CH1 Professional Responder Flashcards
what is the emergency medical care system?
network of professional responders with an intergrated approach to providing care in an emergency situation
what are the components of emergency response (7)
- patient (injuey/illness)
- public response
3.EMS activtaion - responder care
- advanced pre hospital care
- hospital care
- rehabilitation
what part of the emergency response do AT’s complete? (3)
-EMS activation
-Responder care
- Rehab
Do first responders transport patients? If not then who?
no, only EMS
are firefighters traditional or non traditional professional responders? Why?
non traditional. Depends on province but they are the first ones to show up in medical emergency before ambulance in BC.
Name traditional professional responders (4)
-emergency medical responder
-primary care paramedic
-advanced care paramedic
-critical care paramedic
Primary responsibilities of a first responder (7)
- ensure your own saftey
- ensure saftey of bystanders
- gain access to patient
- determine any threats to the patient life (primary/secondary assessment)
- request more advanced medical care as needed
- provide the necessary care for the patient
- assist more advanced personnel
Define principle & preference
principle- what is necessary for patient improvement
preference- how the principle is efficiently achieved with skills available (provider)
4 factors that determine your principle & preference
- situation
- patient condition
- responder knowledge, skills/training
- equipment available
What is the golden period of trauma
the time during which treatment of shock or traumatic injuries is most critical and the potential for survival is best
how does the role of the first responder help in the ‘golden hour’
controlling blood loss, keeping the airway open can be the difference of life or death
what is the platinum 10 minutes
optimal time of survival when doing initial assessment, intervention & packaging
how to give efficient care
-emergency interventions are situation/sport specific
- you have a duty to act quickly & safely
1. assess patients condition
2. act as the patients advocate
3. summon additional help as necessary
4. assist other medical personel at the scene
5. document your actions
6 professional responsibilities
- caring & professional attitude
- self care plan to manage stress
- clean & professional appearence
- keep knowledge & skills up to date
- safe & healthy lifestyle
- Careful how you react
parts of the emergency health care team (4)
- charge person
- assistant
- control person
- call person
what is the role of the charge person
Lead.
Most capable to handle injuries and accidents.
-Initiates EMS
-assess for life threatening injuries
-manages injuries
liaison with EMT
-documents
what is the role of the assistant
assists the charge person with managing the injuries
what is the role of the control person
-crowd control
-gathers any equipment needed for charge person
What is the role of the call person
-calls the ambulance
-reports back to the charge person with info
-meets the ambulance & brings them to the site
guidelines for good communication (6)
- introduce yourself
- eye contact & body language
- speak directly to the patient
- be aware of language & tone of voice
- listen to the person
- calm and professional
elements of self care (6)
-eat sensibly
-adequate sleep
-regular exercise
-hobbies
-self care plan
-self awareness of personal stress level (take precautions against exceeding your own limits)
what is critical instant stress (CIS)
PTSD like stress soon after a traumatic incident
signs & symptoms of CIS
-confusion
-lowered attention span
-poor concentration
-denial
-guilt
-depression
-anger
-change in interactions with others
-change in appitite
-unusual behaviour
-uncharacteristic, excessive humour or silence
CIS vs PTSD
CIS: acute, s/s appears soon after the event, s/s may not last long
PTSD: chronic, s/s usually appear within 3 months of traumatic event, s/s long lasting
legal & ethical duties (4)
- have a legal duty to act while on the job
- expected to act professional in an emergency
- must do only what one is trained and authorized to do
- regulated by scope of practice
what is the infant act
allows teens under 19 to make their own medical decisions as long as the health care provider deems them competent
define competent
they are able to understand the risks and consequences of their choices/actions
4 parts of negligence & explain
- duty to act- legal obligation to help someone in need when they cannot care for themselves
- breach of duty- omission, misfeasance, malfeasance
- damage- injury must have occured
- proximate cause- direct link between breach of duty & damage.
define misfeasance
right thing done wrong/poorly
define malfeasance
wrong thing to do
ethical responsibilities (5)
- demonstrate compassion to the patient
- communicate sensitivley and willing at all times
- honesty when reporting actions/events
- continued education (keep skills up to date)
- reflect on your personal practice
Consent before care (4)
- identify yourself
- state level of training
- explain what you think may be wrong
- explain what you will do
why state your process out loud?
- keeps you on track
- lets your partners know whats going on
- allows the patient to stop you or ask questions
define expressed consent
mentally competant person person grants permission to provide care
when is implied consent given?
-unresponsive
-intoxicated
-under influence of drugs
-confused
-mentally ill
-developmental delay
-seriously ill/injured
-unattented minors in need of emergency care
when is consent not needed for a child?
when the child has a life threatening injury
what to do if someone refuses care (7)
- honour request
- emphazise need for care
- repeat your offer
- call EMS
- have the refusal witnessed
- follow local protocal for refusal of care (stay in area until EMS arrive)
- document refusal of care.
when to end care? (2)
- when someone with a higher level of training takes over (stay at the scene tho)
- when the patent is transfered to a more advanced personnael.
transfer of care info to document (7)
- patient demographics
- chief complaint
- what happened
- relevant patient medical history
- treatment provided
- changes in patient conditions as result of treatment
- patient vitals/relevant changes in vitals
why document? (4)
- medical
- legal- defend against lawsuits
- administrative- transfer info to other healthcare practioners
- research
