Ch.1 Pretest Flashcards
Which one of the following is a service that may be provided by community paramedics?
A.Emergency Response
B.Rural MCI response
C.Management of chronic conditions
D.Transportation of critical patients
C) Management of chronic conditions
What is the name of the program that EMS services should establish in order to better assess the ongoing efficiency of care they are rendering to patients?
A.Enhanced 911
B.Trauma registry
C.Quality improvement
D.Continuing education
C) Quality improvement
Which step in the evidence-based medicine process deals with the concept of deciding what aspect of emergency medicine to investigate?
A.Change of protocol based on the research outcome.
B.Search medical literature.
C.Formulate a question.
D.Appraise evidence for validity and reliability.
C. Formulate a question
What is the first public health responsibility?
A.Designing a prevention strategy
B.Evaluating the local EMS capabilities
C.Identifying a problem that affects a specific population
D.Educating the target population that is at risk
C.Identifying a problem that affects a specific population
One of the EMTs at the station has been cited by the medical director for sloppy, incomplete, and sometimes inaccurate patient care documentation practices. Why does this pose a risk to patient safety?
A.The EMS service cannot bill for sloppy report forms, which lowers the reimbursement rate and jeopardizes future equipment purchases.
B.The service is worried about justifying the cost of equipment it currently uses.
C.Poor communication can lead to misunderstanding and medical errors.
D.Failure to document properly can make it easier for the EMS system to be successfully sued.
C.Poor communication can lead to misunderstanding and medical errors.
The EMT gains the authority to render care from the:
A.base hospital.
B.supervisor.
C.medical director.
D.NHTSA.
C.medical director.
What was the effect of the publication of Accidental Death and Disability: The Neglected Disease of Modern Society on modern-day EMS?
A.The American Heart Association began training the public in CPR.
B.The federal government created the Department of Health and Public Safety.
C.It served as a catalyst for improving ambulance systems.
D.It identified that many people were dying due to crashes while traveling by airplane.
C.It served as a catalyst for improving ambulance systems.
The National Highway Traffic Safety Administration provides a set of recommended standards for EMS systems called the Technical Assistance Program Assessment Standards. These ten standards include which one of the following?
A.Personnel scheduling
B.Medical direction
C.Vehicle maintenance
D.Required system access through a 911 emergency phone number
B.Medical direction
Integrity, empathy, and effective time management are examples of an EMT’s:
A.knowledge and skills.
B.physical demands.
C.patient care advocacy.
D.professional behaviors.
D.professional behaviors.
The EMT’s FIRST and MOST important priority is:
A.personal safety.
B.patient welfare.
C.proper vehicle maintenance.
D.the safety of other rescuers.
A.personal safety.
According to the National EMS Scope of Practice Model, an Advanced EMT should be trained to:
A.administer medications intravenously.
B.decompress a chest cavity.
C.initiate cardiac pacing.
D.perform a needle jet insufflation.
A.administer medications intravenously.
If a bystander summons EMS using a mobile phone, and the EMS dispatcher is able to view the caller’s latitude and longitude coordinates, what FCC rules has this wireless provider utilized?
A.Phase I enhanced 911
B.Phase II enhanced 911
C.Basic 911
D.Enhanced 911
B.Phase II enhanced 911
Evidence-based medicine tends to emphasize which component of the traditional approach to the practice of emergency medicine?
A.Good judgment
B.Science
C.Quality improvement
D.Intuition
B.Science
What does an enhanced 911 system allow the emergency dispatcher to perform?
A.Respond to the scene of a medical incident much quicker.
B.Provide step-by-step CPR instructions to the caller.
C.Contact police, fire, and EMS personnel simultaneously.
D.Immediately access the phone number and address from which the call is being made.
D.Immediately access the phone number and address from which the call is being made.
Emergency medical care has developed from the days when the local funeral home provided ambulance service to the current, modern EMS system. Major improvements in emergency medical care over the years include all of the following EXCEPT:
A.prompt response from educated prehospital professionals.
B.patient care beginning at the scene of the illness or injury.
C.use of faster driving speeds during an emergency response to the calls.
D.EMS becoming part of the continuum of patient care.
C.use of faster driving speeds during an emergency response to the calls.
Which step in the evidence-based medicine process focuses on the concept of determining what is already known about a particular intervention or situation?
A.Appraise evidence for validity and reliability.
B.Formulate a question.
