Ch.1 Posttest Flashcards
Transferring a 911 caller with a low acuity complaint to a nurse line is an example of:
A.call routing.
B.evidence-based medicine.
C.mobile integrated health care.
D.dispatch prioritization.
C.mobile integrated health care.
Why is transporting a patient to the hospital considered a potential risk?
A.The patient may be taken to the wrong emergency department.
B.The EMT tends to perform fewer skills because they are belted into the captain’s chair.
C.It increases the risk for injury by wheeling the patient into the hospital on the ambulance cot.
D.The ambulance might be involved in a vehicular crash.
D. The ambulance might be involved in a vehicular crash.
A term for treatments backed by research that proves interventions have positive effects in patient care is:
A.evidence-based treatment.
B.early goal-directed therapy.
C.evidence-based medicine.
D.traditional approach.
C.evidence-based medicine.
Maintaining and recertifying your EMT certification or licensure is:
A.the responsibility of your service training officer.
B.the role of your regional EMT training council.
C.part of your role as an EMS professional.
D.the responsibility of your service medical director.
C.part of your role as an EMS professional.
Which of the following is a professional attribute expected of all EMTs?
A.Communicating effectively both verbally and in writing
B.Summoning law enforcement to witness care if the patient is a minor
C.Deciding if the patient should be transported to the hospital or not
D.Following up on patients after they have gone home
A.Communicating effectively both verbally and in writing
Orders from the on-duty physician given by radio or phone are referred to as:
A.online medical direction.
B.offline medical direction.
C.treatment policy.
D.standing orders.
A.online medical direction.
You are getting ready to transport a 32-year-old male patient who wrecked his motorcycle and is now unresponsive with multiple long bone fractures. There will be two EMTs caring for the patient while you drive to the hospital. Which of the destinations listed below seems MOST appropriate?
A.Hyperbaric center facility 2 miles away
B.Trauma center facility 7 miles away
C.Burn center facility 9 miles away
D.Small community emergency department 5 miles away
B.Trauma center facility 7 miles away
What is the MOST important outcome for any continuous quality improvement (CQI) program?
A.Improving the quality in all aspects of the EMS system
This is the correct answer.
B.Improving the quality of statistics uploaded to the state trauma registry
C.Improving the quality of a particular person in an EMS system
D.Improving the quality of the care rendered in an EMS system
A.Improving the quality in all aspects of the EMS system
A medical facility for specialized treatment of serious injuries that generally exceed the capabilities of MOST hospital emergency departments is commonly known as a:
A.stroke center.
B.rehabilitation center.
C.trauma center.
D.burn center.
C.trauma center.
A 911 system that allows the call taker to view the caller’s location and phone number automatically when using a landline to summon EMS is known as:
A.rapid 911.
B.localized 911.
C.GPS 911.
D.enhanced 911.
D.enhanced 911.
A current initiative establishing benchmarks to improve cardiac care and increase survival of out-of-hospital cardiac arrest patients is known as:
A.AHRQ.
B.NEMSIS.
C.CARES.
D.AHA.
C.CARES.
From an MIH standpoint, which one of the following will significantly increase the value of EMS within the health care system?
A.Increasing transport to emergency departments
B.Continued acute care management
C.Providing patient education
D.Increasing the EMT scope of practice
C.Providing patient education
The medical director issues a written order that allows an EMT to give glucose in certain circumstances without speaking to another physician. This is called:
A.online medical direction.
B.indirect medical permission.
C.direct medical permission.
D.offline medical direction.
D.offline medical direction.
An Emergency Medical Responder (EMR) is generally trained to provide the following care:
A.transportation, intubation, and basic ECG interpretation.
B.traction splinting, extrication, and transport to the hospital.
C.ambulance transport, neonatal resuscitation, and venous access.
D.bleeding control, CPR, and automated external defibrillation.
D.bleeding control, CPR, and automated external defibrillation.
The 911 dispatchers who are specially trained to give pre-arrival instructions to callers, such as how to control bleeding or how to perform CPR, are called:
A.physicians.
