Shared Flashcard Set

Details

VOLUME 1
AF Knowledge
132
Medical
Professional
07/15/2012

Additional Medical Flashcards

 


 

Cards

Term
Briefly explain the mission of the USAF Medical Service.
Definition
The mission is to ensure maximum wartime readiness by developing and operating a comprehensive
community-based healthcare system that maintains the health and morale of Air Force members by providing or arranging timely, quality medical service for all active duty members, their families and beneficiaries. During contingencies, this healthcare system must rapidly expand, mobilize, and deploy to provide medical support to Air Force operations worldwide.
Term
Who heads the USAF Medical Service, and to whom is this individual an advisor?
Definition
The Air Force Surgeon General; the Secretary of the Air Force and Air Force Chief of Staff.
Term
Where is ophthalmology typically found on the organizational chart?
Definition
Medical operations squadron under the surgical services flight.
Term
Which flight is responsible for plans and programs, and allocates manpower and funds?
Definition
Resource management.
Term
What services are provided by the medical support squadron?
Definition
Resource management, TRICARE, medical logistics, medical information systems management, diagnostic and therapeutic services, and personnel and administration support.
Term
Where is optometry typically found on the organizational chart?
Definition
Aerospace medicine squadron under the flight/missile medicine flight.
Term
How do the optometry and ophthalmology clinics contribute to the defense of our country?
Definition
Maintains the visual health and efficiency of all military members (active and retired) and other eligible
personnel.
Term
How is the early detection of visual anomalies usually accomplished?
Definition
By vision screenings conducted in local schools or offered in the clinic as part of the eye examination.
Term
What can you expect as you advance in rank and skill level?
Definition
An increase in the scope of responsibility.
Term
What does the third digit indicate in AFSC 4V0X1?
Definition
Career field subdivision; specifically, ophthalmic career field.
Term
How does a person get into the ophthalmic career field?
Definition
Satisfactory completion of the J3ABR4V031, Ophthalmic Apprentice Course.
Term
In what AFMAN can you find your specific job description?
Definition
AFMAN 36–2108, Enlisted Classification.
Term
What’s the main difference between the 3-skill level and 5-skill level of the 4V0X1 AFSC?
Definition
The depth of knowledge, level of job proficiency, and scope of responsibility.
Term
Which clinic is primarily responsible for preparing patients for ophthalmic surgery?
Definition
The ophthalmology clinic.
Term
What Air Force training document identifies life-cycle education and training requirements, training support resources, and core task requirements?
Definition
CFETP.
Term
Name the two distinct parts of the dual-channel concept of EST.
Definition
Formal training and qualification training.
Term
Define task knowledge.
Definition
Knowledge needed to perform a particular task safely, accurately, and effectively.
Term
Describe a JQS and tell who has the responsibility to develop and ensure its effective use.
Definition
The JQS is nothing more than an STS that has been annotated with what you need to know at your particular duty station. Once the STS has been annotated by your supervisor, it becomes a JQS and is put in your training record.
Term
What’s the primary purpose of field evaluations?
Definition
To improve training programs.
Term
Where would you go if you wanted more information on educational opportunities?
Definition
Base education services office.
Term
When is an Air Force member enrolled in the CCAF?
Definition
Upon completion of basic military training.
Term
Besides an associate degree, what other certification can be awarded from CCAF?
Definition
Occupational instructor certificate and trade skill certification.
Term
Name the three civilian organizations concerned with accrediting Air Force ophthalmic courses.
Definition
(1) American Optometric Association.
(2) Southern Association of Colleges and Schools.
(3) Commission on Occupational Educational Institutions.
Term
Which civilian organization would certify an ophthalmic journeyman as a CPO, CPOA, or CPOT
upon successful completion of the exam?
Definition
AOA (American Optometric Association).
Term
Which civilian organization would certify an ophthalmology journeyman as a COA upon
successful completion of the exam?
Definition
JCAHPO (Joint Commission on Allied Health Personnel in Ophthalmology).
Term
What are two methods of accident prevention?
Definition
Understand general principles of safety and identify potential situations.
Term
What must you do in order to perform a procedure safely?
Definition
How to do the procedure.
