a health care team:

A. works independently.
B. is not assigned specific roles.
C. works interdependently.
D. does not function under protocols.

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

A. Anchoring.
B. Streaming.
C. Overconfidence.
D. Bias.

The concept of consistent care across the entire health care team from fist patient discharge is called:

A. the continuum of of care.
B. patient care advocacy.
C. the standard of care.
D. the scope of practice.

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. defining clear roles and responsibilities before the call is received.
C. protocols that allow the EMT to function without medical control.
D. rapidly assessing the patient before assigning roles and responsibilities.

To be a great EMT, strive for:

A. foundational knowledge.
B. management work.
C. the chance to replace an EMR.
D. retraining.

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.

When working as an independent health care group member, the EMT should expect that he or she:

A. will receive no support or guidance from an EMS supervisor.
B. does not have to wait for an assignment before performing a task.
C. will rely on the group leader for making virtually all decisions.
D. will be specifically instructed on how to perform a specific task.

Which comes first in EMS decision making?

A. Data interpretation.
B. Data gathering.
C. Team communication.
D. Planning

Which of the following would MOST likely facilitate accurate and effective verbal handoff report at the hospital?

A. Providing the handoff report only to a physician.
B. Use of mutually agreed-upon handoff format.
C. Brief pause in care to provide the verbal report.
D. Clearly identifying your EMS certification

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

A. Suction under direct laryngoscopy.
B. Preoxygenation with a BVM.
C. Placement of the endotracheal tube.
D. Visualization of the vocal cords.

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

A. Data gathering.
B. Team Communication.
C. Planning.
D. Outcome evaluation.

While caring for a patient, the EMT states to her partner, "Why even splint the patient's leg if they're going to remove it in the ED?" This statement indicates that:

A. the EMT is being realistic in her thinking.
B. the patient's leg does not require splinting.
C. the EMT's focus is not on the common goal.
D. the EMT does not trust the hospital staff.

A team of EMTs is caring for a critically injured patient. The team leader advises the EMT that transport will not begin until the patient's closed forearm fracture is splinted. Utilizing the crew resource management model, the EMT should:

A. repeat the request back to the team leader and then splint the patient's arm.
B. advise the team leader that immediate transport is more important than splinting.
C. disregard the team leader's request and contact medical control for guidance.
D. ensure that the entire team is aware that transport will be delayed for splinting.

After assuming care of a cardiac arrest patient from an EMT, the paramedic should remember that:

A. BLS efforts must continue throughout the patient care continuum.
B. ALS interventions are the core interventions around which BLS care is provided.
C. the BLS care provided by the EMT is the "first steps' of ALS care.
D. ALS interventions are fundamentally more critical than BLS interventions.

Health care teams that infrequently train and work together:

A. need less-explicit verbal direction.
B. can create delays in patient care.
C. often work better under pressure.
D. are unable to accomplish their tasks.

Which of the following is an example of closed-loop communication?

A. EMTs decide not to attempt resuscitation because the patient has rigor mortis and is cold to the touch.
B. The EMT requests permission from medical control to assist a patient with his prescribed nitroglycerin.
C. The team leader assigns the EMT a task, and the EMT repeats the request back to the team leader.
D. The EMT corrects the team leader, who states that chest compressions should be greater than 3 inches deep.

Which of the following would the paramedic be LEAST likely to ask the EMT to do?

A. Apply a tourniquet.
B. Assess blood glucose.
C. Intubate a patient.
D. Obtain vital signs.