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HCB Test 1 Questions and Answers Content
from Trainee Guide
TCRM (Time-Critical Risk Management - ✔A) Assess situation B) Balance Resources C) Communicate to Others D) Do and Debrief *Using TCRM model trains the brain to continue thinking under duress, stress, boredom Situational Awareness (SA) - ✔Degree of accuracy by which one's perception of the current environment mirrors reality SA Risk Color Guide - ✔Green - little chance of serious error Yellow - higher chance of serious error Red - very high chance of serious error Swoosh Arrow - return to good SA How To Identify Shipmates in Yellow or Red - ✔Making errors, poor communication, overloaded, fatigued, complacent, not following procedures Caduceus (kah-deuce) - ✔Rating insignia of Hospital Corps Sickbay/cockpit - ✔where sick and injured men were taken for care Surgeon Steward - ✔First enlisted rate requiring specific qualification
Medal of Honor - ✔Highest military decoration (Armed forces) awarded for conspicuous gallantry and intrepidity at the risk of life above and beyond the call of duty. Distinguished Service Cross (DSC) - ✔Second highest military decoration (ARMY) awarded for extraordinary heroism Navy Cross - ✔Second highest military decoration (NAVY or MARINES) awarded for extraordinary heroism Silver Star - ✔Third highest military combat decoration (Armed Forces) awarded for gallantry in action Bronze Star - ✔Awarded to any person serving in the military after 6DEC1941 who distinguishes themselves by heroic or meritorious acheivement Purpose of Article 16 - ✔States that a convenient place shall be set apart for sick or hurt men.....and some of the crew shall be appointed to attend to and serve them and keep the place clean. Ship's Surgeon - ✔Trained physician Surgeon's mate - ✔Usually a physician but subordinate to surgeon (held warrant officer like status). Responsibilities more equivalent to modern senior HM Congress Mandate 2 March 1799 - ✔All newly commissioned sailing warships to contain a "cockpit" for treatment of sick and injured *unofficially re-established need for enlisted medical personnel
-replaced title of "nurse" -Defined as "one who manned the sickbay" Apothecary - ✔-1866- -14th century term for "pharmacist" -consolidated to one senior petty officer in March 1869 -required vast knowledge, in charge of anesthesia, mixing/distributing medications, correspondence, logistics, and training of Baymen Apothecaries of Distinction - ✔Cornelius O'Leary and Robert Stanley Bill signed by President McKinley, 17 June 1898 - ✔Called for dramatic improvements to armed forces in response to threat of war *led to United States Navy Hospital Corps *Established Hospital Steward (CPO)
- Hospital Apprentice Third Class (PO3) *Hospital Apprentice *Pharmacists Pharmacist Establishment - ✔SECNAV appointed 25 senior apothecaries as pharmacists *Cornelius O'Leary had 38 years experience *Robert Stanley, first Hospital Corps MoH recipient WAVES - ✔= Women Accepted for Volunteer Emergency Service *Commissioned during WWII Bethesda Naval Hospital -
✔Flagship of Navy Medicine since 11 November 1940 First Hospital Corps School - ✔Portsmouth, VA, 15 DEC 1902 *graduated 29 Hospital Apprentices 1916 Expansion - ✔Congress authorized Hospital Corps to 3.5% of all Navy/Marine Corps forces Secondary Hospital Corps School - ✔1917, Great Lakes, IL *closed in 1921, but reopened two decades later to facilitate with WWII Tertiary Hospital Corps School - ✔1928, San Diego, CA Hospital Corps School for WAVES (Women Accepted for Volunteer Emergency Service) - ✔12 Jan 1944, commissioned at US Naval Hospital, Bethesda, Maryland In 1948... - ✔Hospital Corps was brought into the regular Navy by Congress Dental Technician (DT) Rating - ✔Established 12 Dec 1947, rating change became effective 02 Apr 1948. *Merged with Hospital Corps 01 Oct 2005 When/where were HM 'A' Schools consolidated? - ✔1997, NHCS Great Lakes became Navy's sole training facility
