HCB Test 1 Questions With Correct Detailed Answers

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 - correct answers TCRM (Time-Critical Risk Management Degree of accuracy by which one's perception of the current environment mirrors reality - correct answers Situational Awareness (SA) 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 - correct answers SA Risk Color Guide Making errors, poor communication, overloaded, fatigued, complacent, not following procedures - correct answers How To Identify Shipmates in Yellow or Red Rating insignia of Hospital Corps - correct answers Caduceus (kah-deuce) where sick and injured men were taken for care - correct answers Sickbay/cockpit First enlisted rate requiring specific qualification - correct answers Surgeon Steward Highest military decoration (Armed forces) awarded for conspicuous gallantry and intrepidity at the risk of life above and beyond the call of duty. - correct answers Medal of Honor Second highest military decoration (ARMY) awarded for extraordinary heroism - correct answers Distinguished Service Cross (DSC) Second highest military decoration (NAVY or MARINES) awarded for extraordinary heroism - correct answers Navy Cross Third highest military combat decoration (Armed Forces) awarded for gallantry in action - correct answers Silver Star Awarded to any person serving in the military after 6DEC1941 who distinguishes themselves by heroic or meritorious acheivement - correct answers Bronze Star 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. - correct answers Purpose of Article 16 Trained physician - correct answers Ship's Surgeon Usually a physician but subordinate to surgeon (held warrant officer like status). Responsibilities more equivalent to modern senior HM - correct answers Surgeon's mate All newly commissioned sailing warships to contain a "cockpit" for treatment of sick and injured *unofficially re-established need for enlisted medical personnel - correct answers Congress Mandate 2 March 1799 -Served porridge (loblolly) to sick/injured -Classified as official rate in 1814 -Maintained cleanliness -provided water/containers to hold amputated limbs -heated tar for hemorrhage control -Filled buckets of sand to use for slip control with bloodstained decks - correct answers Loblolly Boys (Quasi-War with France (first Barbary War) - correct answers Dates Loblolly Boys Served: John Wall (first one) John Domyn (first POW) Joseph Anderson (first African-American) - correct answers Loblolly Boys of Distinction -title used (American expansion--end of Civil War) -first seen in Navy pay charts in 1841 -Ranked second in seniority among shipboard petty officers -first enlisted rate requiring specific qualifications - correct answers Surgeon Steward - -Applied to junior enlisted medical personnel -Served concurrently with Surgeon Steward - correct answers Nurse -Early 1870s-1898 -replaced title of "nurse" -Defined as "one who manned the sickbay" - correct answers Baymen - -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 - correct answers Apothecary Cornelius O'Leary and Robert Stanley - correct answers Apothecaries of Distinction 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 - correct answers Bill signed by President McKinley, 17 June 1898 SECNAV appointed 25 senior apothecaries as pharmacists *Cornelius O'Leary had 38 years experience *Robert Stanley, first Hospital Corps MoH recipient - correct answers Pharmacist Establishment = Women Accepted for Volunteer Emergency Service *Commissioned during WWII - correct answers WAVES Flagship of Navy Medicine since 11 November 1940 - correct answers Bethesda Naval Hospital Portsmouth, VA, 15 DEC 1902 *graduated 29 Hospital Apprentices - correct answers First Hospital Corps School Congress authorized Hospital Corps to 3.5% of all Navy/Marine Corps forces - correct answers 1916 Expansion 1917, Great Lakes, IL *closed in 1921, but reopened two decades later to facilitate with WWII - correct answers Secondary Hospital Corps School 1928, San Diego, CA - correct answers Tertiary Hospital Corps School 12 Jan 1944, commissioned at US Naval Hospital, Bethesda, Maryland - correct answers Hospital Corps School for WAVES (Women Accepted for Volunteer Emergency Service) Hospital Corps was brought into the regular Navy by Congress - correct answers In 1948... Established 12 Dec 1947, rating change became effective 02 Apr 1948. *Merged with Hospital Corps 01 Oct 2005 - correct answers Dental Technician (DT) Rating 1997, NHCS Great Lakes became Navy's sole training facility - correct answers When/where were HM 'A' Schools consolidated? 2005, Army, Navy, and Air Force medical training shifted to San Antonio, TX - correct answers When did medical training move to Fort Sam Houston? Air Force Aerospace Medical Assistant Course, convened April 2011 - correct answers HM "A" Course Consolidated with Air Force... 22 (half of all MoH's awarded to Dept. of Navy) - correct answers Total Medal of Honor Awards 182 - correct answers Total Navy Cross Awards 33 - correct answers Total Distinguished Service Medals 946 - correct answers Total Silver Star Awards 1582 - correct answers Total Bronze Star Awards 20 - correct answers Number of ships named after HMs Inter-personal process of people relating to each other through conversation, gestures, appearance, behavior, writing, or silence - correct answers Communication Skills Communication Listening carefully to what they are saying and ask questions to get to the root of their requests - correct answers Communication Skills Active Listening Physical location to which a customer goes to obtain a service, i.e. sick bay, dining facility, post office, etc - correct answers Communication Skills Contact Point The tendency to move toward a situation or away from it - correct answers Communication Skills Attitude The ability to do something well as a result of talent, training, or practice, or a combination of these - correct answers Communication Skills Skill Speaking in a good tone, volume, and intensity will help to clearly convey your message - correct