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Stack #4470111
EMT ch 1-3
| Question | Answer |
|---|---|
| Which type of medical direction do standing orders and protocols describe? | off-line |
| According to the National EMS Scope of Practice Model, an EMT should be able to: | assist a pt with certain prescribed medications |
| Which skill would a layperson most likely be trained to perform before the arrival of EMS? | administration of supplemental oxygen |
| An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n): | paramedic |
| Obtaining continuing medical education is the responsibility of the: | individual EMT |
| 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 |
| What criteria is required to become licensed and employed as an EMT? | Proof of immunization against certain communicable diseases |
| EMT training in nearly every state meets or exceeds the guidelines recommended by the: | National Highway Traffic Safety Administration (NHTSA). |
| As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on: | medical director approval |
| Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the: | paramedic |
| The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the: | medical director |
| What error is an example of a knowledge-based failure? | An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug. |
| What is an example of a primary prevention strategy? | Community awareness programs that emphasize the dangers of drinking and driving |
| According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to: | insert a peripheral intravenous catheter. |
| Why are prehospital emergency care guidelines updated on a regular basis? | Additional information and evidence indicate that the effectiveness of certain interventions has changed. |
| What skills or interventions is included at every level of prehospital emergency training? | Automated external defibrillation |
| It is especially important for EMS personnel to develop non-adversarial relationships with their coworkers because they: | depend on one another for their safety. |
| Characteristics of eustress following dispatch to a high-speed motor vehicle collision may include: | increased self-image from performing well under a challenging situation. |
| The simplest, yet most effective method of preventing the spread of an infectious disease is to: | wash your hands in between patient contacts. |
| While providing care to a patient, blood got onto the ambulance stretcher. The stretcher was not cleaned afterwards, a virus was transmitted to another (EMT) several days later. Which route of transmission does this scenario describe? | indirect contact |
| If you are exposed to a patient's blood or other bodily fluid, your first action should be to: | transfer care of the patient to another EMS provider. |
| You have been working at the scene of a major building collapse for eight hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is most effectively managed by: | requesting a CISM team to provide on-scene peer support. |
| What should you do before attempting to access a patient trapped in a vehicle? | Ensure the vehicle is stable. |
| Which of the following is the most significant factor in determining whether a person will become ill from certain germs? | immunity |
| At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You should: | mark off a danger zone around the downed lines. |
| Hazards that are associated with a structural fire include all of the following, except: | carbon dioxide deficiency. |
| You are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. The patient tells you that he does not want to go to the hospital and insists that you leave him alone. You should: | explain the seriousness of the situation to him, but avoid causing undue alarm. |
| You are transporting a veteran whose legs were amputated in the war. When calling your radio report to the emergency department, which of the following words would be the most appropriate to use when describing the patient? | disabled |
| You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. Which of the following types of consent describes her agreement? | expressed |
| You arive to an apartment to respond to a shooting. Police are present and have the suspect in custody. You find the patient lying in a narrow space between the couch and table of apartment. He is semiconscious and has a large gunshot wound to his chest. | quickly move the coffee table so you can access and treat the patient. |
| When performing his or her duties, the EMT is generally expected to: | exercise reasonable care and act prudently. |
| In the eyes of the courts, an incomplete or untidy patient care form indicates: | inadequate patient care was administered. |
| While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. You should: | continue transporting your patient and notify the dispatcher of the crash. |
| While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should: | contact medical control and notify them of the error. |
| What components are needed to prove negligence? | Duty to act, breach of duty, injury/damages, and causation |
| Putrefaction is defined as: | decomposition of the body's tissues. |
| Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) most affects EMS personnel? | Protecting patient privacy |
| When is forcible restraint permitted? | When the patient poses a significant threat to self or others |
| Your best protection against legal liability when a patient with decision-making capacity refuses EMS care and transport is to: | thoroughly document the entire event. |
