Wiz: Paramedic Care Vol. 1: Ch 1-7
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| What is the highest cert level recognized nationally for the pre hosp. provider? | EMT-Paramedic
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| The primary role for the EMT-Paramedic is ___? | admin. care to injured or sick PTs
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| What best describes the relationship between the paramedic & med. direction? | Med. direction must be in place for the paramedic to practice
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| The paramedic must provide care: | without regard to the PT's ability to pay or insurance status
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| Name a quality that is most important to the Paramedic? | ability to make critical decisions under pressure
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| Name a health care environment in which the paramedic would be least likely to gain employment. | rehabilitation medicine
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| What component of EMS has helped to increase the professionalism of the paramedic? | development of a standardized national curriculum for the EMT-P
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| The responsibility to ensure your PT is receiving the best care possible is often referred to as PT ___. | advocacy
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| During your practice as a paramedic, your greatest responsibility lies with ___. | the PT
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| 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
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| Name a component that helps to insure proper nutrition for the paramedic. | reading nutrition labels of foods
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| Isotonic exercise refers to: | working muscles through their range of motion
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| What is not one of the major food groups? | oils & fats
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| What nutrition plan is an example of a good diet? | 40% carbs, 40% proteins, 20% fat
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| 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.
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| What are the microorganisms that are capable of producing diseases in humans known as? | infections
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| What should be considered a potentially pathogenic fluid? | All fluids such as blood, saliva, CSF etc.
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| 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
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| Following exposure to blood through a dirty needle stick, the paramedic should immed.: | wash the affected area with soap & water
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| What stage of the stress response does the paramedic most commonly experience? | Stage 2: resistence
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| An example of online med control: | speaking directly with the physician
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| An example of offline med. control: | using protocol books or standing orders
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| 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
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| 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
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| If this link of the emergency services fails, it may render the whole EMS system ineffective: | public access
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| 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
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| What is the purpose of professional EMS associations such as NAEMT? | they provide continuing education & updated info to subscribers
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| 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
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| What agency is responsible for preparing & admin. the only nationally accepted standardized test for EMS providers? | National Registry of EMTs
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| 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
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| 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
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| What are the reimbursement patterns that EMS agencies are most dependent upon? | third-party payers
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| 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
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| 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)
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| 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
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| 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
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| 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
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| 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
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| The paramedic's decision to always err on behalf of the PT is an example of? | ethical standard
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| 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
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| 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
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| The best way to continuously provide optimum PT care is to: | participate in continuing education programs
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| Level II Trauma Center | a trauma center that typically lacks either specialty pediatrics or a neurosurgeon on site
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| Level III Trauma Center | a trauma center that generally does not have immediate surgical facilities available
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| 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)
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| 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
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| 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
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| 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
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| Secondary prevention | type of prevention when an initiative that helps to prevent further injury or problem from occurring after the initial injury or ilness
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| Tertiarty prevention | type of prevention in which the rehab that occurs following the illness or injury
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| 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
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| 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
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| 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
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| 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
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| 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
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| What largely preventable episode accounts for the greatest # of injuries to the geriatric pop.? | unintentional falls
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| Epidemology refers to? | the study of factors that contribute to injury or illness in a pop.
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| 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
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| 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
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| Who is ultimately responsible for the safe practice of paramedics? | the individual paramedic
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| 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
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| The branch or category of law that would most likely hear cases concerning malpractice for EMS providers is known as? | civil law
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| Civil Law | a category of law which deals with noncriminal issues, such as personal injury, contract disputes, & matrimonial issues
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| Criminal Law | category of law which deals with crime & punishment
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| Tort Law | a brach of civil law; division of the legal system that deals with civil wrongs committed by one individual against another
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| 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
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| 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
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| The range of duties & skills that a paramedic is allowed to perform in a given state is known legally as: | scope of practice
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| 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
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| 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
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| 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
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| Nonfeasance | a breach which occurs when a paramedic fails to perform a required act or duty
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| Malfeasance | performing a wrongful act
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| Misfeasance | the performance of an injurious manner
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| 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
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| 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
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| PTs who are unresponsive & cannot speak for themselves are assumed to grant what type of consent? | implied consent
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| The legal description of what should occur medically to a PT with a chronic disease that suddenly deteriorates is called: | advance directive
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| 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
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| Different types/forms of advanced directives: | living wills, DNR, or a durable power of attorney or health care proxy
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| A paramedic's personal beleifs or standards of what is right or wrong is known as: | ethics
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| 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.
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| Your ethical decision making while functoning as a paramedic should fall in line with you: | your morals
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| The definition that refers to the rules or standards that govern the conduct of members within a particular groups or profession is: | Ethics
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| 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
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| 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
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| In 1978, what organization developed & adopted the Code of Ethics for EMS providers? | National Association of EMTs (NAEMT)
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| 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
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| The term that refers to the actual deed of doing good: | Beneficence
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| The term that refers to the desire to do good: | Benevolence
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| 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
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| 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
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| 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
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| 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
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| What are the 3 phases of stress response? | 1) alarm 2) resistance 3) exhaustion
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| What phase of stress response is the initial response, more commonly known as the "fight or flight" response? | Alarm phase (phase I)
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| Which phase of the stress response begins as the body starts to adjust & cope with stress? | Resistance phase (phase II)
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| 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)
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| What are the 5 stages of the grieving process? | 1) anger 2) denial 3) bargaining 4) depression 5) acceptance
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