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EMT Basic · Chapter 9 · Review · Chapter track

The Team Approach to Health Care

Referencing the content of EMT-Basic training and emergency patient care

Learning objectives (9)

  1. Describe decision traps that can lead to decision-making errors — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  2. Describe the steps EMTs can take to troubleshoot interpersonal conflicts — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  3. Explain how crew resource management (CRM) can be useful in the prehospital environment — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  4. Explain the advantages of a team over a group; include the advantages of regularly training and practicing together — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  5. Explain the stages of effective decision making — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  6. List the five critical elements necessary to ensure effective transfer of patient care from one provider to another — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  7. List the five essential elements of a group — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  8. List the five essential elements of a team — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

  9. List the five steps a receiving health care provider should perform when taking a patient care report (PCR) — Knowledge/skills objective (printed page 319); confirm wording in your course copy.

Chapter web resources

Optional reading from authoritative sites. Your textbook remains the primary source for this course.

When sources disagree (5 topics to verify before you teach from this chapter alone)

Printable study sheetPrintable flashcards (PDF, 10-up)Read first, then practise the track.

Showing Chapter track material. Switch tracks on the chapter page.

Vocabulary · 10

  • Closed-loop communication

    A communication pattern in which the receiver repeats the message back so the sender can confirm it was understood correctly.

    SourceAHRQ TeamSTEPPS — Closed-loop communication

  • Crew Resource Management (CRM)

    A set of team-coordination principles — originating in aviation — that emphasize communication, situational awareness, and assertiveness to reduce errors.

    SourceAHRQ TeamSTEPPS — Origins — CRM

  • SBAR

    A structured handoff mnemonic — Situation, Background, Assessment, Recommendation — used to communicate patient status between providers.

    SourceAHRQ TeamSTEPPS — SBAR communication

  • Handoff (handover)

    The structured transfer of patient information and responsibility from one provider or team to another.

    SourceThe Joint Commission — Hand-off communications

  • Span of control

    The number of subordinates or resources that one supervisor can effectively manage — typically 3 to 7 in EMS incident operations.

    SourceFEMA / NIMS doctrine — Span of control

  • Chain of command

    The formal line of authority — who reports to whom — that defines decision-making structure within an EMS agency or incident.

    SourceFEMA / NIMS doctrine — Chain of command

  • Speaking-up culture

    A team environment in which any member feels safe to raise concerns about safety or care without fear of retribution.

    SourceAHRQ TeamSTEPPS — Mutual support — speaking up

  • Interdisciplinary team

    A group of providers from different specialties — paramedics, nurses, physicians, social workers — working together on patient care.

    SourceThe Joint Commission — Interdisciplinary care

  • Quality improvement (QI)

    A systematic process of reviewing performance data and making changes to improve patient outcomes and safety.

    SourceAHRQ — Quality improvement

  • Active listening

    Communication technique in which the listener focuses fully, reflects content, and clarifies meaning rather than preparing a response.

    SourceAHRQ TeamSTEPPS — Active listening

Sequences · 2

  • SBAR patient handoff — Order the four sections of an SBAR handoff to the receiving team.
  • Closed-loop communication cycle — Order the steps that close a single communication loop.