Download FN/AET #2 Medical Nursing Examination with Answers and more Exams Biological Psychology in PDF only on Docsity!
FN/AET #2 Medical Nursing
Examination with Answers.
- Unknown (Duration of Harm) - Correct Ans: โ
Duration of harm is unknown at time of classification.
- Not Applicable (Duration of Harm) - Correct Ans: โ
The type of event that does not lend a harm classification. (ex. near miss)
- Who determines the final classification of a event category? - Correct Ans: โ
TCSG Director of the PMPS or AMC/SG AE PSM
- What is the process for reporting events regarding unexpected death, permanent harm, or severe temporary harm? - Correct Ans: โ
Notify C2/PMRC ASAP, report event into JPSR or on DD Form 2852, and submit within 24 hours.
- Does the patient's record include a note describing a completed DD Form 2852 or JPSR report? - Correct Ans: โ
No.
- What is a COPSA? - Correct Ans: โ
A patient safety alert with recommendations/guidelines addressing critical patient safety trends.
- What are the 8 objectives of PM safety program? - Correct Ans: โ
- teamwork
- establishes policies/standards
- non-punitive environment
- systemic improvement system
- reduce harm events
- disseminate data for learning
- track and trend pt satisfaction
- promote a high reliability AE culture
- C-17 aircraft airflow - Correct Ans: โ
aft to forward
- KC-135 aircraft airflow - Correct Ans: โ
forward to aft
- C-130 aircraft airflow - Correct Ans: โ
aft to forward
- What clinical conditions would require a cabin altitude
restriction? - Correct Ans: โ
Head, eye, and decompression injuries.
- What do AECMs do in the absence of a physician contact/supervision when a patient's status changes or there is a medical emergency? - Correct Ans: โ
They will immediately start interventions.
- What do you use to identify a patient when transmitting
medical information? - Correct Ans: โ
The pt's cite number.
- Who should be reassessed before a refueling? - Correct
Ans: โ
Pt's with head/spinal injuries and those requiring advanced life-support.
- Who determines the need for an en route diversion? -
Correct Ans: โ
MCD
- Who is responsible for the care of patients, medical
records and narcotics at a RON stop? - Correct Ans: โ
The MTF/CC.
- Active-duty patients/attendants need what to be released
from the AE system? - Correct Ans: โ
Medical authority's recommendation and CC approval.
- Non-active duty/attendants need what form completed
to be released from the AE system? - Correct Ans: โ
AF Form 3841 Certificate of Release
- What is the responsibility of the clinician during a prisoner
transport? - Correct Ans: โ
To provide safe clinical support during transport.
- Any unaccompanied minor/incompetent patient will have
what? - Correct Ans: โ
Power of attorney, consent from PMRC and minors under the age of 18 will have a NMA.
- How is conflict handled? - Correct Ans: โ
At the lowest possible level before calling C2.
- What are clinicians subject to in response to a threat to
patient safety? - Correct Ans: โ
Adverse clinical action.
- What is required of a patient during engine running
off/on loads? - Correct Ans: โ
Eye protection, hearing protection and securing of all medical equipment/tubing.
- What color headlamps does AECM utilize during low light
or no light conditions? - Correct Ans: โ
Green.
- What is required of service animals when accompanying a
passenger? - Correct Ans: โ
They must be harnessed/properly leashed and should not occupy aisles.
- Who is responsible for the needs of a service/emotional
support dog? - Correct Ans: โ
The handler/patient.
- What happens if a passenger/crewmember becomes a
patient? - Correct Ans: โ
They are treated, C2 is notified and they are removed from the crew position.
- How are blood products packed? - Correct Ans: โ
In accordance with sending facility protocols.
- What must be worn with a patient who is suspected of an
airborne transmissible infection? - Correct Ans: โ
N-
- (T/F) A red biohazard waste bag goes with the patient
when they offload. - Correct Ans: โ
True.
- Who is responsible for the disinfecting of the aircraft? -
Correct Ans: โ
The AECMs
- Is decontamination the responsibility of the AECM? -
Correct Ans: โ
No.
