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123 Cards in this Set
- Front
- Back
What is the purpose of the AE system?
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Movement of "stabilized"pts from fwd med locations to another pre-arranged destination
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What are the 3 increments that make up EMEDS packages?
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EMEDS BASIC
EMEDS +10 EMEDS +25 |
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EMEDS Basic (specific scope)
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-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. |
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EMEDS+10 (specific scope)
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-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. |
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EMEDS+25 (specific scope)
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-provides prevention, acute intervention, primary care to support deployment of 3K-5K
-86 personnel increment provides the CORE INFRASTRUCTURE for speciality UTCs |
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EMEDS Basic
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-Care for 500-2K
-UTC FFEP6 assigned to force package |
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EMEDS+10
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-Provide care to 2K-3K
-Extremely limited blood supply |
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EMEDS+25
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-86 personnel/emeds package
-Core infrastructure/speciality UTC |
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What functions do IMAs serve?
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As a backfill should their AD counterparts deploy to a contingency operation.
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What Specfic postition can be held as 4N071?
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NCOIC
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For progression to SMSgt, how many yrs back does the AF selection board review?
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10 Yrs
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The SNCO board evaluates what aspects of the individual being scored?
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-How well individual meet the whole person concept (performance, education, experience, responsibility, competence, achievements, leadership)
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What special duty assignments/positions can you fill that will help w/career progression?
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-Instructor
-CDC Writer -SKT reviewer -V&TW workshop -medical readiness&manpower |
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AFCFM responsibilities can be found where?
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AFI 44-104
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What are 2 different classifications of equipment?
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-Medical investment
-Medical expense |
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When should you sign custody receipt/locator listing when assuming custodial responsibility?
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-Only after inventory is performed and all corrective actions are documented
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What form is turned into Biomed Equip Repair when repair is identified?
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AF 1297, Temp issue receipt
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What is found on the custody receipt/locator list?
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-Quantity
-$ value -stock # sequence |
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Whats the purpose of custodial actions list?
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interim listing update the custody receipt/locator listing, process a change action affecting a custodian account
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What document is submitted to MEMO to record equip turn-in or transfer?
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AF 601, Equipment Action Request
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What is a unit for measuring work called?
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man hr
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What is a manpower authorization?
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-Funded manpower req w/details defining position in terms of function, location, skill, grade & other appropriate characteristics that commands use.
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What is a manpower requirement?
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Manpower needed to accomplish a job, workload,mission, or program.
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How are manpower authorizarions identified on the UMD?
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-In terms of their function, organization, skill, grade & other characteristics commands use.
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What does the position # identify on UMD?
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Manpower requirement
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How are civilian postions identified on the UMD?
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"CIV"
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What months are included in the 2nd fiscal quarter displayed on the UMD?
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1Jan-31Mar
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What is "excess" condition?
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Each position is authorized 1 occupant, under certain circumstances for a temporary period a 2nd occupant can be assigned.
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How can you fill a position temporarily?
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Manning Assistance Request
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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?
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Planning
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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?
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Historical Unit data w/planning to determine unit's progression to meet org goals.
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What asoect of time mgmt can TSgt Smith use that offers a clear direction to accomplish all necessary tasks.
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Prioritize tasks in order to accomplish all necessary tasks
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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.
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Catergorize pri in ABC, budgeting each lvl w/no more than 10% A pri, then evenly splitting B&C.
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SSgt Aerans in charge of providing in-service training quarterly, but routinely running around last min set up necessary training. How
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Utilizing ongoing time mgmt to meet continual deadlines of training
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4 objectives should be met when developing a schedule
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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 |
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Who is responsible for final approval of enlisted duty schedule
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-Nurse managers, NCOIC
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You over hear SrA Jones complaining that she never gets days off she wants. how could u help change outlook.
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-Offer responsibility of creating schedule to gain new perspective on scheduler's responsibilities
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What references/guidance does scheduler use to prepare duty schedule.
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AFIs, OIs, local guidance
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When scheduling civ personnel, what document should be reviewed & what info would it contain pertaining to schedule.
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Union contracts--restrictions for full time, # hrs, specific guidelines for weekends/holiday, lines of authority in absense of nurse manager/NCOIC
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As the Scheduler of inpt surgical unit, why is it necessary to have open lines of communication w/surgery suite and surgical clinic?
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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.
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What schedule provides a continual rotation, but least amount of flexibility?