Term
How can mental fitness be maintained?
Definition
By proper diet, exercise, and rest.
Term
What’s wrong with eating within view of patients?
Definition
It is very unprofessional and presents a potential health hazard.
Term
What is meant by the term “preoperational training” and why is it important?
Definition
Training occurring prior to operating a piece of equipment or performing a procedure.
Term
What general safety principle can prevent the tendency to perform your duties automatically, and ensures all safety factors are checked?
Definition
Discipline.
Term
To stay alert and avoid overlooking safety items, what must be eliminated or effectively handled?
Definition
Distracters.
Term
What is one of the biggest causes of job absenteeism in the Air Force?
Definition
Back injuries caused by improper lifting.
Term
What did the OSHA Act’s general duty clause emphasize?
Definition
That each employer furnish his or her employees a place of employment free from recognized hazards that
are causing or are likely to cause death or serious physical harm to them.
Term
What is “duty to warn?”
Definition
It is your legal responsibility to inform the about patient about all options available to avoid eye injuries.
Term
In the US Air Force, there are two worker classifications when referring to laser eye exam program. What are they?
Definition
Laser worker (laser personnel) and incidental laser worker.
Term
What should happen if there is a suspected or actual laser exposure/incident?
Definition
Ocular overexposure/suspected overexposure to a laser requires an immediate (ASAP, within 24 hours)
thorough eye examination by an eye doctor. The tests include medical history, external examination
including the skin, best visual acuity near and far, Amsler Grid visual fields, stereopsis, and non-dilated
fundoscopy. If the results of these tests are abnormal or questionable, then pupil examination, slit lamp
biomicroscopy, and dilated fundoscopy must be done. Also, the incident must be reported IMMEDIATELY.
Term
Accurate record keeping of accidents and incidents serve what two purposes?
Definition
(1) Protect the eye clinic from false claims by unscrupulous individuals and
(2) indicate a need for safety
training.
Term
What form should you use to report accidents that cause injuries requiring hospitalization?
Definition
AF Form 765, Medical Treatment Facility Incident Statement.
Term
If you suspect a potential safety hazard in the eye clinic, what form should be used for reporting purposes? Whom should you give this form to?
Definition
AF Form 457, USAF Hazard Report. Give it to your supervisor.
Term
What’s the key to a successful OPSEC program?
Definition
To get everyone involved in protecting information and resources.
Term
What’s an intelligence indicator?
Definition
An item of possible intelligence value providing information about capabilities and intentions when
properly interpreted.
Term
How can unclassified information be protected?
Definition
By applying OPSEC principles, policies, and techniques.
Term
Why did the OPSEC survey prove to be a valuable tool in the overall OPSEC program during
Southeast Asian operations?
Definition
It provided a systematic way of identifying and eliminating enemy sources of information.
Term
What are the three primary OPSEC vulnerabilities in the eye clinic?
Definition
The (1) schedule, (2) equipment, and (3) patients, staff, and facilities.
Term
List the three threats in today’s Air Force concerning computer security.
Definition
(1) Computer hackers,
(2) malicious logic (viruses),
and (3) FW&A of computer resources.
Term
What’s a computer virus?
Definition
A program designed to copy itself and insert this copy into other executable programs.
Term
Briefly describe ethics.
Definition
Theories or standards governing the conduct of the members of a profession.
Term
What’s the relationship between a sound moral character and moral obligations?
Definition
If the moral character is sound, then the moral obligations and resultant behavior will be sound.
Term
What is meant by beneficence?
Definition
The duty to do the patient some good, or render a treatment in the best interest of the patient.
Term
Briefly explain what decisions must be made with distributive justice, and why do these decisions need to be made.
Definition
Which patient will receive what treatment, how often, and how many patients can be treated. These
decisions need to be made because of limited resources.
Term
Briefly explain under what circumstances you’re morally responsible not to give treatment.
Definition
When the treatment could harm the patient and/or you’d be performing treatment you’re not qualified and
competent to perform.
Term
When are moral policies needed?
Definition
When a group of people with differing moral convictions are involved in moral conflict.
Term
Why can a military doctor be ordered to testify in a court martial about confidential medical information learned from an active duty patient?