- How long are multi-dose vials good for after opening? -
Correct Ans: โ
28 days
- What are some considerations during airborne
precautions? - Correct Ans: โ
Patients will wear a surgical mask, all aircrew will wear a N-95, the patient will be isolated to a low traffic area and downwind.
- Patients with TB will be transported using airborne
precautions except when? - Correct Ans: โ
The pt received at least 14 days of treatment, and show clinical improvement.
- What are droplet precautions? - Correct Ans: โ
Pts are kept at least 6 ft apart, and will wear a surgical mask.
- What will an AECM wear when providing direct care to a
pt with contact precautions? - Correct Ans: โ
Gown and gloves
- What two medications are given as soon as operationally
possible when a BBF exposure happens? - Correct Ans: โ
Raltegravir (Isentress) and Truvada (Tenofovir DF and Emtricitabine)
- What is the AE mission? - Correct Ans: โ
Time-sensitive movement of casualties between MTFs on aircraft.
- What is the purpose of the En Route Care system? -
Correct Ans: โ
To promote safe, effective, continual care.
- What level of care does the staging facilities provide? -
Correct Ans: โ
Med/surg care.
- What level of care does the ERCC team provide? - Correct
Ans: โ
ICU level care.
- What is the level of care provided by an MTF? - Correct
Ans: โ
Critical care and in-patient mental health.
- What is the level of care that AECMs provide? - Correct
Ans: โ
To provide BLS/ACLS level care w/ the medical direction of C2.
- A PMR contains what? - Correct Ans: โ
Pt's current condition, medical history, plan of care, current medications and required equipment.
- PMRC (role) - Correct Ans: โ
provides medical regulating services
- JPMRC (role) - Correct Ans: โ
only active during war time
- Vitals for ROUTINE in-patients are documented within
how many hours prior to validation? - Correct Ans: โ
72 hours
- Vitals for URGENT and PRIORITY patients are required
within how many hours prior to validation? - Correct Ans: โ
12 hours
- The initial movement precedence is determined through
consultation between who? - Correct Ans: โ
The referring and accepted privileged provider.
- Who makes the final determination for the movement
precedence? - Correct Ans: โ
VFS and PMRC
- Urgent (catergory) - Correct Ans: โ
Requires immediate PM.
- Priority (catergory) - Correct Ans: โ
Medical condition could deteriorate.
- Routine (category) - Correct Ans: โ
Can tolerate longer waiting periods.
- What kind of patient would fall under the "special
category"? - Correct Ans: โ
- Command interest
- E-9 (depending on position)/O-9 or higher
- foreign national
- secretarial designee
- any other high visibility patient
- Can a pt's classification be downgraded? - Correct Ans:
โ
Yes, but only with the approval of the VFS.
- Describe the PM process. - Correct Ans: โ
Starts at MTF, the referring doc contacts the VFS and they work together to submit a PMR into TRAC2ES, (T)PMRC contacts AETC (operations) for mission planning and updates the PMR, ERPS, AE, ERPS, and receiving facility.
- How many TPMRC's (theater PMRC) are there? - Correct
Ans: โ
3, TPMRC-A(mericas), TPMRC-E(ast), adn TPMRC- W(est).
- What are the responsibilities of the originating facility? -
Correct Ans: โ
Create/submit PMR, supply equipment, supplies and medication.
- What are the responsibilities of the MTF/CC at Originating
and Destination Facilities? - Correct Ans: โ
Provide MA, maintain communication w/ MTF personnel and coordinate mission delays.
- In the absence of ERPS, who is required to provide patient transportation and manpower to the evacuation asset? - Correct Ans: โ
The originating facility.
- What are the MTF/ERPSS responsibilities in TRAC2ES? -
Correct Ans: โ
Monitor TRAC2ES daily, verify mission info, update in TRAC2ES and coordinate mission changes.
- Who maintains custody of a critical care patient to and from the aircraft when transporting from flight line to MTF? - Correct Ans: โ
The assigned ERCC team.
- What form is utilized if the EHR is unavailable? - Correct
Ans: โ
AF Form 3899
- What is the primary source of documentation? - Correct
Ans: โ
EHR (electronic health record)
- Who is responsible for the transfer of documentation of
patient records? - Correct Ans: โ
Originating facilities.
