Ch 01: The Responder

Question 1

Levels of Training for Providers - Canada

Answer 1

Emergency Medical Responder
Primary Care Paramedic
Advanced Care Paramedic
Critical Care Paramedic

Question 2

Levels of Training for Providers - Alberta

Answer 2

Emergency Medical Responder
Emergency Medical Technician
Paramedic

Question 3

Emergency Medical Aid Act

Answer 3

In Alberta, this act protects emergency medical care workers from being liable for damages caused, unless negligent.

Question 4

Medical Control

Answer 4

Policies and directions written by a physician to guide emergency personnel.

Question 5

Medical Director

Answer 5

The physician responsible for Medical Control; oversees training and the development of protocols.

Question 6

Indirect / Offline Medical Control

Answer 6

Following protocols without consulting the Medical Director

Question 7

Direct / On Line Medical Control

Answer 7

Speaking to a Medical Director about procedures not in protocol.

Question 8

5 Personal Characteristics of a Responder

Answer 8

• Caring and Professional Attitude
• Controlling Fears
• Professional Appearance
• Updated Skills and Knowledge
• Keeping Healthy

Question 9

6 Responsibilities of an EMR

Answer 9

• Ensure your safety and the safety of others
• Gain access to casualty
• Determine threats to their life
• Obtain advanced medical help
• Provide needed care
• Assist advanced medical pros

Question 10

Good Communication

Answer 10

• Speak slow and clear
• Simple words
• Be at eye level
• Inviting body language
• Listen carefully

Question 11

Duty to Act

Answer 11

A responder must act when they are on duty and expected to do so; in Quebec, anyone trained must act.

Question 12

Scope of Practice

Answer 12

The range of duties and skills allowed and expected to perform.

Question 13

Informed Consent

Answer 13

Casualty tells you clearly that you have permission to provide care.

Question 14

Implied Consent

Answer 14

Assume that an unconscious casualty would grant consent if they were able to do so.

Question 15

Consent from a Minor

Answer 15

Parent / guardian must be present to provide consent.

If the child is by themselves, ask why and assume implied consent.

Question 16

Competence

Answer 16

The persons ability to understand questions and implications (consequences).

Question 17

Advanced Directive

Answer 17

Documented instruction from the casualty on what care can be provided.

Question 18

Do Not Resuscitate

DNR

Answer 18

Documented instruction from casualty that protect their right to refuse resuscitation.

Do not perform CPR

Question 19

Negligence

Answer 19

Not providing the standard of care expected and causing injury or harm;

Acting wrongly or not at all

Question 20

4 Components of a Negligence Lawsuit

Answer 20

• You had a duty to care
• Breach of that duty
• Cause of harm
• Damage caused

Question 21

Refusal of Care

Answer 21

A casualty says no to care;

• Casualty is competent
• Persuade the person truthfully
• Advise the risks
• Sign a ‘Refusal of Care’ form

Question 22

Abandonment

Answer 22

Failing to continue care once you have begun, without being relieved by a person of greater training or the scene becomes too unsafe.

Question 23

Confidentiality

Answer 23

Never discuss patient or care given except to health care professionals directly involved.

Question 24

Radio Communication - Procedure

Answer 24

• Press the ‘Push to Talk’ button
• Wait one second before speaking
• Hold mic 5-7cm from mouth
• Be brief
• Listen before talking; Don’t interrupt.

Question 25

Base Station

Answer 25

Stationary radio in a dispatch centre, station or hospital

Question 26

Mobile Radio

Answer 26

Mounted inside vehicle

Question 27

Portable Radio

Answer 27

Hand held radio

Question 28

Repeater

Answer 28

Receive a low power signal and put it out as a high power signal.

Question 29

Cell Phone

Answer 29

Used when radio signal is unavailable

Question 30

4 Activities to Report to Dispatch

Answer 30

• On route to call
• Arrive at scene
• Require additional / specialized personnel
• Return to service and are available for next call

Question 31

7 Pieces of Info to Provide Medical Director During On-line Direction

Answer 31

• Unit Identifier; You are a responder
• Patient age, sex, chief complaint
• Brief events leading to emergency
• Physical exam results and vitals
• Care provided and casualty response
• The reason you are calling
• Repeat any orders given

Question 32

Reasons for Documentation

Answer 32

• Document care provided
• Evidence in lawsuits
• Transfer information
• Research to improve EMS system

Question 33

10 Elements of Good Documentation

Answer 33

• Complete and Accuracy
• Legible
• Timeliness
• No alterations
• Names of responders, call number, address of scene
• Patient name, age, gender, birth date, care prior to EMS arrival
• Vital signs
• Chief complaint
• History (SAMPLE, OPQRST) and assessment
• Care given

Question 34

Critical Incident Stress Management

Answer 34

Help coping with the mental and emotional stress caused by incidents a responder has attended.

Question 35

First Responder

Answer 35

A person trained in emergency care for their job site

Question 36

Good Samaritan Laws

Answer 36

Protective law for non-certified, quality emergency care. Does not protect from lawsuit financial charges or negligence.

Question 37

Interpersonal Communication

Answer 37

Speaking and listening to others at a scene