Definition
Communication between an active duty patient and a military doctor isn’t privileged under the Manual for Courts-Martial.
Term
Why is sensitive medical information confidential, but not classified security information?
Definition
Its release wouldn’t compromise or affect our country’s national security.
Term
A patient you’re seeing is involved in a third-party liability case. Their lawyer contacts you just to clear up some missing minor details, and asks you questions about the patient’s treatment. What should you do? Who is the final approval authority for the release of treatment information?
Definition
Refer them to the patient administration section. The hospital commander is the final authority.
Term
What is a professional?
Definition
A professional has great skill or experience in a particular field or activity. One who has an assured
competence in a particular field or occupation.
Term
List the desirable characteristics of professionals.
Definition
(1) Courtesy.
(2) Attentiveness.
(3) Competency.
(4) Interpersonal relations.
(5) Patient-centered behavior.
(6) Good communication.
Term
What does your medical facility’s reputation depend on?
Definition
Your behavior.
Term
Where does a high percentage of a patient’s perception of quality health care come from?
Definition
Contact with the technicians of the health care team.
Term
You’re fitting a pair of glasses on a patient. The phone starts to ring and there’s no one else around to answer it. What should you do?
Definition
Answer the phone and ask the individual if he or she will hold or if you could call him or her back. Don’t let the phone just keep ringing.
Term
Why is it important not to give medical advice over the telephone?
Definition
It usually leads to inaccurate self-treatment by patients and is legally risky.
Term
What should you do if there is any question regarding a patient’s symptoms?
Definition
Ask an optometrist, ophthalmologist, or any PCM for advice.
Term
Your doctor is running behind schedule and is with a particularly difficult patient. The phone rings and the caller insist on talking to the doctor. What do you do?
Definition
Take a message and indicate to the doctor on the message the caller urgently wants to speak to them. Only
disturb the doctor in cases of true emergency.
Term
Medical records are maintained within a system of records protected by what?
Definition
Privacy Act.
Term
What acts and amendments must medical personnel comply with?
Definition
Privacy Act of 1974. (PL 93–579 and 5 U.S.C. 552a).
Term
What single form eliminates the need for a separate Privacy Act statement for each medical or dental document?
Definition
DD Form 2005, Privacy Act Statement – Health Care Records.
Term
What are some civil penalties for non-compliance with HIPAA guidelines?
Definition
Civil money penalties are $100 per violation, up to $25,000 per person, per year for each requirement or
prohibition violated.
Term
What are the criminal penalties for non-compliance with HIPAA guidelines?
Definition
Criminal penalties are up to $50,000 and one year in prison for obtaining or disclosing protected health
information; up to $100,000 and five years in prison for obtaining protected health information under "false pretenses"; and up to $250,000 and 10 years in prison for obtaining or disclosing protected health information with the intent to sell, transfer, or use it for commercial advantage, personal gain, or malicious harm.
Term
What are the two general classes of Air Force publications?
Definition
Departmental and field publications.
Term
Is AFMAN 160–35 a field or departmental publication and what does AFMAN stand for?
Definition
A departmental publication; Air Force manual.
Term
Which general class of Air Force publications normally originates at MAJCOMs and below?
Definition
Field.
Term
If you want to order an Air Force publication, to what office would you send a memo, and what information must be included?
Definition
The admin section (Office of Personnel and Administrative Services); publication number, title, quantity
required, and justification.
Term
After your request for a publication is filled, what office adds the hospital to the distribution list
for that publication?
Definition
PDO (Publishing Distribution Office)
Term
Depending on your local policy, to what offices could you submit a request for a civilian publication?
Definition
Medical Library or Medical Materiel.
Term
What’s the purpose of OIs?
Definition
To make adjustment easier for new personnel. They tell the reader what the clinic does, policies, and how
some procedures are done.
Term
What does the term forms management mean?
Definition
Proper maintenance of clinic forms. This includes being able to determine your clinic’s form requirements,
as well as ordering any necessary forms.
Term
List the four areas you should research to determine forms requirement.
Definition
(1) Optometrist’s/Ophthalmologist’s requirements.
(2) Technician’s requirements.
