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Chap 2 objectives
safety and wellness
Question | Answer |
---|---|
Sate the steps that contribute to wellness and their importance in managing stress. | protection from disease and hazards proper nutrition sufficient exercise sufficient sleep no Tabacco/drugs/alc taking time to relax |
Define infectious disease and communicable disease. | infectious disease= the growth/spread of organisms communicable disease= passed from one human/species to another human/species |
Describe the routes of disease transmission. | Indirect= human to human Direct= contaminated surface airborne= microdroplets foodborne= contaminated food vector borne- insect. |
Steps to prevent and/or deal with an exposure to hepatitis, tuberculosis, and HIV/AIDS. | dont have to ability to become immune to HIV/AIDS - Prevention methods (PPE, Infectious fluids, disposal of sharps) Dealing with it (testing, compliance, infection control plan, desiganted officer) |
Know the standard precautions used in treating patients to prevent infection. | -proper PPE use -treat all fluids as infectious -ALWAYS keep your safety first -proper use/disposal of sharps - Employer responsibility- NFPA 1581 |
Describe the steps to take for personal protection from airborne and bloodborne pathogens. | Masks, gloves, respirator, face shield |
Explain proper handwashing techniques. | - rinse, soap, scrub for 20 seconds, rinse under water, clean towel |
List the ways immunity to infectious diseases is acquired. | - vaccinations -building a tolerance (antibodies) |
Explain postexposure management of exposure to patient blood or body fluids | - hand over care to another EMS provider -Let it BLEED, then rinse (eyes for 20 mins) Contact designated officer follow departments infection control plan postexposure report |
Describe the steps necessary to determine scene safety and to prevent injury. | - Hazmats, electricity, fire, vehicle crashes, -scene size up (BSI. Safe? # of Pts? NOI? Cspine? Age, Gender, race, destress? Names? Locat,iion? Time? Pt AO x___ |
Explain the care of critically ill and injured patients. | Tell the Pt what your doing, respect -avoid sad comments -orient them -be honest but not shocking -initial refusal -allow for hope -tell family -allow adults to help with peds -let family hold deceased pt -tell abt death in private |
Describe issues concerning care of the dying patient, death, and the grieving process of family members. | Stages of grief: Denial, Anger, Bargaining, Depression, Acceptance family could become violent, experience anxiety Say things like, "Im so sorry" |
Know the physiologic, physical, and psychological responses to stress. | psych: fear, dullness, depression, guilt, anger, irritability, frustration physical: increased resp rate and heart rate, increased blood pressure, dilated blood vessels, clammy skin, dilated pupils, tensed muscles, increased blood-glucose levels, etc |
Describe posttraumatic stress disorder (PTSD) and steps that can be taken, including critical incident stress management, to decrease the likelihood that PTSD will develop. | PTSD is when stress comes after the incident to present- manage stress in correct ways before they build up and come back later in life |
Identify the emotional aspects of emergency care. | prolonged physical stress, lots of stress, act calm and keep responsibility, be professional, manage stress with healthy tactics. |
Recognize the stress inherent in many situations, such as mass-casualty scenes. | Mass casualty scenes can be extremely stressful and traumatic for EMS. Seeing lots of medical emergencies and the heavy feelings in the air makes EMS feel for them. |
Recognize the possibility of violent situations and the steps to take to deal with them. | possible violent: past history, posture, vocals, physical, poor impulse control, Traid, instability, violent tattoos, substance abuse, hearing voices, depression, diagnosed illness LEOs first |
Describe how to handle behavioral emergencies. | -look at: their response, outward signs, oriented, dressed, stiff/relaxed, self harm, facial expressions -remain calm, understanding, protect yourself and your partner first, be an active listener |
Discuss workplace issues such as cultural diversity, sexual harassment, and substance abuse. | cultural diversity- Accept and benefit from it your effectiveness- learn to communicate with all substance abuse- avoid sexual harassment- Quid Pro Quo, Hostile environment, adversarial relationships |
Demonstrate the steps necessary to manage a potential exposure situation. | - hand over care to another EMS provider -bleed? wash! Tell designated officer testing, compliance. Follow protocols! |