Emergency Medical Technician: EMS Systems

EMT - Chapter 1 - EMS Systems Control of external bleeding, oxygen administration, and CPR are included in the "scope of practice" of the: ● a. paramedic ● b. EMT ● c. AEMT ● d. EMR Which of the following is not true of medical control? ● a. it is determined by the dispatcher ● b. it may be written or "standing orders" ● c. it may require online radio or phone consultation ● d. it describes the care authorized by the medical director All of the following are components of continuous quality improvement except: ● a. periodic run reviews ● b. remedial training ● c. internal reviews and audits ● d. public seminars and meetings The major goal of quality improvement is to ensure that: ● a. quarterly audits of the EMS system are performed ● b. EMT's have received BLS/CPR training ● c. the public receives the highest standard of care ● d. the proper information is received in the billing department Federal legislation concerning patient confidentiality is known as: ● a. HIPAA ● b. NAACS ● c. EMTALA ● d. FLCPC After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. Which of the following authorizes you, as an EMT, to provide emergency care to this patient? ● a. city council ● b. medical control ● c. the medical director ● d. the fire chief After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. To treat this patient, you will follow: ● a. off-line medical control ● b. online medical control ● c. protocols ● d. all of the above After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. What level of training would allow you to perform an electrocardiogram and advanced life support on the patient? ● a. EMR ● b. EMT ● c. AEMT ● d. paramedic After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. While you checked the patient's airway, breathing, and circulation, your partner considered the benefits of requesting a(n) __________ ambulance to assist with patient care. ● a. ALS ● b. CQI ● c. PSA ● d. EMD After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. While you performed CPR on this patient, your partner retrieved the _____________, which will deliver an appropriate electrical shock. ● a. EMD ● b. AED ● c. PSA ● d. GPS T/F EMT personnel are the highest qualified members of the prehospital care team. F T/F The EMT scope of practice may include the use of either an automated or manual defibrillator. T T/F The purpose of continuous quality improvement (CQI) is to support discipline of personnel. F T/F A professional appearance and manner by the EMT will help build a patient's confidence in the EMT's abilities. T T/F Essential keys to being a good EMT include compassion and commitment. T T/F As a health care professional and an extension of physician care, you are bound by patient confidentiality--even in your own home. T ___________________________ is a circular system of continuous internal and external reviews and audits of all aspects of an EMS system. Continuous quality improvement Each EMS system has a physician ______________ who authorizes the EMTs in the service to provide medical care in the field. Medical director One of the most dramatic recent developments in prehospital emergency care is the use of a(n) _________________ defibrillator. Automatic external The primary __________ area is the main area in which an EMS agency operates. Service A 9-1-1 dispatch center is called a public safety _________________, or PSAP. Access point EMS professional trained in ALS interventions Paramedic A system of internal reviews and audits CQI A system to provide prehospital care to the sick and injured EMS The physician who authorizes the EMT to perform in the field Medical director Responsibility of the medical director to ensure that appropriate care is delivered by an EMT Quality control Basic lifesaving interventions, such as CPR BLS EMS professional trained in some ALS interventions AEMT Advanced procedures, such as drug administration ALS Designated area in which the EMS service is responsible for providing prehospital care Primary service area Protects disabled individuals from discrimination Americans with Disabilities Act Physician instruction to EMS team Medical control A required amount of training to maintain skills Continuing education EMS professional trained in BLS interventions EMT Efforts to limit the effects of an injury or illness that you cannot completely prevent are considered ___________ prevention. Secondary The first trained individual, such as a police officer, fire fighter, lifeguard, or other rescuer, to arrive at the scene of an emergency to provide initial medical assistance. EMR Efforts to prevent an injury or illness from ever occurring are known as __________ prevention. Primary Advanced lifesaving procedures ALS Focused on examining the health needs of entire populations with the goal of preventing health problems Public health An individual who has extensive training in advanced life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills Paramedic The responsibility of the medical director to ensure that the appropriate medical care standards are met by EMTs on each call Quality control The designated area in which the EMS service is responsible for the provision of prehospital emergency care and transportation to the hospital PSA The physician who authorizes or delegates to the EMT the authority to provide medical care in the field Medical director A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care Certification A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured EMS Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients' health care information and penalizing violation of patient privacy. HIPAA An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications AEMT A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crews EMD The process whereby a state allows individuals to perform a regulated act Licensure Comprehensive legislation that is designed to protect individuals with disabilities against discrimination ADA A system of internal and external reviews and audits of all aspects of an EMS system CQI A device that detects treatable life-threatening cardiac arrhythmias and delivers the appropriate electrical shock to the patient AED An individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications EMT What is the EMT's role in EMS system? To assess and care for the patient followed by proper transport to ER What is the role of the Department of Transportation in EMS? Aide in enforcement of rules and dispatch What are 5 roles/responsibilities of an EMT? 1. express compassion 2. motivate 3. ease pain 4. properly package patient 5. transport patient What are the two basic types of medical direction? Give example of each. off-line/indirect: standing orders online/direct: phone or radio which of the following statements regarding the NREMT is correct? ● a) the NREMT is a governmental agency that certifies EMTs ● b) the NREMT is the exclusive certifying body for EMTs ● c) EMS training standards are regulated by the NREMT ● d) the NREMT provides national standard for EMS testing which of the following scenarios does NOT involve the administration of ALS? ● a) a 64 y/o cardiac arrest patient who is defibrillated with an automated external defrib (AED) ● b) a 53 y/o patient who is given glucagon for significant hypoglycemia ● c) a 61 y/o trauma patient whose chest is decompressed with a needle which of the following is a unique function of the Emergency medical dispatcher? ● ● ● ● a) providing