Hospital Corpsman Basic Main Flashcards
TCRM
Time Critical Risk Management is using risk management concepts when time and resources are limited.
ABCD
A- Asses the SituationB- Balance Resources C- Communicate to otherD- Do and debrief
The ABCD model & icons can?
Save your life, Make you a expertImprove teamwork
Situational Awareness(SA) (A)
The degree of accuracy by which ones perception of the current environment mirrors reality.
Risk Color Green
Little chance of serious error
Risk Color Yellow
Higher chance of serious error.
Risk Color Red
Very high chance of serious error.
Individual Risk
You know what's right but you take a short cut. Could lead to something worse. Ex. Not wearing a seatbelt. Not using turning signals. Shipmates could be in yellow or red if they're making errors, overloaded, fatigued. Etc.
Balance resources
Make the correct decisions to mitigate risks. Prior planning. Discuss resources available.
Communicate
Who needs to know? Who can help? Ensure everyone knows their part and let people know when things change.
Do and Debrief
Do the mission and use the appropriate resources to mitigate risk.
Caduceus
Rating insignia for the Hospital Corps
Sickbay
Where sick and injured men were taken for care
Cockpit
Another name for sickbay
Surgeon Steward
First enlisted rate requiring specific qualification
Medal of Honor
The highest military decoration that may be awarded by the US Government.
Distinguished Service Cross
2nd highest military decoration (US Army)
Navy Cross
The second highest military decoration that may be awarded to a member of the US Navy, US Marine Corps and to members of the Coast Guard when working under Navy authority. For extraordinary heroism.
Silver Star
Third highest military combat decoration. For gallantry in Action.
Article 16
First direction given to Navy medicine in 1775.Convenient place set apart for sick and injured men.
When did it become mandatory for ships to contain a cockpit?
On March 2 1799.
Who was the Navy's first Loblolly Boy?
John Wall
Who was the navy's first loblolly POW?
John Domyn
Who was the first African American loblolly boy?
Joseph Anderson
Surgeon Steward
First seen in navy pay charts in 1841
Apothecary
pharmacist
Apothecaries of distinction
Cornelius O'Leary and Robert Stanley
Birth of the US Hospital Corpsman
17 June 1898 signed by President William McKinley
How many apothecaries are concidered the charter members of the hospital corps?
The secretary of the navy appointed 25 senior apothecaries.
Which corps received the first Medal of Honor?
Robert Stanley
WAVES
Women Appointed for Volunteer Emergency Service in the Navy during WWII. Commissioned at the US Naval Hospital Bethesda Maryland
How long has Bethesda Naval Hospital been the flagship of Navy medicine?
Since November 11, 1940. Converted into a joint medical center marking the end of an era.
First Corpsman school
Portsmouth, VA. Dec 15 1902, graduated first 29 Hospital apprentices.
First corps school for WAVES
Commissioned at the US Naval Hospital NNMC Bethesda, Maryland on Jan 12 1944.
Rank Structure
1916-1948Chief pharmacist matePharmacist mate 1,2,3Hospital apprentice 1,2
Pharmacist Mate John Bradley
Participated in the raising of the American Flag on Mount Suribachi, Iwo Jima.
James Forrestal
First Secretary of Defense for the United States. Paid Honor to Hospital Corpsman for all wounded or killed during battle of Iwo Jima.
Navy's two Hospital Ships
USNS Mercy & USNS comfort. Since 1990 thousands of Corpsman have deployed.
Most decorated rate in the navy
Hospital Corpsman
How many medal of honors do Hospital Corpsman have?
22. Half of all to the navy.
How many Navy crosses have been awarded to Corpsman?
182 navy crosses.
How many Bronze Stars have been awarded to corpsman?
There has 1582 Bronze stars awarded to corpsman.
Client
Service which requires some degree of confidentiality.
Bareavement
State of having suffered a loss by death.
Coping
Adjusting or solving challenges
empathy
the ability to understand and share the feelings of another
grief
The sorrow caused by the loss of a loved one
Hospice
Philosophy of care for the dying and their families.
Mourning
the expression of deep sorrow for someone who has died, typically involving following certain conventions such as wearing black clothes.
Mortality
death rate
Palliation
to relieve or lessen without curing
postmortem
after death
terminal illness
leading ultimately to death
Communication Process
sender, message, receiver, feedback
Barriers to effective communication
Physiological, physical, or psychosocial
physiological barriers
bodily conditions that prevent or constrain your ability to process information
physical barriers
sound, time, space
Psychosocial Barriers
Defense mechanism, education, culture, language.
Stages of coping with death
1. Denial2. Anger3. Bargaining4. Depression5. Acceptance
Moral
A practical lesson about right and wrong
Ethics
the principles of right and wrong that guide an individual in making decisions
informed consent
The healthcare provider give the patient all the information necessary for a knowledgeable decision.
Lawful Consent
The patient must have made a knowledgeable decision with full awareness of the consequences.
incident report
An event occurs that harms the individual, could harm or evidences serious dissatisfaction by patients, visitors or staff.
Freedom of Information Act
A document that governs the disclosure of documents maintained by government agencies.
Protected Health Information (PHI)
Individually identifiable health information including demographics, in paper, electronic or oral form.
Competency
The ability to understand the nature and consequences of one's decisions
Forms of Consent
Consent for medical treatment should be obtained through an open discussion. Should be documented.
Witness to Consent
Any competent adult. It is a conflict of interest to have a staff member who is participating in the patient's procedure to act as a witness.
Duration of Consent
Valid as long as there has been no material change from consent to procedure.
Freedom of Information Act (FOIA)
a federal statute that requires public agencies to provide certain types of information requested by citizens.
