CAMTS Flashcards

1
Q

Common accreditations

A

CAMTS- commission on accreditation for medical transport systems
CAPCE- commission on accreditation for prehospital continuing education
Nursing- American nurses credentialing center(National) and Kentucky Board of nursing(47/50 states)

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2
Q

HIPAA(health insurance portability and accountability act)

A

HIPAA consists of 5 titles- put fourth by President Clinton
— title 1– healthcare access, portability, and renewability
— title 2 - preventing healthcare fraud and abuse
— title 3 - tax related health provisions(HSA accounts)
— title 4 - group health insurance requirements(Cobra laws)
— title 5 - revenue offset governing tax deductions for employers

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3
Q

JUST culture

A

long-term relationship between the employer and the employee
— if you were doing your job well you should be recognized
— if you make an honest mistake, you should be supported
— if you violate procedure due to perceived as a justifiable risk, you should be trained and coached to do it better next time
— if you are caught taking shortcuts for personal gain or taking reckless action without regard for consequences, you should be disciplined.

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4
Q

GAMUT Metrics

A
  • ground and air medical quality in transport
    > establishes strict definitions for quality metrics that are relevant
    > database for tracking and reporting for performance comparison to other programs
    > easy to identify best practices of high-performing, transport teams and programs.
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5
Q

Ethical considerations

A

> respect for patient autonomy
-Informed consent
-Shared decision-making
confidentiality
honesty and decency toward the patient and family.

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6
Q

PTSD and suicide risk

A
  • critical incident stress debriefing CISD
    > know you are not alone
    > trauma is a normal human response to an abnormal situation
    > trauma is an injury to the brain rather than an illness
    > connect with others and share experiences
    > help change culture— talk
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7
Q

CAMTS terminology

A

VFR- visual flight rules
VMC- visual meteorological conditions
IFR- instrument flight rules
IMC- instrument meteorological conditions

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8
Q

Flight following

A

> 15 min rule- if an IFR or VFR flight plan has not been filed time between communications must not exceeded 15 minutes if it means to communicate directly or indirectly is available.

> 45 min rule- time between communication must not exceed 45 minutes while on the ground unless ground ambulance, continuous tracking software is used.

> post accident policy will be implemented 15 minutes after an aircraft fails to give a position report or is overdue to arrive

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9
Q

Shift requirements

A

24 shifts
-not required to perform duties beyond transport services
-Access to uninterrupted rest
-Can call “timeout”
-fatigue risk management system utilized

Exceeding 24 hour shifts
-Programs base averages <one transport per day
-Provides at least 10 hours of rest in each 24 hour Period.
-Location of base or program is remote(One-way commutes are >2 hrs)

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10
Q

Protective equipment

A
  • hearing protection
  • Clothing based on environment conditions(required)
  • Boots or sturdy footwear(required)
  • Helmet
  • Reflective material(strongly encouraged)
  • Flight suit with no more than 1/4inch between skin and flight suit
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11
Q

Minimum equipment

A
  • Patient securing – three restraint belts
  • Two sources of oxygen
  • Two suction sources
  • Defibrillation capabilities
    -ETCO2 waveform capnography. Transcutaneous ETCO2 monitoring is acceptable for neonatal transport teams.
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12
Q

Specialty transport teams

A

-Specialty transport teams will be accompanied by at least one regularly scheduled light crew member or

  • Betrayed on the companies CRM, safety, survival, and aircraft operations.
  • must hold C–NPT based on spec specific specialty transport team capability(neonatal)
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13
Q

Training requirements

A

Annual didactic and clinical training are required

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14
Q

Pilot qualifications

A
  • Minimum of 4 flight ready pilots assigned per single aircraft which is available 24 hours/Day
  • commercial/instrument rated
  • 2000 total flight hours
  • 1200 flight hours rotor
  • 1000 PIC in rotor(may include 500 hours in tilt rotor)
  • 100 hours as night PIC
  • 500 hours turbine time(1000 hours of turbine time strongly encouraged)
    ** airline transport pilot(ATP rating) is required within five years of higher**
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15
Q

Pilot training

A
  • Initial terrain and weather
  • Hospital orientation
  • Infection control
  • Medical on aircraft
  • Loading/unloading
  • EMS
  • Instrument
  • Weather
  • Five hours area orientation with two hours at night as PIC
  • part 135
  • IMC(inadvertent meteorological conditions)
  • instrument IFR
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16
Q

Flight safety and emergency

A
  • Sterile cockpit
  • Eyes out
  • Hazard identification
  • FMC — safety
  • Seatbelts
  • Weather
17
Q

FAA VFR minimums

A

Range from 800’— 2 miles to 1500’—5 miles depending in terrain and day/night w/or w/o NVG’s

18
Q

In flight emergency

A
  • Lay patient flat
  • Secure patient straps
  • Turn off oxygen
  • Secure equipment
  • Secure yourself
  • Helmet visor down
  • Crash position
19
Q

Post crash procedure

A
  • emergency transmit on 800MHz frequency 406(121.5 is old). Needs to be in arms reach of pilot.
  • ELT activation – 4g’s
  • Disengage – throttle, fuel, and battery. Rotor break is always last.
  • Exit rotor blades stop
  • Exit and meet at 12 o’clock position
  • Secure shelter, water, and food.
20
Q

Radio transmission

A

> Simplex system
- Single channel for transmission
- Aircraft: air – air
- Marine radio
- Old radio systems
- transmitter and receiver
Duplex system
- Transmit and receive on different channels
- Needs repeater or tower
- Portable radio – half duplex
- cell phones – full duplex

21
Q

Ambulance operations

A

Based on KKK 1822
> poor conditions or crash procedure
- Move to the curb
- Water flooding roadway
> warning device: >35 MPH
- 30 meters(100ft) in both front and rear
- Obstruction from Hill within 30 meters(100ft) the second warning device needs to be activated
> fuel capacity minimum of 175 miles
- Must be able to operate between -30 and 122°F
> road hazard equipment
- Flashlight
- Flares(road marker)
- Tools
- leather gloves
> EVOC/CEVO certified
> operator driving record verified every year