Aerospace Medical Service Mission (ASM Test) Questions With Complete Solutions!!

Aerospace Medical Service Technicians Roles and Responsibilities - ANS They practice IAW the 4NOX1 Career Field Education and Training Plan (CFETP) under the direction of a RN or privileged provider. Aerospace Medical Service Technician - ANS 1. assists providers and nurses with patient care, education, documentation, medication reconciliation, and follow ups. 2. at times, is required to perform admin functions (front desk) 3. performs nursing tasks 4. acts as a PCMH (patient center medical hold) member or team leader 5. front-line preventionist- identifies potential health risks and provides preventative counseling 6. performs paraprofessional portions of preventative health assessments and physical examinations 7. observes, reports, and records observations in patient progress notes and team conferences 8. performs postmortem (cleaning up and tagging dead bodies then taking them from the scene to the morgue) care 9. provides field medical care in contingency operations and disasters 10. performs basic life support and triage in emergency situations. In order to become an Aerospace Medical Service Technician, you must complete how many phases? - ANS 2 phases Name 3 Aerospace Medical Service Technician responsibilities. - ANS 1. assist providers and nurses with patient care, education, documentation, medication reconciliation, and follow ups 2. performs nursing tasks 3. performs basic life support and triage in emergency situations What document is our scope of practice? - ANS The CFETP What is the CFETP? - ANS A document identifying the legal scope of practice within the Air Force Medical Service (AFMS), life cycle education/training requirements, training support resources, and core task requirements for this specialty. Also the ability to do what we can do is defined in the CFETP. How many parts are there of the CFETP? - ANS 2 parts What is part 1 of the CFETP? - ANS Provides overall management of specialities. What is part 2 of the CFETP? - ANS Identifies Specialty Training Standards (STS) and includes duties, tasks, technical references to support training. What is STS? - ANS Describes an Air Force specialty in terms of tasks and knowledge an Airman in that specialty may be expected to perform. Apprentice Level (4NO31) Requirements - ANS 1. medical terminology 2. anatomy and physiology 3. emergency medical treatment 4. basic life support (BLS) certification 5. national registry of emergency medical technician (NREMT) certification 6. nursing skills (basic and advanced) 7. primary care management 8. complete phase 1 and 2 Journeyman Level (4NO51) Requirements - ANS 1. qualification in and possession of AFSC 4NO31 2. completion of CDC's 4NO51A AND 4NO51B 3. completion of specialty training standard (STS) core tasks 4. current NREMT certification 5. considered as skilled technicians What does the acronym CFETP stand for? - ANS Career Field Education and Training Plan how many parts does the CFETP contain? - ANS 2 parts 4NO31 designates what skill level? - ANS Apprentice level 4NO51 designates what skill level? - ANS Journeyman level What is a Special Experience Identifiers (SEI's)? - ANS a specialized area where individuals must meet the criteria prior to being selected; the CFETP contains all equipments for each one. Allergy and Immunizations (SEI 453) - ANS 1. manages immunotherapy care and performs diagnostic tests as ordered by physician 2. prepares all allergenic extracts and specific allergy treatment extracts and can perform emergency care for treatment of anaphylaxis (extreme allergic reaction) 3. performs allergy skin testing, tuberculosis testing, and anergy (absence of the normal immune response to a particular antigen or allergen) testing. 4. administers vaccines IAW current guidelines 5. provides patient education regarding expected reactions and proper post-vaccination care Hemodialysis (SEI 486) - ANS 1. prepares patient and performs procedures using specialized renal dialysis equipment (usually due to renal failure; 3-4 hours; 3x a week) 2. performs patient evaluation procedures 3. performs access of patients vascular system Critical Care Technician (SEI 487) (ICU techs) - ANS 1. prepares patient with special equipment for transfers 2. perform and assist with examinations and special procedures Hyperbaric (SEI 490) (wound treatment) - ANS 1. prepares patients and equipment for equipment for hyperbaric dive 2. performs wound care debridement 3. functions as hyperbaric dive crewmember 4. provides emergency care for patients