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EMS Systems (Exam 1)
Organizations, history, components of the EMS system
| Question | Answer |
|---|---|
| What are the responsibilities of an EMR worker? | Provide care before the ambulance arrives and are trained in BLS |
| What are the responsibilities of an EMT? | BLS plus AED operation, airway adjuncts, and assisting patients w/ certain meds |
| What are the responsibilities of an AEMT? | Specific training in ALS (advanced life support) including IV therapy and administration of some medications |
| What are the responsibilities of a Paramedic? | Extensive ALS training including intubation, emergency medications, cardiac monitoring, and many advanced assessment & treatment skills |
| What did the ADA accomplish for EMTs? | Protects EMTs with disabilities who are seeking employment and may include modifications to the work environment or how the job is performed for said employees |
| What historical events for EMS occurred in the 1960s? | 1966 - Accidental Death and Disability: The Neglected Disease of Modern Society/The White Paper was published --> highlighted need for improved EMS & public awareness of accidental injuries 1967 - Freedom House Ambulance service is instated |
| What historical event took place in the 1970s that involved EMS? | Early 1970s - DOT published the first EMT training curriculum/"Orange Book" |
| What is the National EMS Scope of Practice Model? | Dictates "what" EMS providers can do, assigning minimum competencies & allowed skills |
| What do state guidelines do for EMS? | Regulation of EMS operations; "How" EMS providers can perform their duties in the given state |
| What role does Medical Direction play in regulating/defining EMS care? | Clinical oversight that defines "how" AND "when" EMS providers should perform care |
| What is the star of life symbol and what is its meaning? | 6-pointed star for 6 fxns of EMS: Detection, Reporting, Response, On-scene Care, Care in Transit, Transfer to Definitive Care |
| What is medical direction? What's the difference between off-line and online medical control? | A medical director (if physician, will authorize EMTs to provide med care in field) acts as a liaison and is job specific for authorizing EMTs to provide medical care. Online = directions via phone/radio, offline = standing orders, training, supervision |
| What is Continuous Quality Improvement (CQI)? | Reviews & performs audits of EMS systems to identify areas of improvement and/or assign remedial training |
| What is the function of QA/QI for agencies? | QA/QI review charts & ensure all providers are giving appropriate and quality care |