Active Listening - ✔Listening carefully to what they are saying and ask questions to get to the root of their requests Communication Skills Contact Point - ✔Physical location to which a customer goes to obtain a service, i.e. sick bay, dining facility, post office, etc Communication Skills Attitude - ✔The tendency to move toward a situation or away from it Communication Skills Skill - ✔The ability to do something well as a result of talent, training, or practice, or a combination of these Communication Skills Verbal - ✔Speaking in a good tone, volume, and intensity will help to clearly convey your message Communication Skills Nonverbal - ✔Facial expressions, physical proximity, gestures, and voice tone are all part of your interaction 5 Stages of Grief - ✔Denial- acts as though nothing has happened and refuses to accept the fact of the loss Anger - expresses resistance and intense anger at a religious deity, or someone else in the situation Bargaining - tries to prevent it from happening, makes promises to themselves, loved ones, or religious deities to prevent the outcome Depression - realizes the full impact of the loss. Acceptance - Incorporated the loss into life and finds ways to move forward
Bereavement - ✔state of having suffered a loss by death Coping - ✔Adjusting to or solving challenges Depression - ✔Sense of great loss of the impending loss of being Empathy - ✔The ability to imagine oneself in another's place and understand the other's feelings, desires, ideas, and actions Grief - ✔The emotional feeling of pain and distress that a person experiences as a reaction to loss Hospice - ✔Philosophy of care for the dying and their families Morgue - ✔A place where the bodies of deceased persons are kept until identified and claimed by relatives or released for burial Mourning - ✔The outward social expressions of grief and the behavior associated with loss Mortality - ✔the number of deaths in a given time or place Palliation -
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 (HIPAA) - ✔Provides safeguards for protected health information (PHI) to ensure patient privacy is maintained Privacy Act of 1974 - ✔Restricts the way in which personal data can be used by federal agencies Individuals must be permitted access to information stored about them (PROTECTS YOU FROM FEDERAL AGENCIES) Freedom of Information Act (FOIA) - ✔Law that gives you the right to access information from the federal government *Often described as the law that keeps citizens in the know about government Defense Enrollment Eligibility Reporting System (DEERS) - ✔The system that you must be enrolled in to be eligible for TRICARE Beneficiary - ✔The members enrolled in DEERS -Sponsors: Active duty, retired, and guard/reserves -Family members: Spouse and children who are registered in DEERS MANMED Chapter 16 - ✔Location of more guidance and information for medical treatment records Convenience (Secondary Record) - ✔Contains excerpts from primary record for increased access to information
Temporary (Secondary Record) - ✔Purpose is to document a current course of treatment *There are also temporary dental records Ancillary (Secondary Record) - ✔Documentation withheld from a patient's HREC/OREC *i.e. psychiatric treatment, real or suspected child/spouse abuse *VIP record, sensitive info DD Form 2766 (and four components) - ✔Adult Preventative and Chronic Care Flow Sheet
- Significant health problems
- Hospitalizations/surgery
- Medical alert, medications
- Health maintenance (immunizations, deployment readiness, etc) SF 600 - ✔Chronological Record of Medical Care *continuous comprehensive record if a patient's medical history SF 509 - ✔Medical Record-Progress Report (PREFERRED FOR IMMINENT HOSPITALIZATION OVER SF 600) SF 502 - ✔Narrative summary
✔Participated in flag raising at Mount Suribachi. (WWII, Iwo Jima) Management for sexual assault/rape cases - ✔NAVMEDCOMINST 6310. Sexual Assault Victim Intervention (SAVI) Program guidance - ✔OPNAVINST 1752. Victim and Witness Program - ✔SECNAVINST 5800. uses for DD form 2766 - ✔(Adult Preventive and Chronic Care Flowsheet) *Used for accountability if there's a secondary record somewhere else DD205 - ✔Privacy Act Statement Who has ultimate responsibility over medical records? - ✔Commanding officer How many days can you have a medical record checked out? - ✔ 5 How many days does an agency have to respond to a request for info as per the FOIA? - ✔ 20 What system is used for medical records? - ✔Terminal Digit Filing System Inpatient Admission/Disposition Report -
SOAP note - ✔Subjective, Objective, Assessment, Plan -included on SF 600
