Ch 1,2,3 Flashcards
makes guidelines for the EMT basic training needs
Department of Transportation (DOT)
continuous quality improvement identifies areas of improvement and provide remedial training if needed
quality control and improvement (CQI)
written standing orders or protocols
medical director
scene size up
initial assessment
focused history and physical exam
ongoing assessment
patient assessment
provide a coordinated continuum of care to maximize survival and limit patient suffering
patient advocacy/confidentiality
EMT basic role/responsibility
every patient is entitled to0 compassion, respect, and the best care
EMT professional attributes
our responsibility to renew EMT certification
continuing education
kubler-ross 5 predictable stages of the grieving process
denial anger bargaining depression acceptance
refusing to accept
denial
blaming others
anger
promising to change
bargaining
openly expressing grief
depression
the simple “yes”
acceptance
alarm response to stress
reaction and resistance
recovery (or exhaustion)
general adaption syndrome
sympathetic response
fight or flight response
what kind of response is the sympathetic response?
neuro-endocrine response
types of stress reactions
acute stress reactions
delayed stress reactions
cumulative stress reactions
occur during a stressful situation
acute stress reactions
manifest after a stressful event
delayed stress reactions
prolonged or excessive stress
cumulative stress reactions
a process that confronts the responses to critical incidents and defuses them, directing the emergency services personnel toward physical and emotional equilibrium
critical incident stress management (CISM)
CISM includes
on scene peer support
demobilization
defusing
critical incident stress debriefing
on scene transition point between large scale situation and going off duty
demobilization
2 to 4 hours, but not more than 24 hours post event (informal meeting)
defusing
24 to 72 hours post event (formal meeting w/ CISM team and trained men til health staff)
critical incident stress debriefing
infection control techniques
body substance isolation (BSI)
ethical responsibilities of an EMS responder?
make the physical/emotional needs of the patient
practice/maintain skills to the point of mastery
critically review performances
continuing education
physiological manifestations of the sympathetic response
rise in respirations, rise in pulse, increases blood pressure, cool pale clammy skin, dilated pupils, tensed muscles, perspiration, increase blood glucose levels
infection that causes AIDS
transmitted by blood to blood contact
can be transmitted to a rescuer from a contaminated needle
HIV Infection
inflammation to the lining of the brain
can be caused by viruses or bacteria
usually not contagious
signs of nuchal rigidity, photophobia, fever, chills, nausea, vomiting
transmitted by direct contact w/ respiratory secretions
meningitis
productive cough, blood sputum bacterial disease affecting the lungs detected by screening must be tested every year for TB recovery 100% if identified and treated early
tuberculosis
inflammation of the liver
signs include weakness, fatigue, fever, wight loss, and jaundice
transmitted by blood to blood contact
hepatitis B and C are transmitted by blood
hepatitis
violent situations are created by
civil disturbance, large gatherings
domestic disputes
crime scenes
what to do if you suspect hazardous material?
maintain a safe distance and try to read placards w/ binoculars
outlines the care you are able to provide
scope of practice
standard of patient care imposed by local or state custom; based on how reasonable prudent person w/ similar training and experience would act under similar circumstances
standard of care
what is your standard of care compared to?
compared to another EMT-Basic
legal dirty to act begins once an ambulance responds to a call or treatment is initiated
have the responsibility to provide care on duty
duty to act
failure to provide the same care that a person w/ similar training would provide
negligence
four factors of negligence
duty
breach of duty
damages
proximal cause
EMT has an obligation to provide care and to do so in a similar manner that is consistent with the standard of care established by training and local protocols
duty
EMT does not act within an expected and reasonable standard of care
breach of duty
there are damages when a patient is physically or psychologically harmed in some noticeable way
damages
must be a reasonable cause and affect relationship between the breach of duty and the damages suffered by the patient
proximal cause
conduct that constitutes a willful or reckless disregard for duty or standard of care
gross negligence
unilateral termination of care by EMT without the patients consent and without making provisions for continuing care transferred to someone who is equal or higher medical authority
abandonment
unlawfully placing a person in fear of immediate bodily harm
assault
unlawfully touching a person
battery
seizing, confining, abducting, or carrying away by force
kidnapping
unauthorized confinement of a person
false imprisonment
a patient gives verbal or nonverbal authorization for provision of care or transport (actual consent)
expressed consent
a patient who is unable to give consent is given treatment under the legal assumption that he or she want treatment
implied consent
applied to patients who are mentally ill, in behavioral crisis, or developmentally delayed
obtain consent from guardian
involuntary consent
a minor may be considered and treated as adult if they air married, pregnant or living independently from their parents
emancipated minor
who has the right to refuse treatment?
conscious, alert adults with decision making capacity
what to do when a patient refuses treatment?
inform patient of risks, benefits, alternatives, and treatments
complete documentation is a safeguard against legal complications
reports and records
absence of circulatory and respiratory function
death
physical signs of death
decapitation
rigor mortis
dependent lividity
putrefaction
blood settling to the lowest point of the body
dependent lividity
stiffening of body muscles
rigor mortis
decomposition of body tissues
putrefaction
when can a patients info be disclosed?
the patient signs a release
a legal subpoena is presented
it is needed by billing personnel
other medical professionals for continued care
good Samaritan actions include
acted in good faith
no expectation of compensation
within scope of practice
did not act in grossly negligent