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Cyclical, 12 hr shift
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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?
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Compressed
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Define Job description
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Brief summary of jobs/tasks perfomed by the position
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During orientation u review position descrip w/ A1C matthews, what purpose does it provide?
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Help staff mbrs analyze duties for better understanding of their job as well as ID potential training needs.
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What non-military guidelines govern position descrip for 4N's?
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-JC guidelines
-NREMT -National league of nurses |
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Job analysis is the study of what characteristics?
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The mininum of knowledge, skill, aptitude & personal characteristics needed to perform job.
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What is performance standard?
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Mininum acceptable performanceexpected to be met
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In order for a performance standard to be measurable, it must meet what criteria?
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Tangible & based on reality of what is possible & attainable
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Prior to establishing performance standards, what must be accomplished?
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Job duties must be clearly stated through development of position descrip and job descrip.
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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?
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Qualitative approach-evaluate quality through accuracy of tasks performed.
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While evaluating Amn Alexanders performance what factors would u report on?
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-Observable aspects of task
-What they did -How they performed task -Impact of mission |
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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?
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Midterm feedback
-Allows individuals opportuity to improve performance b4 annual EPR is due |
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Name 2 aspects by which training is accomplished.
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-Formal Courses
-OJT |
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The effectiveness of training involves monitoring what 3 key areas?
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-Careerknowledge
-Current qualification & certification requirements -Job profciency through UGT |
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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?
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Revewing CFETP to educate on process of special duty maybe eligible for.
CFETP- contains clear career path/defines training reqs at various points needed. |
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As SMSgt, what 2 special duty assignments can u fill?
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MAJCOM functional manager
-Group Superintendent |
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How many parts is CFETP diided into and what is incorporated in each part?
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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. |
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What info will u find in Part II, Section A of CFETP?
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STS
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Who is responsible for documenting training completion in the mbrs training records?
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Supervisor
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Define MTP?
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Reference guide in each section includes all facets of training for enlisted personnel assigned to specific duty section
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What document indicated items required fo various skill levels/duty positions w/in duty section?
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MTL
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Who is mandated to use the 6part training folder to doument training?
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All enlisted medical specialities except 4NX9X level
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How are changes to 6part folders made and w/whose approval?
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USAF Surgeon Gen endorses&approvs CFETP and only when changes made to CFETP can changes be made to 6 part folder.
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What documents are maintained in part 4 of 6part folder?
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AF 623a, OJT Record Continuation Sheet, AETC 156 (student training report), AF803
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How often is CFETP reviewed and by who?
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Annually
-CFM,MAJCOM Functionals,Various formal course personnel |
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What are 4 basic questions pop health mgmt starts w/?
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-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 |
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Who is eligible for Tricare Prime & how is enrollment accomplished?
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AD mbrs (automatic), and AD family mbrs (must initiate)
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The HEAR survey provdes what specific pt info about pop health?
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Pts health risks/needs, project demand services: including prevent needs,case/disease mgmt
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Once implemented, what does demand mgmt reflect?
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Activities of health system designed to create a healthy environment, Low morbidity/mortality, encourage effective use decision/support& self mgmt tools
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What does conditon mgmt taget?
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High cost, high volume, and complex diseases/conditions
-Use perfomance metric tools to focus on key processes/outcomes |
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Who on average makes up more than 50% of those eligible for care?
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Retirees
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Define Medicare
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Healthcare financing for the elderly
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Tricare is blend of what systems?
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-Military direct care system of hospitals/clinics
-Civilian Health&Medical program of uniformed services |
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What are 3 most common choices for eligible beneficiaries?
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-Tricare Prime
-Tricare extra -Tricare Standard |
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What 9 principles guide the design/implementation of tricare program?
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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 |
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What was former name of Tricare Standard?
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CHAMPUS
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Under Tricare standard, what allowable costs for outpt care for both AD Families and other beneficiaries?
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80% for AD/ their Families
-75% Retirees/familes/other elig beneficiaries |
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What is the newest TRICARE program implemented for retired members ver 65, what are the reqs to enroll?
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-Tricare for life
-All medicare elligible beneficiaries regardless of age, be enrolled in part B medicare. |
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What additional risk factors contribute to diabetic neuropathy?
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-High BP
-Overweight -Over age 40 |
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Name 4 main types of neuropathies and give brief descrip of each?
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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 |
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Why is it important for diabetics to perform daily foot care?