in event of medical or hyperbaric chamber emergencies 5. performs hyperbaric maintenance on chamber systems and ancillary equipment Aeromedical Evacuation (SEI 494) - ANS 1. performs pre-flight and inflight patient care and documentation 2. provides emergency care for patients in the event of a medical and/or aircraft emergency 3. functions as an aeromedical evacuation crew member 4. enplanes and deplanes patients 5. operates specialized aircraft flight equipment, medical devices and aircraft systems related to patient care Special Operations Command Medic (SEI 455) - ANS 1. performs special operations medical support providing initial combat trauma stabilization, on-going field trauma care, and casually evacuation (CASEVAC) to definitive care National Registry Parademic (SEI 456) - ANS 1. knowledge and understanding of current USAF Emergency Medical Service (EMS) protocol 2. performs airway, ventilation, and oxygenation management and circulatory care 3. identifies and assesses the need for cardiovascular and circulatory care 4. identifies the need for emergency medication administration 5. identifies the need for IV fluid initiation and maintenance How do you identify each Air Force Specialty Code (AFSC) Shred? - ANS By the letter following the 4NOX1 Neurology Technician (4NOX1C) - ANS 1. responsible for neurological patient examination, treatment, and diagnostic procedures Independent Duty Medical Technician (4NOX1C) - ANS 1. responsible for rendering medical, dental, and emergency treatment 2. understands common disorders (heart failure, hypertension and asthma) 3. proficient in advanced cardiac and disease management, epidemiology, and entomology 4. performs pharmacy, laboratory, bioenviromental, immunizations, public health, medical logistics, and medical administration duties. Flight and Operational Medical Technician (FOMT) (4NOX1F) - ANS 1. provides, supervises, and manages patient care of beneficiaries to include flying and special operational duty personnel 2. serves as member of primary emergency medical response to in-flight emergencies and potential mass causalty scenarios for on and off-base incidents 3. augments search and rescue flying squadron Special Duty - ANS 1. available to all AFSCs to step out of their career field and perform a specialized job under a controlled tour 2. most special duties are not available until after a military member completes their 5-level 3. requirements are listed with each position and tour length 4. once the duty is completed, that member is reinstated back into their career field Examples: MTI, MTL, TTI, PME Instructor, Recruiter, First Sergeant What document contains all the requirements for an SEI? - ANS the CFETP What is SEI 456? - ANS National Registry Paramedic What is the AFSC shred for a Neurology Technician? - ANS 4NOX1B Most special duties are not available until after a military member completes their what? - ANS 5-level What is the Military Health System (MHS)? - ANS an organization operated by Department of Defense (DoD) that provides health care for al active duty members, retirees, dependents, and survivor. It is also DoD wide. Air Force Medical Service (AFMS) - ANS is the service specific component of the Air Force. What is the AFMS mission? - ANS 1. to enable medically fir forces, provide expeditionary medics, and improve the health of all we serve to meet our nations needs What is the AFMS vision? - ANS 1. our supported population is the healthiest and highest performing segment of the U.S. by 2025. 2. make sure that every Airman is able to perform their duties, both in the Area of Responsibility (AOR) and home station, to the best of their physical, psychological, and emotional ability. What are the 4 AFMS goals? - ANS 1. readiness 2. better care 3. better health 4. best value What are the MHS's quadruple aim goals? - ANS 1. readiness 2. experience of care 3. population health 4. per capita cost What is the Patient Centered Medical Home (PCMH)? - ANS is a team based model that begins with a strong primary care foundation accompanied by quality and resource efficiency incentives. What is a team composed of? - ANS 1. 2 or more providers (physician, nurse practitioner, etc) 2. nurse 3. 5 medical technicians 4. 1 medical admin (4A) 5. 