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Russo's Flashcards > 400s (400.02-404.02) > Flashcards

400s (400.02-404.02) Flashcards

1
Q

What are EMSs responsibilities?

A

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

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2
Q

The medical director reports to EMS chief, what are their duties?

A

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

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3
Q

What are our patient’s rights?

A

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

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4
Q

If confidentiality is breached what must happen?

A

Member immediately notify Privacy officer

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5
Q

Who is our privacy officer?

A

Medical director and Tech services chief

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6
Q

What are the accepted service animals?

A

Dog
Mini Horse 34” 100lbs
Must perform task related to disability

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7
Q

What must be done when treating a patient with service animal?

A

REASONABLE EFFORT to keep animal with patient, but emphasis is always on patient care

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8
Q

We cannot request documentation of service animals, what are the only questions we can ask?

A

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

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9
Q

What should be the goal with a service animal?

A

Keep it with the patient or get it to the receiving facility

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10
Q

What if you cannot get the animal to the hospital?

A

Must find shelter and advise patient where that is

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11
Q

When is transportation of the animal not required?

A

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)

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12
Q

What are the owner’s responsibilities of the service animal?

A

1: Maintain control of animal (either leash or voice control)
2: Care for and feed animal

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13
Q

What conditions cause for exclusion of service animal protection?

A

1: Not housebroken
2: Failure to maintain control in reasonable time frame
3: Animal repeatedly wanders (even if recalled)
4: Continued DISRUPTIVE barking

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14
Q

Avoid using animal control as this severs ownership. Reclamation is responsibility of owner, what are our responsibilities in this case?

A

Notify owner as to the location of animal`

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15
Q

Restraint is a LAST resort (talking, family, meds considered first) anger or hostility with no threat dont count, when can we restrain?

A

Combative with threat of harm to self or others (intentional or unintentional, could be the medical condition eg head injury).

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16
Q

If attempting to restrain pose serious threat what should be done?

A

Retreat to safety and wait for PD

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17
Q

What should a CN contain?

A

1: Case number
2: Age
3: Chief complaint
4: Treatments
5: ETA
6: Vitals
7: MOI

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18
Q

Who can you patch to?

A

MD or nurse relaying to MD

Clearly state at beginning if it is a CN or Patch

19
Q

What are our base hospitals?

A

1: Desert
2: Baywood

20
Q

What if a doc at a hospital other than the base want to give orders?

A

Must then call base for authorization

21
Q

When must you patch?

A

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

22
Q

What are high risk mechanisms requiring a patch?

A

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

23
Q

What are complaints that require patch for refusal?

A

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

24
Q

When can we transfer to a non base MD or receive orders form them?

A

With approval from base hospital

25
Q

What if an on scene physician want control?

A

Get approval from base hospital and clearly document that they take FULL responsibility

After they take control DO NOT perform skills outside scope

26
Q

What is the procedure if a medication error happens?

A

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

27
Q

What if your RX fob is lost and you cannot contact EMS?

A

Car 209 has 3 extras

28
Q

If we use the digital code for the drug box what should be done?

A

Drug box inventory and EMS will follow up

29
Q

What if you find missing meds during your drug check in the morning?

A

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

30
Q

When should a drug check happen?

A

1: Morning of each shift
2: New member arrives during the day
3: Bags opened

31
Q

Who signs the drug check>

A

ALL paramedics on the truck and the captain if BLS

32
Q

Who monitors that drug checks completed?

A

BSO BC

33
Q

Opening of the controlled substance bag is not required but what should be done?

A

Take a pic

34
Q

When should drugs be checked for expiration?

A

1: Each morning
2: When restocking bags
3: First day of each month

35
Q

Who do you contact with concerns about the truck phone?

A

Operation concerns EMS

Mechanical concerns Tech Services

36
Q

Where is the truck phone stored?

A

Overnight plugged in at the captains position

When fully charged kept with Captain at time of shift change

37
Q

What do you do if truck phone is lost?

A

Contact PD and Tech services

Do a pre hospital

38
Q

How long does it take to charge the truck phone?

A

50% within 45 min

Full charge 4 hours

39
Q

How do you clean truck phone?

A

Damp cloth

40
Q

What temp should phone be kept in?

A

32-95

41
Q

A non patient may ride in the MFMD rescue but must meet what criteria?

A

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

42
Q

Who is responsible for patient valuables?

A

Captain, may delegate to other fire or PD

43
Q

How should we handle patient valuables?

A

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

44
Q

What must a minor have if emancipated?

A

1: Must be 16
2: Must have AZ ID that says EMANCIPATED

Russo's Flashcards (44 decks)

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