400s (400.02-404.02) Flashcards
What are EMSs responsibilities?
1: Liaison with other medical entities
2: Training
3: Budget
4: QM
5: Paramedic process
6: Investigate complaints
7: Records and Certifications
8: Support FALS
9: SOPs
10: Improvements in patient
11: Contracts
12: Resource for members
13: Legal risk management
The medical director reports to EMS chief, what are their duties?
1: Medical direction
2: Continuing ed
3: Eval our services
4: Cooperate with our base hospital
5: Represent and state regional meetings
6: Annually develop review and revise
7: Grants
8: Med legal
9: Oversee AED program
What are our patient’s rights?
1: Respect
2: To know if someone is in training mode
3: To agree to treatment
4: To know risks and benefits (of treatment or refusal)
5: Make own decisions
6: Privacy
7: Request records
8: To know reasons for restraints
9: Express concerns they have
10: Opt out of info exchange
If confidentiality is breached what must happen?
Member immediately notify Privacy officer
Who is our privacy officer?
Medical director and Tech services chief
What are the accepted service animals?
Dog
Mini Horse 34” 100lbs
Must perform task related to disability
What must be done when treating a patient with service animal?
REASONABLE EFFORT to keep animal with patient, but emphasis is always on patient care
We cannot request documentation of service animals, what are the only questions we can ask?
1: Is the animal required for a disability
2: What tasks have they been trained to perform
CANNOT ask for documentation, demonstration of task, or nature of disability.
They ARE NOT required to wear ID or harness
ASSUME the person is telling the truth
Comfort alone does not apply, but helping during anxiety attack does
What should be the goal with a service animal?
Keep it with the patient or get it to the receiving facility
What if you cannot get the animal to the hospital?
Must find shelter and advise patient where that is
When is transportation of the animal not required?
1: Alters the nature of services
2: Poses an undue burden
3: Poses a direct threat to safety (significant risk that cant be changed by altering policy) (Allergies or fear does not apply)
Must still make a reasonable attempt even if have to modify policy)
What are the owner’s responsibilities of the service animal?
1: Maintain control of animal (either leash or voice control)
2: Care for and feed animal
What conditions cause for exclusion of service animal protection?
1: Not housebroken
2: Failure to maintain control in reasonable time frame
3: Animal repeatedly wanders (even if recalled)
4: Continued DISRUPTIVE barking
Avoid using animal control as this severs ownership. Reclamation is responsibility of owner, what are our responsibilities in this case?
Notify owner as to the location of animal`
Restraint is a LAST resort (talking, family, meds considered first) anger or hostility with no threat dont count, when can we restrain?
Combative with threat of harm to self or others (intentional or unintentional, could be the medical condition eg head injury).
If attempting to restrain pose serious threat what should be done?
Retreat to safety and wait for PD
What should a CN contain?
1: Case number
2: Age
3: Chief complaint
4: Treatments
5: ETA
6: Vitals
7: MOI
Who can you patch to?
MD or nurse relaying to MD
Clearly state at beginning if it is a CN or Patch
What are our base hospitals?
1: Desert
2: Baywood
What if a doc at a hospital other than the base want to give orders?
Must then call base for authorization
When must you patch?
1: Termination
2: Test patch
3: Inability to contact receiving facility
4: Taser with 12 lead
5: Alcohol or drugs
6: Head injury
7: Postictal
8: Cant understand consequences of refusing
9: Dont understand English
10: Mental illness
11: Minors (unless emancipated, legally married or divorced, homeless)
12: If released to someone other than guardian
13: Any high risk mechanisms
What are high risk mechanisms requiring a patch?
1: Ejection from vehicle
2: Death in same vehicle
3: Extrication greater than 20 min
4: Falls greater than 20 feet
5: Rollover
6: High speed crash greater than 40
7: Crash with major vehicle deformity greater than 20 inches 12 if passenger compartment
8: Auto v ped bike greater than 5mph
9: Ped run over or thrown
10: Motorcycle or atv greater than 20mph
What are complaints that require patch for refusal?
1: Abdominal pain
2: ALOC
3: Cardiac dysrhythmia
4: CP
5: Foreign body ingestion
6: Inability to walk
7: OD or poison
8: Patient volunteer high risk condition
9: Pregnancy related
10: Seizure
11: Water related
When can we transfer to a non base MD or receive orders form them?
With approval from base hospital
What if an on scene physician want control?
Get approval from base hospital and clearly document that they take FULL responsibility
After they take control DO NOT perform skills outside scope
What is the procedure if a medication error happens?
1: Notify receiving facility
2: Must ride in
3: Report to EMS immediately and do a pre hospital
4: EMS will investigate circumstances adverse reactions and outcome
5: medical director and EMS chief determine if remediation or discipline warranted
6: If discipline HR and Labor notified, Ops chief also included
7: Captain notified for documentation in station file
What if your RX fob is lost and you cannot contact EMS?
Car 209 has 3 extras
If we use the digital code for the drug box what should be done?
Drug box inventory and EMS will follow up
What if you find missing meds during your drug check in the morning?
1: Call off going crew to see if used
2: If still not accounted for Captain call BC
3: Document discrepancy
4: Ultimately responsibility of the Captain BLS or ALS
5: EMS notified
When should a drug check happen?
1: Morning of each shift
2: New member arrives during the day
3: Bags opened
Who signs the drug check>
ALL paramedics on the truck and the captain if BLS
Who monitors that drug checks completed?
BSO BC
Opening of the controlled substance bag is not required but what should be done?
Take a pic
When should drugs be checked for expiration?
1: Each morning
2: When restocking bags
3: First day of each month
Who do you contact with concerns about the truck phone?
Operation concerns EMS
Mechanical concerns Tech Services
Where is the truck phone stored?
Overnight plugged in at the captains position
When fully charged kept with Captain at time of shift change
What do you do if truck phone is lost?
Contact PD and Tech services
Do a pre hospital
How long does it take to charge the truck phone?
50% within 45 min
Full charge 4 hours
How do you clean truck phone?
Damp cloth
What temp should phone be kept in?
32-95
A non patient may ride in the MFMD rescue but must meet what criteria?
1: Must not be a danger to self or others
2: Must be able to be restrained (car seat, seat belt)
3: Should be 18 unless parent is being transported and no other adult supervision available
Who is responsible for patient valuables?
Captain, may delegate to other fire or PD
How should we handle patient valuables?
1: Bag use PPE
2: Document on EPCR be generic (1 ring or necklace)
3: Involve PD when necessary
4: When transferring to other unit document name agency and unit number
What must a minor have if emancipated?
1: Must be 16
2: Must have AZ ID that says EMANCIPATED