2500 empaneled patients What are the roles of the Health Care Provider? - ANS 1. responsible for patient care coordination and oversight using the evidence-based Clinical Practice Guidelines (CPGs) 2. addresses medical issues utilizing a team approach structure What are the roles of the Nurse? - ANS s as the care manager to meet the needs of the patient 2. supervises the nursing staff with their professional development, training, and competencies What are the roles of the Admin Support? - ANS 1. provides clinic activities such as front desk operations, scheduling appts, telephone, and records management 2. verifies patients identity in Defense Enrollment Eligibility Reporting System (DEERS) and 3rd party insurances. What are the joint principles of the PCMH? - ANS Personal physician, provider team management, whole person orientation, coordinated/integrated care, quality and safety of care, enhanced access to care. What is a Personal Physician? - ANS 1. each patient has an ongoing relationship with a personal physician 2. provides continuous and comprehensive care What is Provider Team Management? - ANS 1. team takes ownership of management 2. clear cut roles and responsibility What is a Whole Person Orientation? - ANS 1. patient provided the total spectrum of care 2. physician responsible for knowing the patient What is coordinated/integrated care? - ANS 1. PCMH team and ancillaries need to communicate well and provide good handoff What is quality and safety of care? - ANS 1. patients actively participate in decision making feedback What is enhanced access to care? - ANS 1. expanded hours of care 2. new options for communication (secure web messaging, nurse advice line (NAL)) What is continuity in the basic principles of PCMH? - ANS 1. patients will primarily be seen by their PCM 2. if PCM is not available they can schedule with another provider from the scene team What is provider templates in the basic principles of PCMH? - ANS 1. templates will deliver a standard number of appts. every week when the provider is available What is control of templates in the basic principles of PCMH? - ANS 1. providers have control (through chief of medical staff SGH)) of their templates 2. support staff coordinates the schedule based on clinic hours what is satisfaction in the basic principles of PCMH? - ANS 1. patient, provider, and support staff satisfaction are carefully monitored What is the purpose of team huddles? - ANS 1. intended for problem-solving and updating the plan 2. used to re-establish the teams awareness the situation, reinforcing plans in place, and assessing the need to adjust the plan 3. used by healthcare team to discuss the needs of the members How many types of Team Huddles are there? - ANS 2 types What is the purpose of Daily team huddles? - ANS The person in charge ensures the following is discussed: 1. prioritize care 2. develop plan for the day 3. maximize communication between all members (appts., unexpected absences, etc.) 4. check for any team staffing issues or coverage required 5. complete telephone consult (tons)/message slips within 72 hours 6. address any/all secure web messaging messages 7. ensure exam rooms are stocked What is the purpose of weekly team huddles? - ANS 1. additional items to cover 2. discuss planned staff absences and coverage What is performance management? - ANS 1. goal is to ensure every patient outcome is managed to the maximum extent possible 2. measured by the patient outcomes compared to the overall performance What are ways to avoid conflict? - ANS 1. do not become defensive 2. do not become judgmental 3. do not avoid the situation 4. watch tone of voice and posture 5. listen to what the patient has to say What are ways to resolve conflict? - ANS 1. define the problem 2. collect the info. about the problem 3. identify possible solutions 4. select the best solution 5. carry out the solution 6. evaluate the results (when you come to someone with a problem have a solution too) What is TRICARE Prime? - ANS 1. most affordable and comprehensive (covers everything) coverage 2. most care received by the assigned Primary Care Manager (PCM) 3. no enrollment fee for active duty and dependents What is TRICARE Prime Remote? - ANS 1. for members who live greater then 50 mile radius outside a Military Treatment Facility (MTF) 2. Retirees are not eligible What is TRICARE Standard and Extra? - ANS 1. fee for service plan available to all non-active duty beneficiaries 2. freedom to choose own providers 3. may pay for services upfront and file your own claims for reimbursement 4. enrollment is not required What is TRICARE For Life? - ANS 1. offers secondary coverage to beneficiaries who have Medicare Parts A & B 2. minimal out-of-pocket costs 3. no enrollment required What is TRICARE Reserved Select? - ANS 1. for qualified National Guard and Reserve members 2. pays a monthly premium 3. enrollment is required