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Prevent deformities such as hammertoes/flattened arches,blisters/sores, gait changes
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With Autonomic neuropathy, how are heart and circulaory systems affected?
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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. |
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Which type of neuropathy is most often seen in older pts?
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Focal
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What is primary treatment used to prevent/delay diabetic neuropathy?
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Bring glucose lvls w/in norm ranges
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With an unconscious pt, on what highest priority of pt care the healthcare team should concentrate?
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Airway mgmt
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When an unconscious pt is unable to breathe on their own what is established?
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Endotracheal Tube
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Trachesostomy (Conditions)
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-Cuffed tubes used in Conjunction w/positive pressure vent
-Soft balloon cuff pressure checked q8 -used for long-term vent support |
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Endotracheal tube (Conditions)
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-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 |
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What is the most common method of calculating drug doses?
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Basic Medication Calculation
-Basic calc dose divided bysupplied dose |
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What is the formula for basic med calc?
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Ordered/supplied x Quantity=amount need for dosage required
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What must be done first b4 inputting info into calculation formula?
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Conversions
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How do you convert kilograms to pounds?
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x 2.2 by weight in kilograms
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How many milliliters are there in a tsp?
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5
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Why is primary intention closure used when a surgical incision is made?
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-little tissue loss/damage
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What is a digital block?
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-Nerve block that anesthetize the finger
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What must occur b4 a local anesthetic can be administered?
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-Consent from pt
-Instruct pt on procedure -Gather supplies -Expose & drape -Clean op site w/ betadine |
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What is primary purpose of housekeeping duties?
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-Control Spread of infection
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How are customer needs accesed?
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Through customer evaluations
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Why is building rapport important?
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-Builds harminous relationships w/pts as well as sense Safety&Security
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What should you do if you cannot solve pts problem?
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-Find someone in Org that can
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Whats a pt advocate?
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-Liason btwn pt and healthcare provider
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Explain normal flow of electrical conduction through heart.
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- SA Node-->R&L Atrial muscles--> internal nodal pathways-->AV Node
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P?
QRS? T? |
P- atria depolarization
QRS- Ventricular contraction T-Ventricles repolarizing |
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Why is repolarization of atria not seen on an EKG?
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Electrical activity of ventricle is more powerful (QRS)
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What are likely causs of extrinsic mechanisms of arrhythmias?
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-Cadiac drugs
-Trauma -Heat exhaustion |
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Why is it important for early intervention w/defibrillator when treating VF or pulseless VT?
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-When done in 1st min 90% survival rate.
-Decreases 2-10% per min due to depletion of hearts energy stored by fibrillating heart. |
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Medical Standards exist for what 2 purposes?
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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. |
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When are medical standards applied?
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-During every visit an AD or ARC mbr makes to your clinic
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What circumstances warrants MEB be accomplished immed following event & how long after event must it be accomplished by?
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Seizures, 90 days
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Who is the final approving authority for new PULHES for all AD who are returned to duty?
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Local profiling officer
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What are 2 specific outcomes from MEB/PEB?
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-Return to duty w/ ALC
-Recommend temp disability retirement limitations |
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What is the primary responsiblity of the PEBLO?
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- To ensure all disability cases referred to PEB are completed and correctly/fully documented.
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What is the primary purpose of ALC-C?
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-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.
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What two things determine a mbr's security clearance?
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-AFSC
-Assignment |
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What must the aircrew mbr do at the end of each contact lense wearing period?
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-Remove, clean, disinfect
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When wearing contacts on flights exceeding 4 hrs what is likely to occur?
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Eye irritation due to dry environment
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Who is ineligible to wear contacts?
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Flying Class III wishing to wear but no operational need to wear contacts.
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Who performs annual exam in the SCL program?
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Flight Surgeons and Optometry
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Whose responsiblity is it to screen, examine & followup SCL program participants?
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Optometry Clinic
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Why is it important to consider wind direction when planning a route to a mishap site?
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Take in consideration the travel of hazardous chemicals in the wind. Travel in upwind direction.
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Why is communication btwn senior AMSC and on-scene commander important?
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For safety of everyone involved & equipment.
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When triage is completed at the site, who coordinates transfer of pt care away from site?
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MCC (medical control center)
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Define the 7 hr report and explain the purpose?
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Extension of mishap investigation. An extensive report from surviving crewmembers on the (chronological) events of past 72 hrs leading up to event.
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