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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
-first seen in Navy pay charts in 1841
-Ranked second in seniority among shipboard petty officers
-first enlisted rate requiring specific qualifications
Nurse - ✔✔-1861-
-Applied to junior enlisted medical personnel
-Served concurrently with Surgeon Steward
Baymen - ✔✔-Early 1870s-
-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
Total Medal of Honor Awards - ✔✔22 (half of all MoH's awarded to Dept. of Navy)
Total Navy Cross Awards - ✔✔ 182
Total Distinguished Service Medals - ✔✔ 33
Total Silver Star Awards - ✔✔ 946
Total Bronze Star Awards - ✔✔ 1582
Number of ships named after HMs - ✔✔ 20
Communication Skills
Communication - ✔✔Inter-personal process of people relating to each other through conversation, gestures, appearance, behavior, writing, or silence
Communication Skills
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
Mortality - ✔✔the number of deaths in a given time or place
Palliation - ✔✔the relief of symptoms when cure is no longer possible, and treatment is provided solely for comfort
Postmortem - ✔✔After death
Sympathy - ✔✔An affinity, association, or relationship between persons or things wherein whatever affects one similarly affects the other
Terminal Illness - ✔✔Leading ultimately to death, an unhealthy condition of the body. There is no reasonable expectation of recovery.
Rigor Mortis - ✔✔The stiffness or rigidity of skeletal muscles that occurs after death.
Protected Health Information (PHI) - ✔✔Individually identifiable health information that is transmitted or maintained by electronic media.
Chronological Health Record - ✔✔Arranging in a time sequence
Dental Health Record - ✔✔Continuous care given to active duty and reserve members and their families
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 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)
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
- 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
*summarizes clinical data relative to treatment received during periods of hospitalizations
(MUST MATCH NAVMED 6300/
SF 513 - ✔✔Consultation Sheet
*for outpatients who need to be referred to other healthcare providers or specialists
NAVMED 6600/3 - ✔✔Dental Health Questionnaire (HQR)
NAVMED 6150/7 (pink card) - ✔✔Health Record Receipt
NAVMED 6550/8 - ✔✔Medication Administration Record
NAVMED 6550/12 - ✔✔Patient Profile
SF 508 - ✔✔Doctor's Orders
SF 510 - ✔✔Nursing Notes
DD Form 792 - ✔✔24 hour intake and output worksheet
John Bradley - ✔✔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.