(3) Administrative requirements.
(4) Supply requirements.
Term
Which part of the PB deals with forms?
Definition
Part II – Forms.
Term
What are the four sections of Part II of the PB?
Definition
(1) Section A – Requisitions.
(2) Section B – Electronic Forms.
(3) Section C – Obsolete.
(4) Section D – General information.
Term
What form is used to order forms?
Definition
AF Form 3126, General Purpose.
Term
How many days worth of forms should you have at any given time?
Definition
No more than a 30-day supply.
Term
What are two very important factors that must be considered before a scheduling plan can be developed?
Definition
Personnel and facilities.
Term
What are the five skills of a good manager?
Definition
Ability to (1) plan,
(2) organize,
(3) direct,
(4) coordinate,
and (5) control.
Term
What three personnel tasks should be considered before scheduling patients?
Definition
Military duties of optometrist, military duties of technicians, and administrative duties.
Term
Why can’t you make 20-minute appointment slots for all optometry patients?
Definition
Because some patients will require extensive exam time due to age or numerous ocular diseases. A healthy
active duty patient won’t take as much time as a retiree with cataracts, glaucoma, etc.
Term
Basically, what requirements should a facility meet to be functional?
Definition
Be accessible, meet health and safety standards, have adequate utilities (water, electric, gas, etc.), room for
storage/supplies, and provide room to treat patients properly with some degree of privacy.
Term
What reference source can help you determine who is eligible for optometric care in your clinic?
Definition
AFI 41–115, Authorized Health Care and Health Care Benefits in the Military Health Services System (MHSS).
Term
What does a visual screening usually consist of?
Definition
Case history, NCT, and DVA.
Term
Which system, while a bit inconvenient to non-active duty patients, does a very good job of getting active duty patients seen quickly?
Definition
Military priority system.
Term
Which system helps prevent a greater percentage of wasted appointment slots?
Definition
Preliminary triage system.
Term
What have studies shown about working in a sloppy environment?
Definition
It seems to encourage sloppy work.
Term
What simple task can you accomplish that will make you look efficient and prepared for patient arrival?
Definition
Fill in the general information on the exam forms before the patient arrives.
Term
What is the health record form number for medical records?
Definition
AF Form 2100A.
Term
What forms are in Section II of the health record?
Definition
AF Form 745, Sensitive Duties Program Record Identifier; SF 600, Health Record – Chronological Record
of Medical Care; and SF 513, Medical Record – Consultation Sheet.
Term
Where can the DD Form 2005, Privacy Act Statement – Health Care Records, be found?
Definition
At the bottom of Section III in the health record.
Term
You’ve just finished a VF test on a patient. In what section of the health record do you file the print out of the test?
Definition
Section III.
Term
You open a patient’s health record and a lab slip falls out. In what section should you place the slip?
Definition
Section IV of the health record, on top.
Term
Name five things health records are used for.
Definition
(1) Planning.
(2) Documentation.
(3) Communication.
(4) Data.
(5) Protection.
Term
Who is the custodian for outpatient and inpatient health records?
Definition
The hospital commander.
Term
What must doctors document in the health records?
Definition
An accurate, legible, and complete description of all services rendered to patients.
Term
What should you do if a patient comes in for treatment but their health record isn’t available?
Definition
Annotate the patient’s exam on an SF 600 (or whatever form your clinic uses) to record his or her visit.
Term
What’s the primary function of a performance factor?
Definition
Determine the amount of work accomplished by a work center.
Term
What is counted as one eye clinic visit?
Definition
One visit is counted for each individual examined, evaluated, consulted, treated, attended, advised, or otherwise provided a distinct service.
Term
What’s the key to reporting visits?
Definition
Documentation.
Term
What effect (if any) does the number of tests performed or the number of doctors or technicians involved in examining one patient have on the patient count?
Definition
None; it’s still counted as one visit.
Term
To fulfill your role in patient accountability reports, what must you provide the RMO?
Definition
The most current, accurate, and verifiable data possible.
Term
RMO, Headquarters USAF, and the DOD use your patient data to assist them with what activities?
Definition
Making budget and financial plans; projecting manpower and staffing needs; procuring facilities and
equipment; analyzing operational capabilities; and managing patients during peacetime and wartime.