| You suspect that a 6-year-old girl has broken her leg after falling from a swing at a playground. Shortly after you arrive, the child's mother appears and refuses to allow you to continue treatment. You should: | try to persuade the mother that treatment is needed. |
| For a do not resuscitate (DNR) order to be valid, it must: | clearly state the patient's medical problem. |
| Which type of consent allows treatment of a patient who is unconscious or mentally incapacitated? | Implied |
| Where would you most likely find information regarding a patient's wishes to be an organ donor? | Driver's license |
| What kind of scenario most accurately depicts abandonment? | A paramedic transfers patient care to an EMT. |
| You and your partner arrive to a major motor vehicle crash. The driver is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, not breathing, and does not have a palpable carotid pulse. You should: | have your partner check for a pulse to confirm that the patient is deceased. |
| Whats the term "scope of practice" mean? | defined by laws that refers to the emergency activities and treatments that EMTs are allowed and not allowed to do |
| What skills and procedures are in the scope of practice for an EMT? | Patient assessment including vital signs and obtaining medical hx. BLS including CPR, using AED and managing airways |
| When can alterations to the EMT scope of practice occur? | when medical control approves out of scope practice measures |
| What is the NREMT? What does the NREMT do? | provides certification for EMS professionals. They validate the knowledge, skills and competency the national standard for emergency medical care |
| What governing body sets the recommendations standard for EMT training? | The National Highway Traffic Safety Administration, Office of EMS of the US Department of Transportation (DOT) |
| What is online standing orders? | speaking directly to a physician either via phone or radio |
| What is offline standing orders? | protocol |
| What is a policy? What is a procedure? | Policy: a general principle or rule that guides decision-making and sets the overall direction for an organization. Procedure: step by step process for carrying out the policy. Policies define what should be done- procedures explain how it should be done |
| What is the stages of grieving? What are the steps that they occur? | denial, anger, bargaining, depression, acceptance |
| What is the proper way of handling problems which may arise with your partner | report it |
| How do you deal with the stressors of a long running incident? | practicing compassion and empathy |
| How do you handle an exposure of bodily fluids in the proper order? | remove contaminated clothing. If blood or body fluids get on the skin, irrespective of whether there are cuts or abrasions, wash well with soap and water. If the eyes are splashed, rinse the area gently but thoroughly with water while the eyes are open. |
| Direct exposures: | Contact with a chemical substance that occurs while using it or by being present in an area where it has been used |
| Indirect exposures: | transmissions of microorganisms from one person to another due to improper sterilization or handling techniques, touching contaminated surfaces and then touching the face, eyes, or mouth |
| What do you do on scene when a valid living will or DNR isn’t physically available? | Begin life saving measures |
| What are the different types of consent? | expressed- when a pt verbally agrees to tx, implied- when a pt is unconscious or cannot communicate and immediate tx is required. informed- pt understands tx, potential risks and benefits and then agrees to proceed |
| What do you do when you’re unable to contact medical control? | prioritize pt care and follow protocols while continuing efforts to contact medical control. |
| What all information should be included in your oral patient report? | pts demographics, CC, relevant hx, physical exam findings, vitals, any tx administered and pts response to txs |
| What are all the parts of the anatomic position, include movements? | body is standing upright, facing forward, with arms at the sides and palms facing forward, feet together flat on the ground, eyes are open and looking forward. |
| What are the sections of the spinal column, in order, and how many vertebrae are in each section? | 7 cervical, 12 thoracic, 5 lumbar, 5 sacral and 4 coccyx |
| What are the major differences between adult and pediatric airways? | peds have smaller, shorter airways with longer tongues, longer floppy epiglottis and a higher more anterior larynx. |
| Where do infants typically breathe from? | nose |
| What does "preconventional reasoning" mean? | earliest stage of moral reasoning. at this stage, people judge right from wrong by rewards and punishments rather than internal moral principles |
| What is the first rule of safe lifting? | keep your back straight and lift with your legs |
| What is the term used to describe care from start (EMS contact) to finish (Hospital Discharge)? | continuum of care |
| What's the difference between open and closed loop communication? Identify examples of both. | Open: one way transmission ex/ mass emails, broadcasting announcements. Closed: two way interaction (repeated back) ex/ doc orders meds, nurse repeats orders back to doc to confirm accuracy. |
| What is a sign? What is a symptom? | Sign: physical finding such as a fever, rash or abnormal heart rate. Symptom: subjective experience reported by the patient such as pain |
| What items are included in your general impression of a patient? | pts behavior, appearance, and surrounding environment |
Created by:
bhicks701