Privacy Act of 1974
a law that gives citizens access to the government's files on them.
HIPPA Security Rule
Designed to provide protection for individually identifiable health information that is maintained, transmitted or received in electronic form.
Implied consent
Arises by reasonable inference from the conduct of the patient or the individual authorized to consent for the patient.
Clinical record
Legal document and is admissible as evidence in a court of law in claims of negligence and malpractice
Attitude
The tendency to move toward a situation or away from it.
Skill
the ability to do something well
contact point
The physical location to which a customer goes to obtain a service
Denial
Acts as though nothing has happened
Anger
Expresses resistance and sometimes feels intense anger at a religious deity other people or situation
Bargaining
Making promises to self, a religious deity or loved ones that they will live or believe differently if they can be spared the dreaded outcome.
Depression
Realizes the full impact of the loss. Some feel overwhelmingly sad, hopeless and lonely, withdrawing from relationships and life.
Acceptance
Incorporated the loss into life and finds ways to move forward.
HIPPA Privacy Rule
Business processes to protect the use and disclosure of protected health information(phi)
chronological
Arranging in time sequence.
Dental record
A file of continuous dental care and treatment given to active duty, reserve members and their families. It contains all documents of dental care provided during a members career.
Health record (HREC)
A file of continuous care given to an active duty member and documents all outpatient care provided during a member's career.
Inpatient Record (IREC)
A medical file that documents care provided to a patient assigned to a designated inpatient bed at a mtf or ship.
Outpatient record (OREC)
A file of continuous care which documents ambulatory treatment received by a person other than an active duty member.
Health information portability and accountability act (HIPPA)
Provide safeguards for protected health information (PHI) to ensure patient privacy is maintained.
Defense Enrollment Eligibility Reporting System (DEERS)
System that you must be enrolled in to be eligible for tricare.
Beneficiary
The members that are enrolled into deers
Sponsors
Active Duty, Retired and Guard/Reserve members
Family members
spouses and children who are registered in DEERS
Primary medical record
used for documentation of outpatient medical and dental care.
Health record
A file of continuous care given to an active duty member and documents all outpatient care provided during a member's career.
Outpatient Record
A file of continuous care which documents ambulatory treatment received by a person other than an active duty member
Dental records
A continuous care given to active duty and reserves members and their families.
Inpatient record
a medical file which documents care provided to a patient assigned to a designated inpatient bed in a medical treatment facility or ship. HREC: Acitive OREC: non active
Convenience records
Excerpts from a patients primary record and is kept within the mtf by a treating clinic, service, department or individual provider for increased access to the information.
Temporary records
most commonly established in OB/GYN for prenatal patient.
What must a temporary dental record contain ?
Privacy act statement DD 2005Dental health questionnaire Dental Treatment form
Ancillary record
Sensitive files only certain providers have access too.
Part one (inside front cover)
Enter following information in pencil ~ Date of arrival~ projected rotation date~ home address and phone number ~ command Uic & phone number
Part two (front of center page)
Imprint of dd form 2005 privacy act statement
Preparing part III (back of center page)
Disclosure accounting record
Preparing part IV (inside back cover)
Forensic examination form
HEALTH/OUTPATIENT RECORD FORMS
The below are titles for each part of this form:PART 1: Record of Preventive Medicine and Occupational HealthPART 2: Record of Medical Care and TreatmentPART 3: Physical QualificationsPART 4: Record of Ancillary studies, Inpatient Care and Misc. Forms
Adult Preventive and Chronic Care Flow Sheet dd2766
Summation of relevant problems and medications that significantly affect the patients health status.
The DD form 2766 is divided into 4 pages
Significant health problemsHospitalization/ surgeryMedical alerts/ medicationsHealth maintenance
SF 600
Chronological Record of Medical Care
Ab
Away from
Contra
against
GERD
gastroesophageal reflux disease
HEENT
head, eyes, ears, nose, throat
ROSC
Return of spontaneous circulation
CNS
central nervous system
GI
gastrointestinal
Coronal
front and back (anterior and posterior)
Sagittal plane
divides the body into a right and left side
Transverse
top and bottom (superior & inferior)
Midline
An imaginary line drawn down the center of the body, dividing it into right and left halves.
Medial and lateral are used to indicate what?
The position of structures relative to the median sagittal plane.
Medial
Closer to the midline
Lateral
Farther away from the midline
Anterior (ventral)
Front
Posterior (dorsal)
Back
Superior
Lying towards the head end of the body
Inferior
Lying towards the foot end.
Supine
Face up
Prone
Face down
Six structural levels of the body
chemical, cell, tissue, organ, system, organism
chemical level
The beginning level of the organization of the body
cellular level
smallest unit of life
Tissue level
groups of similar cells that have a common function
organ level
structures that are composed of 2 or more different types of tissues, that have specific functions and usually have recognizable shapes(example: liver, stomach, heart, lungs, brain)
system level
consists of related organs with a common function
11 major systems
integumentary, skeletal, muscular, nervous, endocrine, cardiovascular, lymphatic, respiratory, digestive, urinary, reproductive
Four types of tissue
epithelial, connective, muscle, nervous
epithelial tissue
A body tissue that covers the surfaces of the body, inside and out
connective tissue
A body tissue that provides support for the body and connects all of its parts
muscular tissue
Contracts and moves the various parts of the body.
nervous tissue
A body tissue that carries electrical messages back and forth between the brain and every other part of the body.
Characteristics of living matter
digestion, metabolism, and homeostasis
Digestion
physical and chemical breakdown of food
Metabolism
The process by which the body breaks down substances and gets energy from food
Homeostasis
process by which organisms maintain a relatively stable internal environment
sympathetic nervous system
fight or flight
parasympathetic nervous system
rest and digest