tailieunhanh - Lecture Mosby's paramedic textbook (4th ed) - Chapter 21: Clinical decision making

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/10/2012 1 Chapter 21 Clinical Decision Making 2 Learning Objectives • List the key elements of paramedic practice. • Discuss the limitations of protocols, standing orders, and patient care algorithms. • Outline the key components of the critical thinking process for paramedics. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/10/2012 Learning Objectives • Identify elements necessary for an effective critical thinking process. • Describe situations that may necessitate the use of the critical thinking process while delivering prehospital patient care. • Describe the six elements required for effective clinical decision making in the prehospital setting. 4 Prehospital Care Spectrum • Paramedic must have wide base of knowledge, skills – May be exposed to • Critical life threats • Potential life threats • Non‐life‐threatening situations 5 Prehospital Care Spectrum • Protocols, standing orders, patient care algorithms – Help promote standardized approach to patient care for “classic” presentations – Presentations clearly define, outline performance parameters – Standards have limitations • May not apply to nonspecific patient complaints that do not fit “model” • Do not speak to multiple disease etiologies or multiple treatment modalities • Promote linear thinking 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/10/2012 Critical Thinking Process • Specific aspects of stages, sequences – Linked with critical thinking process – Concept formation – Data interpretation – Application of principle – Evaluation – Reflection on action 7 8 Concept Formation • All elements gathered to form general impression of patient – Scene assessment • Mechanism of injury • Social setting – – – – – Chief complaint Patient history Patient affect Initial assessment and physical examination Diagnostic tests 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning .