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Vol. 1: Ch. 1-7

Wiz: Paramedic Care Vol. 1: Ch 1-7

What is the highest cert level recognized nationally for the pre hosp. provider? EMT-Paramedic
The primary role for the EMT-Paramedic is ___? admin. care to injured or sick PTs
What best describes the relationship between the paramedic & med. direction? Med. direction must be in place for the paramedic to practice
The paramedic must provide care: without regard to the PT's ability to pay or insurance status
Name a quality that is most important to the Paramedic? ability to make critical decisions under pressure
Name a health care environment in which the paramedic would be least likely to gain employment. rehabilitation medicine
What component of EMS has helped to increase the professionalism of the paramedic? development of a standardized national curriculum for the EMT-P
The responsibility to ensure your PT is receiving the best care possible is often referred to as PT ___. advocacy
During your practice as a paramedic, your greatest responsibility lies with ___. the PT
Why is the notion of lifelong learning important to the paramedic, & emergency services as a whole? medicine & interventions change rapidly, & the paramedic must be ready
Name a component that helps to insure proper nutrition for the paramedic. reading nutrition labels of foods
Isotonic exercise refers to: working muscles through their range of motion
What is not one of the major food groups? oils & fats
What nutrition plan is an example of a good diet? 40% carbs, 40% proteins, 20% fat
In regards to proper lifting and moving of a PT, name a technique MOST DANGEROUS to the paramedic. If given a choice, pull rather than push the wheeled cot.
What are the microorganisms that are capable of producing diseases in humans known as? infections
What should be considered a potentially pathogenic fluid? All fluids such as blood, saliva, CSF etc.
What is the single best strategy the paramedic can take in order to prevent accidental contamination from a PT? wash hands following each PT encounter
Following exposure to blood through a dirty needle stick, the paramedic should immed.: wash the affected area with soap & water
What stage of the stress response does the paramedic most commonly experience? Stage 2: resistence
An example of online med control: speaking directly with the physician
An example of offline med. control: using protocol books or standing orders
The inception of reducing the time from injury to surgery - a concept of EMS that holds true today - can be traced back to what era of time? Napoleonic Wars
A paramedic calls the emergency physician on the HEAR radio to request permission to admin. morphine to a PT. This is an example of: online med. direction
If this link of the emergency services fails, it may render the whole EMS system ineffective: public access
What is the greatest benefit of having EMS dispatchers certified in Emergency Medical Dispatching (EMD)? they can provide prearrival instructions to the PT and/or family till EMS arrives
What is the purpose of professional EMS associations such as NAEMT? they provide continuing education & updated info to subscribers
What level of prehosp. care provider is primarily responsible for initiating care, since they commonly are able to arrive @ the PT's side first? First Responders
What agency is responsible for preparing & admin. the only nationally accepted standardized test for EMS providers? National Registry of EMTs
Under what emergency situation may it be advantageous to bypass the closest hospital for one that is a farther distance away from your location? when the farther hospital can provide more specialized care for the PT's emergency
Why should the paramedic stay engaged with research? all the above - so they can stay abreast of current interventions & their usefulness; b/c system funding may be based on research into the EMS system's call vol.; to be a participatory member in the shaping of future paramedic practice
What are the reimbursement patterns that EMS agencies are most dependent upon? third-party payers
Ensuring that you are familiar with your EMS protocols, know your local geography, & are familiar with what other emergency services are available in your jurisdiction are all part of which primary responsibility of the paramedic? preparation
If you are assessing a PT who complains of arm pain after falling down some steps, the nature in which this injury occurred is referred to as: mechanism of injury (MOI)
You have a PT who has sustained multisystem trauma & is critically unstable. Assuming you practice in a large metropolitan area with multiple hospitals, which hospital would best serve this PT's needs? Level I trauma center
If a paramedic crew provided specific care for a minor emergency & then transported the PT to a general practicioner physician of the PT's choice, this would be an example of? primary care
You are treating a PT suspected of having a stroke, & fortunately, there is a designated stroke facility in your jurisdiction. The PT, however, wants to be taken to another hospital, which isn't quite as busy. You should: consult with online med. control for the best decision regarding PT transport
What is the greatest benefit of using lay people in the public sector on various EMS service advisory boards? often times they can provide an objective, unbiased view of the decision at hand
The paramedic's decision to always err on behalf of the PT is an example of? ethical standard
Taking advantage of learning opportunities when they are present & demonstrating a commitment to continuous quality improvement are examples of what aspect of professionalism? self-motivation
You are caring for a beligerent PT who is heavily intoxicated & calling you vulgar names. You continue to respond to him with patience & empathy. Your reaction speaks to what component of professionalism? respect
The best way to continuously provide optimum PT care is to: participate in continuing education programs
Level II Trauma Center a trauma center that typically lacks either specialty pediatrics or a neurosurgeon on site
Level III Trauma Center a trauma center that generally does not have immediate surgical facilities available
If you respond to a call, & the PT complains of a medical problem (not an injury), this complaint is considered: a Nature of Illness (NOI)
Type of care which includes movement of the paramedic into more traditional health care roles in such places as emergency departments, out PT clinics, physicians' offices, urgent cre centers, & PT's homes: Primary Care
A paramedic participates in a hospital program that teaches young children the importance of wearing a helmet when riding a bike. This is an example of what type of injury prevention? primary
Primary prevention type of prevention when the paramedic engages in some project or presentation in order to prevent an injury from ever occurring, such as in community or hospital projects
Secondary prevention type of prevention when an initiative that helps to prevent further injury or problem from occurring after the initial injury or ilness
Tertiarty prevention type of prevention in which the rehab that occurs following the illness or injury
You have 2 PTs: a 45 y/o PT and a 60 y/o PT. Which PT would have the greatest # of years of productive life lost secondary to dying in a traumatic automobile collision? the 45 y/o PT
How do you calculate the years of productive life lost of a PT? subtract the PT's age at death, from 65 yrs. Example: 45 y/o PT would be: 65-45=20 years of productive life lost
What is the paramedic's best defense against sustaining a back injury while on the job? follow good lifting techniques with every episode of lifting
You arrive on the scene of a remote bridge that spans a rapidly moving river beneath. A car has run off the bridge & plunged into the water below. What should be your initial response? After BSI, try to ascertain if there is anyone trapped in the vehicle
In what areas of prevention can the paramedic assist in community efforts to educate the public? the paramedic can be utilized in bringing messages to the public on reducing motor vehicle collisions, unintentional trauma to infants & children, & risk factors for trauma in work (industrial) & recreational activites
What largely preventable episode accounts for the greatest # of injuries to the geriatric pop.? unintentional falls
Epidemology refers to? the study of factors that contribute to injury or illness in a pop.
Just as fire depts. engage in public service activities to reduce the frequency of fires, EMS providers should engage in public service activities designed to reduce: topics such as: uintentional trauma, acute medical crisis, acute alcoholism
What organization is charged with developing guidelines that employers & employees should follow in order to limit the exposure to health risks from blood & other bodily fluids? Occupational Safety and Health Administration (OSHA) - they are the agency most involved with BSI precautions to be followed in the workplace
Who is ultimately responsible for the safe practice of paramedics? the individual paramedic
A paramedic administers a wrong drug that directly results in the PT's death. This failure to perform the job appropriately may result in a finding of: liability
The branch or category of law that would most likely hear cases concerning malpractice for EMS providers is known as? civil law
Civil Law a category of law which deals with noncriminal issues, such as personal injury, contract disputes, & matrimonial issues
Criminal Law category of law which deals with crime & punishment
Tort Law a brach of civil law; division of the legal system that deals with civil wrongs committed by one individual against another
A PT is attempting to sue a medic for what he considers a wrongful act that resulted in harm to the PT. During the prep. for the trial, the paramedic involved answers questions under oath with a court stenographer present. This is known as performing: a deposition
During the discovery stages of a trial, a deposition is? a time when a paramedic may have to under oath, answer questions regarding the case & the info learned can be shared wth both the defense & prosecution lawyers, allowing both sides to gain info needed to formulate strategies
The range of duties & skills that a paramedic is allowed to perform in a given state is known legally as: scope of practice
Name events which mandate reports are to be made with law enforcement? spouse abuse, child abuse & neglect, elder abuse, sexual assault, gunshot & stab wounds, animal bites, communicable diseases
The legal premise that is defined as a "deviation from accepted standards of care recofnized by law for the protection of others against the unreasonable risk of harm" is kown as? negligence
A medic treats an ETOH PT who fell outside a bar. The medic decides not to immobilize the PT b/c he is not c/o any neck or back pain. The PT is found to have a vertebral inj. with permanent neuro dysfunction. The medic's actions may result in: nonfeasance
Nonfeasance a breach which occurs when a paramedic fails to perform a required act or duty
Malfeasance performing a wrongful act
Misfeasance the performance of an injurious manner
While functioning as a paramedic,you are working with an EMT-B under your supervision. You direct the EMT-B to perform some task that he does incorrectly & results in an injury to the PT. You, the paramedic, may also be found negligent b/c of: borrowed servant doctrine
An elderly PT with a head inj. sustained from a fall, refuses to be taken to the hosp. The PT becomes unresponsive due to the inj. while the medics are on scene. If the medics decide to treat & transport the victim, their actions may be considered: legal & appropriate
PTs who are unresponsive & cannot speak for themselves are assumed to grant what type of consent? implied consent
The legal description of what should occur medically to a PT with a chronic disease that suddenly deteriorates is called: advance directive
A legal document that is created to ensure that certain treatment choices are honored when a PT is unconscious or oterwise unable to express his choice of treatment is known as: an advanced directive
Different types/forms of advanced directives: living wills, DNR, or a durable power of attorney or health care proxy
A paramedic's personal beleifs or standards of what is right or wrong is known as: ethics
What definiton refers to the personal standards of what is right or wrong for an individual? Morals; however, it were to pertain to a larger group of people's beleifs, it is referred to as ethics.
Your ethical decision making while functoning as a paramedic should fall in line with you: your morals
The definition that refers to the rules or standards that govern the conduct of members within a particular groups or profession is: Ethics
While returning to your station from a long interhospital transport to another state, you witness a horrific accident on the fwy. You don't stop & assist b/c you aren't in your jurisdiction or state. How might the EMS dept. of the state view your actions? illegal
While returning to your station from a long interhospital transport to another state, you witness a horrific accident on the fwy. You stop & provide care despite your not in your jurisdiction or state. Your actions may be deemed how by the local comm.? Ethical
In 1978, what organization developed & adopted the Code of Ethics for EMS providers? National Association of EMTs (NAEMT)
Your partner helps make an elderly PT comfortable while en route to the hospital by talking to her kindly & holding her hand. These actions may be considered an example of: Beneficence
The term that refers to the actual deed of doing good: Beneficence
The term that refers to the desire to do good: Benevolence
Although ethical decisions are based on the morals of the individual, there should still be an organized thought process that the individal goes through in order to arrive at a conclusion. This thought process is known as? ethical decision making
You are faced with a situation in which your legal obligations to treat a PT are in conflict with your ethical standards. This situation is referred to as: a moral dilemma
The process for resolving a moral dilemma in which paramedics ask themselves, "What would I want done to me if I were in that situation?" is known as: impartiality test
If you consistently meet all similar moral dilemmas encountered in the prehospital environment with the same thought process & application of what is right & wrong, your orientation for resolving moral dilemmas would be referred to as: universalizability test
What are the 3 phases of stress response? 1) alarm 2) resistance 3) exhaustion
What phase of stress response is the initial response, more commonly known as the "fight or flight" response? Alarm phase (phase I)
Which phase of the stress response begins as the body starts to adjust & cope with stress? Resistance phase (phase II)
Which phase of the stress response occurs if the exposure to stress is prolonged and the body becomes exhausted & loses its ability to resist & adapt to the stressors? Exhaustion phase (phase III)
What are the 5 stages of the grieving process? 1) anger 2) denial 3) bargaining 4) depression 5) acceptance
Created by: Wisniewski