B.Emergency Medical Dispatchers.
C.base hospitals.
D.medical directors.
B.Emergency Medical Dispatchers.
If it is required in your state that every ambulance must be staffed at a minimum with one EMT and one paramedic, this would be in fulfillment of which of the Technical Assistance Program Assessment Standards?
A.Medical direction
B.Human resources and training
C.Resource management
D.Regulation and policy
D.Regulation and policy
Treatment that is given to patients before they are transported to a hospital or other facility is called:
A.rapid response.
B.early intervention.
C.prehospital care.
D.ongoing treatment.
C.prehospital care.
Collecting and safeguarding a patient’s valuables is an example of:
A.guardian support.
B.patient advocacy.
C.patient support.
D.patient adversary.
B.patient advocacy.
What would be the most important reason why poor communication is a contributor to patient safety risks?
A.You might take the patient to the wrong hospital.
B.It can lead to medical errors.
C.The patient may be charged for a skill you did not provide.
D.You could get an over-response to the call.
B.It can lead to medical errors.
After a difficult multiple casualty incident, your medical director invites your EMS system to participate in a countywide MCI drill. This exercise is best described as:
A.quality improvement.
B.offline medical direction.
C.maintenance of certification.
D.documentation review.
A.quality improvement.
You have just assessed a patient in the living room and you notice the couch is in front of the picture window. You are on the third floor and the window only has a screen on it. If there are toddlers and preschoolers in the home, what would be good injury prevention advice for the family?
A.Children can easily get sick when exposed to outdoor air.
B.Always keep the stairs free of clothing.
C.Get an air conditioner instead of house fans.
D.Move the couch away from the window, as children might fall out the window.
D.Move the couch away from the window, as children might fall out the window.
What is one aspect of quality improvement in which every EMT can participate?
A.Patient counseling
B.Continuing education
C.Protocols
D.Standing orders
B.Continuing education
Researching a current protocol’s effect on patient outcome is best described as:
A.patient advocacy.
B.evidence-based medicine.
C.continuing education.
D.performance review.
B.evidence-based medicine.
Tracking down the crew that was on a call involving a patient with a communicable disease, such as bacterial meningitis, would be an example of a health department’s role in:
A.health education.
B.injury prevention.
C.disease surveillance.
D.workplace safety.
C.disease surveillance.
Which government law, policy, or document identifies the four levels of EMS practitioners?
A.National EMS Education and Practice
B.National EMS Education Standards
C.National EMS Scope of Practice Model
D.National EMS Core Content
C.National EMS Scope of Practice Model
Which organization is responsible for defining the levels of EMS licensure and corresponding knowledge and skills necessary at each level?
A.U.S. Department of Labor
B.National Highway Traffic Safety Administration
C.World Health Organization
D.Centers for Disease Control and Prevention
B.National Highway Traffic Safety Administration
To avoid infectious diseases, the EMT should don:
A.leather gloves.
B.a gown.
C.a helmet.
D.turnout gear.
B.a gown.
Which of the following is NOT a common step in evidence-based decision making?
A.Review the newspapers and television reports for views on the topic in question.
B.Formulate a prehospital question that needs to be answered.
C.Appraise the evidence found for validity and reliability.
D.If evidence supports the change in practice, change your protocols and implement the changes.
A.Review the newspapers and television reports for views on the topic in question.
You are charged with revising the destination protocol for trauma patients in your EMS system. Having this policy in place helps to fulfill which of the Technical Assistance Program Assessment Standards?
A.Trauma systems
B.Resource management
C.Transportation
D.Medical direction
A.Trauma systems
What lesson learned from the Korean and Vietnam conflicts have impacted modern-day EMS the greatest?
A.There was a need for a common scope of practice for all treatment personnel in the military.
B.Lifesaving care needs to occur in the hospital setting.
C.Speed of evacuation is the most important element in an EMS system.
D.Injured soldiers benefited from emergency care provided prior to transport.
D.Injured soldiers benefited from emergency care provided prior to transport.
