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123 Cards in this Set

  • Front
  • Back
What is the purpose of the AE system?
Movement of "stabilized"pts from fwd med locations to another pre-arranged destination
What are the 3 increments that make up EMEDS packages?
EMEDS BASIC
EMEDS +10
EMEDS +25
EMEDS Basic (specific scope)
-provides prevention, acute intervention, primary care to support deployment of 500-2K.
-25 Bed provide med/dental for 7 days in UNCOMPLICATED environment w/o re-supply.
EMEDS+10 (specific scope)
-provides prevention, acute intervention, primary care to support deployment of 2K-3K.
-56 Bed provide med/dental for 7 days in SIMPLE environment w/o re-supply.
EMEDS+25 (specific scope)
-provides prevention, acute intervention, primary care to support deployment of 3K-5K
-86 personnel increment provides the CORE INFRASTRUCTURE for speciality UTCs
EMEDS Basic
-Care for 500-2K
-UTC FFEP6 assigned to force package
EMEDS+10
-Provide care to 2K-3K
-Extremely limited blood supply
EMEDS+25
-86 personnel/emeds package
-Core infrastructure/speciality UTC
What functions do IMAs serve?
As a backfill should their AD counterparts deploy to a contingency operation.
What Specfic postition can be held as 4N071?
NCOIC
For progression to SMSgt, how many yrs back does the AF selection board review?
10 Yrs
The SNCO board evaluates what aspects of the individual being scored?
-How well individual meet the whole person concept (performance, education, experience, responsibility, competence, achievements, leadership)
What special duty assignments/positions can you fill that will help w/career progression?
-Instructor
-CDC Writer
-SKT reviewer
-V&TW workshop
-medical readiness&manpower
AFCFM responsibilities can be found where?
AFI 44-104
What are 2 different classifications of equipment?
-Medical investment
-Medical expense
When should you sign custody receipt/locator listing when assuming custodial responsibility?
-Only after inventory is performed and all corrective actions are documented
What form is turned into Biomed Equip Repair when repair is identified?
AF 1297, Temp issue receipt
What is found on the custody receipt/locator list?
-Quantity
-$ value
-stock # sequence
Whats the purpose of custodial actions list?
interim listing update the custody receipt/locator listing, process a change action affecting a custodian account
What document is submitted to MEMO to record equip turn-in or transfer?
AF 601, Equipment Action Request
What is a unit for measuring work called?
man hr
What is a manpower authorization?
-Funded manpower req w/details defining position in terms of function, location, skill, grade & other appropriate characteristics that commands use.
What is a manpower requirement?
Manpower needed to accomplish a job, workload,mission, or program.
How are manpower authorizarions identified on the UMD?
-In terms of their function, organization, skill, grade & other characteristics commands use.
What does the position # identify on UMD?
Manpower requirement
How are civilian postions identified on the UMD?
"CIV"
What months are included in the 2nd fiscal quarter displayed on the UMD?
1Jan-31Mar
What is "excess" condition?
Each position is authorized 1 occupant, under certain circumstances for a temporary period a 2nd occupant can be assigned.
How can you fill a position temporarily?
Manning Assistance Request
SSgt Johnson is working from 1 project to another and unable to bring units current status in line w/future goals. What aspect of Time Management does he need to incorporate?
Planning
TSgt Smith recently assigned as NCOIC of clinic. She has firm grasp of org goals. What other info can TSgt Smith utilize to allign units progression to meet org goals?
Historical Unit data w/planning to determine unit's progression to meet org goals.
What asoect of time mgmt can TSgt Smith use that offers a clear direction to accomplish all necessary tasks.
Prioritize tasks in order to accomplish all necessary tasks
SSgt Mays is shift ldr of special care unit, works 8hr days. Is constantly stressed, overwhelmed, always has "hot" project/suspense. What pri tool could he useto make more efficient use of time.
Catergorize pri in ABC, budgeting each lvl w/no more than 10% A pri, then evenly splitting B&C.
SSgt Aerans in charge of providing in-service training quarterly, but routinely running around last min set up necessary training. How
Utilizing ongoing time mgmt to meet continual deadlines of training
4 objectives should be met when developing a schedule
1-adequate pt care coverage/avoiding overstaffing
2-Desirable distribution of days off for each staff mbrs
3-All individuals treated fairly
4-Know in advance scheduled duty
Who is responsible for final approval of enlisted duty schedule
-Nurse managers, NCOIC
You over hear SrA Jones complaining that she never gets days off she wants. how could u help change outlook.
-Offer responsibility of creating schedule to gain new perspective on scheduler's responsibilities
What references/guidance does scheduler use to prepare duty schedule.
AFIs, OIs, local guidance
When scheduling civ personnel, what document should be reviewed & what info would it contain pertaining to schedule.
Union contracts--restrictions for full time, # hrs, specific guidelines for weekends/holiday, lines of authority in absense of nurse manager/NCOIC
As the Scheduler of inpt surgical unit, why is it necessary to have open lines of communication w/surgery suite and surgical clinic?
Pt census of surgical inpt unit directly linked to pts seen by surgeons in clinics who then consulted for surgery to be performed in OR suite.