callers with life-saving instructions b) obtaining patient info from the caller c) relaying relevant info to the EMTs d) directing the ambulance to the correct address EMRs such as fire fightesr, police, and park rangers, are an integral part of the EMS system because... ● a) the avg response time for the EMT crew is approx 15 mins ● b) the presence of a person trained to initiate BLS care cannot be ensured ● c) they are usually trained to assist paramedics w/ certain procedures according to the National EMS Scope of Practice model, an EMT would require special permission from the Med Director and the state EMS office in order to... ● a) give aspirin to a patient with chest pain ● b) apply and interpret a pulse oximeter ● c) perform blood glucose monitoring ● d) use an automatic transport ventilator The continuous quality improvement (CQI) process is designed to... identify ares of improvement and provide remedial training if needed The criteria to be licensed and employed as an EMT include: proof of immunization against certain communicable diseases EMT training in nearly every state meets or exceeds the guidelines recommended by the: ● A) individual state's EMS protocols. ● B) National Registry of EMTs. ● C) National Association of EMTs. ● D) National Highway Traffic Safety Administration (NHTSA). The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the... medical director Why are prehospital emergency care guidelines updated on a regular basis? additional information and evidence indicate that the effectiveness of certain interventions has changed Obtaining continuing medical education is the responsibility of the: ● ● ● ● A) EMS training officer. B) EMS medical director. C) State Bureau of EMS. D) individual EMT. If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: ● A) wait at least 24 months before taking another state-approved EMT class. ● B) recognize that any such conviction will disqualify him or her from EMT licensure. ● C) send an official request to the National Registry of EMT (NREMT) to seek approval to take the EMT ● exam. ● D) contact the state EMS office and provide them with the required documentation. an appropriate demonstration of professionalism when your patient is frightened, demanding or unpleasant is to: continue to be nonjudgemental, compassionate, and respectful cardiac monitoring, pharmacological interventions, and other advanced treatment skills are the function of a... paramedic the standards for prehospital emergency care and the individuals who provide it are typically regulated by the: state office of EMS laypeople are often trained to perform all of the following skills, EXCEPT: ● a) splinting of possible fracture ● b) insertion of an OPA ● c) control of life-threatening bleeding ● d) one- or two-rescuer CPR as an EMT you may be authorized to administer aspirin to a patient with chest pain based on... local EMS protocols which of the following errors is an example of knowledge-based failure? an EMT administers the wrong drug to a patient bc she did not know the pertinent information about the drug which of the following is an example of a primary prevention strategy?? community awareness programs that emphasize the dangers of drinking and driving which of the following skills or interventions is included at every level of prehospital emergency training? ● a) AED ● b) oral glucose for hypoglycemia ● c) intranasal medication administration ● d) use of a manually triggered ventilator an EMS provider who has extensive training in various aspects of ALS is called a... paramedic the _____ deals with well-being of the EMT, career progression, and EMT compensation. human resources department If a defibrillator manufacturer calims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should.. recognize that this does mean it will save more lives The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on EMS research Which of the following statements regarding the Americans with Disabilities Act of 1990 is correct? ADA prohibits employers from failing to provide full and equal employment to the disabled according to the National EMS scope of practice model, an EMT should be able to: assist a patient with certain prescribed meds Which of the following descriptions MOST accurately portrays emergency medical services (EMS)? ● A. a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured ● B. a team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients ● C. a system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients Continuing education in EMS serves to... ● A. maintain, update, and expand your knowledge and skills. ● B. enforce mandatory attendance to agency-specific training. ● C. provide an ongoing review and audit of the EMS system. "Star of Life" 1. Detection 2. reporting 3. response 4. on-scene care 5. care in transit 6. transfer to definitive care serpent and staff "Star of life" Asclepius- greek physician "god of medicine" medicine and healing, serpent= renewal Cardiac monitoring, pharmacological intervention, and other advance treatment skills are functions of the: paramedic If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: contact the state EMS office and provide them with the required documentation. Which of the following statements regarding the Americans With Disabilities Act(ADA) of 1990 is correct? The ADA prohibits employers from failing to provide full and equal employment to the disabled As an EMT, you may be administer aspirin to a patient with chest pain based on: your local EMS protocols According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office in order to: perform blood glucose monitoring Laypeople are often trained to perform all of the following skills, EXCEPT: insertion of an oropharygeal airway Which of the following skills or interventions is included at every level of prehospital emergency training? AED EMRs such as fire fighters, law enforcement officers, and park rangers, are an integral part of the EMS system because: the presence of a person trained to initiate basic life support care cannot be ensured. Which of the following is a unique function of the emergency medical dispatcher(EMD)? providing callers with life-saving instructions the _____ deals with the well-being of the EMT, career progression, and EMT compensation. human resources department The person who is responsible for authorizing EMT's to perform emergency medical care in the field is the: medical director Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct? An EMT's scope of practice may be expanded by the medical director after proper training and state approval. What type of medical direction do standing orders and protocols describe? ● A) off-line ● B) direct ● C) radio ● D) online The continous quality improvement(CQI) process is designed to: identify areas of improvement and provide remedial training if needed Which of the following errors is an example of a knowledge-based failure? An EMT administers the wrong drug to a patient bc she did not know the pertinent info about the drug Continuing education in EMS serves to: maintain, update, and expand your knowledge and skills. Which of the following is an example of a primary prevention strategy? community awareness programs that emphasize the dangers of drinking and driving the determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on: EMS research An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: continue to be nonjudgmental, compassionate, and respectful.