answers Communication Skills Verbal Facial expressions, physical proximity, gestures, and voice tone are all part of your interaction - correct answers Communication Skills Nonverbal 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 - correct answers 5 Stages of Grief state of having suffered a loss by death - correct answers Bereavement Adjusting to or solving challenges - correct answers Coping Sense of great loss of the impending loss of being - correct answers Depression The ability to imagine oneself in another's place and understand the other's feelings, desires, ideas, and actions - correct answers Empathy The emotional feeling of pain and distress that a person experiences as a reaction to loss - correct answers Grief Philosophy of care for the dying and their families - correct answers Hospice A place where the bodies of deceased persons are kept until identified and claimed by relatives or released for burial - correct answers Morgue The outward social expressions of grief and the behavior associated with loss - correct answers Mourning the number of deaths in a given time or place - correct answers Mortality the relief of symptoms when cure is no longer possible, and treatment is provided solely for comfort - correct answers Palliation After death - correct answers Postmortem An affinity, association, or relationship between persons or things wherein whatever affects one similarly affects the other - correct answers Sympathy Leading ultimately to death, an unhealthy condition of the body. There is no reasonable expectation of recovery. - correct answers Terminal Illness The stiffness or rigidity of skeletal muscles that occurs after death. - correct answers Rigor Mortis Individually identifiable health information that is transmitted or maintained by electronic media. - correct answers Protected Health Information (PHI) Arranging in a time sequence - correct answers Chronological Health Record Continuous care given to active duty and reserve members and their families - correct answers Dental Health Record A file of continuous care given to an ACTIVE DUTY member and documents all outpatient care provided during a member's career - correct answers Health Record (HREC) A medical file which documents care provided to a patient assigned to a designated inpatient bed in a medical treatment facility (MTF) or ship (STAYS OVERNIGHT - CIVILIANS AND ACTIVE DUTY) - correct answers Inpatient Record (IREC) A file of continuous care which documents ambulatory treatment received by a person other than an active duty member - correct answers Outpatient Record (OREC) Provides safeguards for protected health information (PHI) to ensure patient privacy is maintained - correct answers Health Information Portability and Accountability Act (HIPAA) 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) - correct answers Privacy Act of 1974 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 - correct answers Freedom of Information Act (FOIA) The system that you must be enrolled in to be eligible for TRICARE - correct answers Defense Enrollment Eligibility Reporting System (DEERS) The members enrolled in DEERS -Sponsors: Active duty, retired, and guard/reserves -Family members: Spouse and children who are registered in DEERS - correct answers Beneficiary Location of more guidance and information for medical treatment records - correct answers MANMED Chapter 16 Contains excerpts from primary record for increased access to information - correct answers Convenience (Secondary Record) Purpose is to document a current course of treatment *There are also temporary dental records - correct answers Temporary (Secondary Record) Documentation withheld from a patient's HREC/OREC *i.e. psychiatric treatment, real or suspected child/spouse abuse *VIP record, sensitive info - correct answers Ancillary (Secondary Record) Adult Preventative and Chronic Care Flow Sheet 1. Significant health problems 2. Hospitalizations/surgery 3. Medical alert, medications 4. Health maintenance (immunizations, deployment readiness, etc) - correct answers DD Form 2766 (and four components) Chronological Record of Medical Care *continuous comprehensive record if a patient's medical history - correct answers SF 600 Medical Record-Progress Report (PREFERRED FOR IMMINENT HOSPITALIZATION OVER SF 600) - correct answers SF 509 Narrative summary *summarizes clinical data relative to treatment received during periods of hospitalizations (MUST MATCH NAVMED 6300/5 - correct answers SF 502 Consultation Sheet *for outpatients who need to be referred to other healthcare providers or specialists - correct answers SF 513 Dental Health Questionnaire (HQR) - correct answers NAVMED 6600/3 Health Record Receipt - correct answers NAVMED 6150/7 (pink card) Medication Administration Record - correct answers NAVMED 6550/8 Patient Profile - correct answers NAVMED 6550/12 Doctor's Orders - correct answers SF 508 Nursing Notes - correct answers SF 510 24 hour intake and output worksheet - correct answers DD Form 792 Participated in flag raising at Mount Suribachi. (WWII, Iwo Jima) - correct answers John Bradley NAVMEDCOMINST 6310.3 - correct answers Management for sexual assault/rape cases OPNAVINST 1752.1 - correct answers Sexual Assault Victim Intervention (SAVI) Program guidance SECNAVINST 5800.11 - correct answers Victim and Witness Program (Adult Preventive and Chronic Care Flowsheet) *Used for accountability if there's a secondary record somewhere else - correct answers uses for DD form 2766 Privacy Act Statement - correct answers DD205 Commanding officer - correct answers Who has ultimate responsibility over medical records? 5 - correct answers How many days can you have a medical record checked out? 20 - correct answers How many days does an agency have to respond to a request for info as per the FOIA? Terminal Digit Filing System - correct answers What system is used for medical records? 6300/5 - correct answers Inpatient Admission/Disposition Report Subjective, Objective, Assessment, Plan -included on SF 600 - correct answers SOAP note