What schedule provides a continual rotation, but least amount of flexibility?
Cyclical, 12 hr shift
as NCOIC of Peds Clinic, FC tasked you to produce a sched that incorporates overlapping shifts, manning during busy times, time for inservices. What sched technique do u use?
Compressed
Define Job description
Brief summary of jobs/tasks perfomed by the position
During orientation u review position descrip w/ A1C matthews, what purpose does it provide?
Help staff mbrs analyze duties for better understanding of their job as well as ID potential training needs.
What non-military guidelines govern position descrip for 4N's?
-JC guidelines
-NREMT
-National league of nurses
Job analysis is the study of what characteristics?
The mininum of knowledge, skill, aptitude & personal characteristics needed to perform job.
What is performance standard?
Mininum acceptable performanceexpected to be met
In order for a performance standard to be measurable, it must meet what criteria?
Tangible & based on reality of what is possible & attainable
Prior to establishing performance standards, what must be accomplished?
Job duties must be clearly stated through development of position descrip and job descrip.
Amn Alexander is completing the end of day records review for pts seen by his clinic team. What performance criteria would u use to evaluate his performance?
Qualitative approach-evaluate quality through accuracy of tasks performed.
While evaluating Amn Alexanders performance what factors would u report on?
-Observable aspects of task
-What they did
-How they performed task
-Impact of mission
Reviewing established standards, comparing an individuals performance to standard, as well as how an improve performance to meet/exceed standard is accomplished when and why?
Midterm feedback
-Allows individuals opportuity to improve performance b4 annual EPR is due
Name 2 aspects by which training is accomplished.
-Formal Courses
-OJT
The effectiveness of training involves monitoring what 3 key areas?
-Careerknowledge
-Current qualification & certification requirements
-Job profciency through UGT
SrA Jones is interested in applying for special duty assignment but is unsure what she is eligible for. As supervisor can you assist her in process?
Revewing CFETP to educate on process of special duty maybe eligible for.
CFETP- contains clear career path/defines training reqs at various points needed.
As SMSgt, what 2 special duty assignments can u fill?
MAJCOM functional manager
-Group Superintendent
How many parts is CFETP diided into and what is incorporated in each part?
2
Part I-Info needed for orverall mgmt of speciality
Part II- STS designedto provide formal course developers/ield supes w info needed to ID/Plan/conduct training.
What info will u find in Part II, Section A of CFETP?
STS
Who is responsible for documenting training completion in the mbrs training records?
Supervisor
Define MTP?
Reference guide in each section includes all facets of training for enlisted personnel assigned to specific duty section
What document indicated items required fo various skill levels/duty positions w/in duty section?
MTL
Who is mandated to use the 6part training folder to doument training?
All enlisted medical specialities except 4NX9X level
How are changes to 6part folders made and w/whose approval?
USAF Surgeon Gen endorses&approvs CFETP and only when changes made to CFETP can changes be made to 6 part folder.
What documents are maintained in part 4 of 6part folder?
AF 623a, OJT Record Continuation Sheet, AETC 156 (student training report), AF803
How often is CFETP reviewed and by who?
Annually
-CFM,MAJCOM Functionals,Various formal course personnel
What are 4 basic questions pop health mgmt starts w/?
-Who is in pop
-What r their evidence based health risks/needs
-What r best, evdence ways to address the problems
-How are we doing in addressing probs
Who is eligible for Tricare Prime & how is enrollment accomplished?
AD mbrs (automatic), and AD family mbrs (must initiate)
The HEAR survey provdes what specific pt info about pop health?
Pts health risks/needs, project demand services: including prevent needs,case/disease mgmt
Once implemented, what does demand mgmt reflect?
Activities of health system designed to create a healthy environment, Low morbidity/mortality, encourage effective use decision/support& self mgmt tools
What does conditon mgmt taget?
High cost, high volume, and complex diseases/conditions
-Use perfomance metric tools to focus on key processes/outcomes
Who on average makes up more than 50% of those eligible for care?
Retirees
Define Medicare
Healthcare financing for the elderly
Tricare is blend of what systems?
-Military direct care system of hospitals/clinics
-Civilian Health&Medical program of uniformed services
What are 3 most common choices for eligible beneficiaries?
-Tricare Prime
-Tricare extra
-Tricare Standard
What 9 principles guide the design/implementation of tricare program?
1-Provides med support to armed forces mbrs.
2-Central oversight w/local accountability
3-Specilized treatment 4-effective info sys use 5-improve access to healthcare 6-small fee for outside service 7-annual enrollment fee for others no enrollment fee AD/their fams 8-PCMs 9-exclude prescrip fees for persons w/disabilities
What was former name of Tricare Standard?
CHAMPUS
Under Tricare standard, what allowable costs for outpt care for both AD Families and other beneficiaries?
80% for AD/ their Families
-75% Retirees/familes/other elig beneficiaries
What is the newest TRICARE program implemented for retired members ver 65, what are the reqs to enroll?
-Tricare for life
-All medicare elligible beneficiaries regardless of age, be enrolled in part B medicare.
What additional risk factors contribute to diabetic neuropathy?
-High BP
-Overweight
-Over age 40
Name 4 main types of neuropathies and give brief descrip of each?
1-Peripheral: Pain/loss of feeling in extremities
2-Autonomic:Changes to organs systems
3-Proximal: Pain in thighs, hps, buttocks
4-Focal: Sdden weakness of 1 nerve/groups causes weakness/pain @ nerve site
Why is it important for diabetics to perform daily foot care?
Prevent deformities such as hammertoes/flattened arches,blisters/sores, gait changes
With Autonomic neuropathy, how are heart and circulaory systems affected?
Nerve interferes with bodys ability to adjest HR&BP
-Results in sharp drop in BP w/position changes or constant HIGH HR instead of normal rise and falls.
Which type of neuropathy is most often seen in older pts?
Focal
What is primary treatment used to prevent/delay diabetic neuropathy?
Bring glucose lvls w/in norm ranges
With an unconscious pt, on what highest priority of pt care the healthcare team should concentrate?
Airway mgmt
When an unconscious pt is unable to breathe on their own what is established?
Endotracheal Tube
Trachesostomy (Conditions)
-Cuffed tubes used in Conjunction w/positive pressure vent
-Soft balloon cuff pressure checked q8
-used for long-term vent support
Endotracheal tube (Conditions)
-Most common for longterm peds and neonatals
-Cuff may cause mucosal ulceration in 5-7days
-Usually removed after 48-72 hrs
-Longterm complication of tracheal stenosis
What is the most common method of calculating drug doses?
Basic Medication Calculation

-Basic calc dose divided bysupplied dose
What is the formula for basic med calc?
Ordered/supplied x Quantity=amount need for dosage required
What must be done first b4 inputting info into calculation formula?
Conversions
How do you convert kilograms to pounds?
x 2.2 by weight in kilograms
How many milliliters are there in a tsp?
5
Why is primary intention closure used when a surgical incision is made?
-little tissue loss/damage
What is a digital block?
-Nerve block that anesthetize the finger
What must occur b4 a local anesthetic can be administered?
-Consent from pt
-Instruct pt on procedure
-Gather supplies
-Expose & drape
-Clean op site w/ betadine
What is primary purpose of housekeeping duties?
-Control Spread of infection
How are customer needs accesed?
Through customer evaluations
Why is building rapport important?
-Builds harminous relationships w/pts as well as sense Safety&Security
What should you do if you cannot solve pts problem?
-Find someone in Org that can
Whats a pt advocate?
-Liason btwn pt and healthcare provider
Explain normal flow of electrical conduction through heart.
- SA Node-->R&L Atrial muscles--> internal nodal pathways-->AV Node
P?
QRS?
T?
P- atria depolarization
QRS- Ventricular contraction
T-Ventricles repolarizing
Why is repolarization of atria not seen on an EKG?
Electrical activity of ventricle is more powerful (QRS)
What are likely causs of extrinsic mechanisms of arrhythmias?
-Cadiac drugs
-Trauma
-Heat exhaustion
Why is it important for early intervention w/defibrillator when treating VF or pulseless VT?
-When done in 1st min 90% survival rate.
-Decreases 2-10% per min due to depletion of hearts energy stored by fibrillating heart.
Medical Standards exist for what 2 purposes?
1-ensure basic health/fitness for all mil mbrs
2- ensure pers not placed at undue risk due to conditions not conducive to certain mil ops.
When are medical standards applied?
-During every visit an AD or ARC mbr makes to your clinic
What circumstances warrants MEB be accomplished immed following event & how long after event must it be accomplished by?
Seizures, 90 days
Who is the final approving authority for new PULHES for all AD who are returned to duty?
Local profiling officer
What are 2 specific outcomes from MEB/PEB?
-Return to duty w/ ALC
-Recommend temp disability retirement limitations
What is the primary responsiblity of the PEBLO?
- To ensure all disability cases referred to PEB are completed and correctly/fully documented.
What is the primary purpose of ALC-C?
-protect mbrs from being placed in environments where they may not receive adequate med care for poss life threatening med condition, prevent sending non-world qualified pers overseas.
What two things determine a mbr's security clearance?
-AFSC
-Assignment
What must the aircrew mbr do at the end of each contact lense wearing period?
-Remove, clean, disinfect
When wearing contacts on flights exceeding 4 hrs what is likely to occur?
Eye irritation due to dry environment
Who is ineligible to wear contacts?
Flying Class III wishing to wear but no operational need to wear contacts.
Who performs annual exam in the SCL program?
Flight Surgeons and Optometry
Whose responsiblity is it to screen, examine & followup SCL program participants?
Optometry Clinic
Why is it important to consider wind direction when planning a route to a mishap site?
Take in consideration the travel of hazardous chemicals in the wind. Travel in upwind direction.
Why is communication btwn senior AMSC and on-scene commander important?
For safety of everyone involved & equipment.
When triage is completed at the site, who coordinates transfer of pt care away from site?
MCC (medical control center)
Define the 7 hr report and explain the purpose?
Extension of mishap investigation. An extensive report from surviving crewmembers on the (chronological) events of past 72 hrs leading up to event.