- Who is responsible for assuring all documentation is
transferred and stored in the patient file? - Correct Ans: โ
Destination facility.
- MTF/CC's ensure what for RON patients at or near their
facility? - Correct Ans: โ
A medical evaluation and a place to stay.
- How often does the flight surgeon evaluate and
document the patients condition? - Correct Ans: โ
Upon arrival to the ERPSS facility and every 24 hours.
- What vehicle support does ERPSS require? - Correct Ans:
โ
Adequate AMBUS assets to support PM requirements.
- What is the governing AFI for all ERPSS training? - Correct
Ans: โ
AFI 41-
- All personnel assigned to ERPSS attends what training? -
Correct Ans: โ
AE and Patient Staging Course (AEPSC)
- Who briefs patients? - Correct Ans: โ
The sending facility, ERPS, and AE crews.
- I (I-SBAR) - Correct Ans: โ
Identify: name, age, sex, reason for transport
- S (I-SBAR) - Correct Ans: โ
Situation: problem or chief complaint
- B (I-SBAR) - Correct Ans: โ
Background: pertinent background info such as diagnosis, mediations, allergies, fluids, VS, labs
- A (I-SBAR) - Correct Ans: โ
Assessment: nurse assessment of situation
- R (I-SBAR) - Correct Ans: โ
Recommendation: what the clinician wants
- Where are the locations of the I-SBAR forms? - Correct
Ans: โ
DAFI 48-107V1 attachment 7 (inpatient) and 8 (outpatient)
- What determines how extensive the patient assessment
will be? - Correct Ans: โ
# of patients, mission requirements and the environment.
- What does the primary assessment include? - Correct
Ans: โ
Initial inspection and palpation on the patient.
- During flights shorter than 45 minutes, what do clinicians
assess? - Correct Ans: โ
Allergies, immediate interventions needed, suicidal/homicidal ideations, restraints, VS, pain level, sedation, circulatory and sensory function.
- When is the primary assessment completed? - Correct
Ans: โ
When the patient is initially seen by medical personnel, needs to be done prior to flight.
- Coma/Unresponsive Mnemonic (UNCONSCIOUS EG) -
Correct Ans: โ
o U: units of insulin o N: narcotics o C: convulsions o O: oxygen o N: non-organic o S: stroke o C: cocktails o I: intracranial pressure o O: organism o U: urea (kidney failure) o S: shock
o E: exposure/undress o G: general appearance
- Who is responsible for recycling PMI back into the PMI
system? - Correct Ans: โ
The destination facility.
- Do MA and NMA's provide care or assistance at the
destination facilities? - Correct Ans: โ
No, they are only utilized en route.
- What are attendants provided at the originating facility? -
Correct Ans: โ
A physical duty responsibility hand out along with verbal instructions.
- If an immediate family member is not available to be an
NMA, what happens? - Correct Ans: โ
Another adult may accompany the patient in NMA status based on written and determination of need.
- When would an MA be required? - Correct Ans: โ
When a patient's needs exceed the capabilities of the medical crew or require special attention.
- How many pieces of luggage are authorized (depending
on aircraft size)? - Correct Ans: โ
Two, max 70 lbs each bag and an additional carry-on.
- What form do you attach to a patient's luggage? - Correct
Ans: โ
DD Form 600 (Patient's Baggage Tag)
- What happens to all baggage prior to storing? - Correct
Ans: โ
It is anti-hijacked and screened.
- When are anti-hijacking procedures conducted? - Correct
Ans: โ
Before departing for the flight line.
- Patients are encouraged not to carry what while in the AE
system? - Correct Ans: โ
Valuables
- What is the policy on weapons in the AE system? -
Correct Ans: โ
Patients travel without weapons, but if they are taken to the flight line they will be either returned to the pt's unit or secured by the loadmaster.
- What should you do before administering patient meals,
snacks, and beverages? - Correct Ans: โ
Check for food allergies and verify diet orders.
- How often should fluids be provided? - Correct Ans: โ
At least every two hours.
- When parenteral nutrition infusions are completed, what
is it switched to? - Correct Ans: โ
10% dextrose in water.