C.Change of protocol based on the research outcome.
D.Search medical literature.
D.Search medical literature.
What is the official name for the physician who assumes responsibility for all patient care aspects within a specific EMS system?
A.Chief of staff
B.Medical administrator
C.Medical director
D.Physician on call
C.Medical director
What is the MOST common destination facility to which an EMT will be transporting patients?
A.Freestanding immediate care facility
B.Hospital cardiac, medical, or trauma intensive care units
C.Hospital emergency department
D.Private physician’s office
C.Hospital emergency department
An example of a population or group at greatest risk for injuries from falls would be:
A.American Indians.
B.infants.
C.the elderly.
D.people who live on farms.
C.the elderly.
When documenting the patient’s history, the EMT mixed up the patient’s medications with medications to which she is allergic. What type of patient safety error is this?
A.Failure to follow through error
B.Communication error
C.Handoff error
D.Inappropriate care error
B.Communication error
The NHTSA Technical Assistance Program Assessment Standards for EMS systems address the resource management component by stating that each state must:
A.have central control of EMS resources so that each locality and all patients have equal access to acceptable emergency care.
B.identify a physician as a medical director to provide medical oversight.
C.develop a system of specialized care for trauma patients.
D.have laws, regulations, policies, and procedures that govern its EMS system.
A.have central control of EMS resources so that each locality and all patients have equal access to acceptable emergency care.
To receive the highest quality of care, some patients need to be transported to special facilities, such as patients who have:
A.been exposed to extremes of cold or heat.
B.been critically burned or had a stroke.
C.a diabetic emergency.
D.broken a long bone.
B.been critically burned or had a stroke.
Which one of the following is considered a limitation of evidence-based medicine?
A.Minimal availability of research data
B.Support for change
C.Lack of questions that need to be answered
D.Reliable, valid evidence
A.Minimal availability of research data
The person who is legally responsible for the clinical and patient care aspects of the EMS system is the:
A.medical director.
B.state EMS official.
C.EMT.
D.EMS supervisor.
A.medical director.
Which of the following statements about an EMS system’s CQI program is FALSE?
A.Feedback for the CQI process should only be gathered from the EMTs and the receiving facility.
B.Quality documentation will strengthen the CQI program.
C.Continuing education will better prepare the EMTs, which in turn will improve how well they perform during CQI audits.
D.Periodic reviews of each EMT in the system should be performed.
A.Feedback for the CQI process should only be gathered from the EMTs and the receiving facility.
Which of the following types of medicine focus on research to provide proof that medical treatments rendered improves patient outcomes?
A.Peer-reviewed studies
B.Anecdotal evidence
C.Evidence-based medicine
D.Clinical observation
C.Evidence-based medicine
During the transport of a patient to the hospital, you should:
A.use lights and siren to minimize transport time.
B.obtain the patient’s insurance information.
C.allow family members to ride in the patient compartment.
D.notify the receiving facility of the nature and extent of injuries.
D.notify the receiving facility of the nature and extent of injuries.
When applying for a new job as an EMT with a local EMS provider, you had to take a quick test that involved watching a videotaped scenario and then completing a prehospital care report and giving an oral patient hand-off report. This interview activity was designed to assess:
A.your ability to be polite and considerate in a stressful situation.
B.your tolerance for an order from management.
C.your empathy for the patient in the mock scenario.
D.the expected ability to maintain good verbal and written communication skills.
D.the expected ability to maintain good verbal and written communication skills.
An EMS service has decided to staff a clinic at the county fair. This is an example of
A.public education.
B.community paramedicine.
C.a public health initiative.
D.evidence-based guidelines.
B.community paramedicine.
Of the four levels of prehospital emergency medical training, the level of training that allows for forming a field impression and providing invasive and drug interventions is the:
A.Paramedic level.
B.Advanced EMT level.
C.Emergency Medical Technician level.D.
Emergency Medical Responder level.
A.Paramedic level.
Which of the following tasks could you, the EMT, formally perform that would increase the efficiency of the CQI process in gathering data about the system performance?
A.Distribute CQI system-generated surveys to patients you transport to the hospital.
B.
Only provide feedback to the CQI officer about patients you have transported.
C.
Focus on the care you render rather than the care rendered by your partner.
D.
Speak to the CQI officer about a particular situation only after asking your medical director about it.
A.Distribute CQI system-generated surveys to patients you transport to the hospital.