Term
What are two ways you can report patient visits to RMO?
Definition
AF Form 555 or computerized appointment schedule.
Term
What constitutes proper documentation of a patient visit?
Definition
A signed, dated (health record) entry that specifically states what you (your clinic) did for the patient.
According to resource management, the documentation should follow the SOAP format to include:
Subjective—patient’s description of the problem, to include their case history;
Objective—testing results of
the patient or their glasses;
Assessment—diagnosis of the patient’s problem;
Plan—action that will be or
was taken (also include information on when the patient should return to the clinic).
Term
If RMO verifies your patient count three months in a row and finds no errors, how frequently will
verification occur thereafter?
Definition
Once every 3 months.
Term
According to military guidance, who is responsible for management of public property, and allocation, control, care, use, and safeguarding of public property under control of the Air Force?
Definition
Each individual.
Term
If there are building repairs to be made, to whom do you report them?
Definition
The facility manager.
Term
When should we concern ourselves with FW&A?
Definition
Every day.
Term
What must you do with your knowledge concerning FW&A?
Definition
Apply prevention techniques and teach others how to identify and prevent FW&A.
Term
Who is responsible for Air Force equipment?
Definition
Each individual, whether they signed for the equipment or not.
Term
What is the commander’s responsibility regarding material accountability?
Definition
Ensuring only qualified personnel are selected and assigned as property custodians; that adequate space is
provided for proper storage of medical supplies and equipment; the prescribed records are maintained; and that supply discipline is understood and followed.
Term
Who provides the recommendation to the hospital commander for appointing the eye clinic
property custodian?
Definition
Section chief of the eye clinic.
Term
How will the appointment of the property custodian be made? Describe the process.
Definition
By a typewritten delegation-of-authority letter. Two copies will be made, containing sample signatures of
the authorized representative (appointed property custodian). One copy will go to the MEMO and the other
copy will be kept in the new property custodian’s folder.
Term
What actions are property custodians authorized to perform with the medical material in their particular account?
Definition
Request and receive.
Term
When the property custodian finds equipment or supplies missing, or damage to equipment, who should he or she notify?
Definition
Their supervisor, then the MEMO folks.
Term
What must occur if the property custodian will be absent from the account for 46 days or more?
Definition
The account must be transferred to someone else.
Term
What list or form shows all property charged out to the eye clinic account?
Definition
CRLL.
Term
What should occur before a new custodian signs for all the property in an account?
Definition
There should be an inventory of all items listed. The inventory should be done by the current custodian and
new custodian.
Term
If an item is listed but not present during the inventory, which form should reflect its location?
Definition
AF Form 1297.
Term
What should the new property custodian do if a damaged item is found during the inventory?
Definition
Call the MER office and see if the item has already been reported to it. If it hasn’t, identify the item to the
MER folks before signing the CRLL.
Term
When an item is added or removed from the equipment account, what documents should be maintained until a new CRLL is generated?
Definition
A signed AF Form 601 or a CAL.
Term
You have taken over an account and made an initial inventory of equipment. How much longer do you wait until you make another inventory?
Definition
Must be done annually, but may occur more frequently, either by your choice or a mandate by the commander.
Term
What are the supervisory responsibilities regarding medical material?
Definition
Training of personnel on proper use of equipment and ensuring supply discipline is exercised by those under their supervision.
Term
What percentage of medical equipment malfunctions can be attributed to operator error?
Definition
Over 70 percent.
Term
List five tenets of supply discipline.
Definition
(1) Safeguard and preserve public property.
(2) Use equipment and supplies for their intended purpose.
(3) Avoid ordering excess material. If excess is discovered, turn it in.
(4) Adhere to procedures contained in established regulations and directives governing requisition, storage, issue, and turn-in of property.
(5) Ensure requests for supplies and equipment are valid and in minimum quantities necessary to perform the assigned mission, and these assets are protected, conserved, and maintained in the best possible
condition to meet Air Force commitments.
Term
Are the tenets of supply discipline primarily the responsibility of the property custodian?
Definition
No. The tenets apply to all personnel even if they aren’t property custodians.
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