Ch1emssystems Flashcards
Is the verification process of a health care providers qualifications
Credentialing
Describes the four levels of ems practice.
The national ems scope of practice model
This process verifies that a provider meets the minimum required KSA competencies for safe and effective emergency operations and patient care
Certification
Is a team of health care professionals who are responsible for and provide emergency care and transportation to the sick and injured
Emergency medical services (EMS)
Such exams often use a variety of testing instruments such as multiple-choice questions, skills stations, and simulated emergency calls. They are typically conducted or regulated by a state or military agency or by the
National Registry of EMTS (NREMT).
is a nongovernmental, not-for-profit organization whose mission is to provide a valid, uniform process to assess the KAs for competent EMS practice.
NREMT
The current ___ determines the certification test plan for each level of ems provider
Practice analysis
The legal authority to practice in his or her state
Licensure
The standards for prehospital emergency care and the people who provide it are governed by the laws of each state and are typically regulated by an ____ operating under the states department of health
Office of ems
Although the specific training and licensure requirements vary from state to state,almost every state’s requirements follow or exceed the guidelines recommended in the current _____
National highway traffic safety administration (NHTSA) ems education standards
protects people who have a disability from being denied access to programs and services that are provided by state or local governments and prohibits employers from failing to provide full and equal employment to the disabled. In addition, Title I of the__ protects EMTs with disabilities seeking gainful employment under many circumstances.
The Americans With Disabilities Act (ADA) of 1990
volunteer ambulances were organized and personnel went overseas to provide care for the wounded in World War __
World War I
During _____, the military trained special corpsmen to provide care in the field and bring the casualties to aid stations staffed by nurses and physicians.
World War II
Many advances in the immediate care of trauma patients resulted from the casualty experiences in the ___
Korean and Vietnam wars
origins in 1966 with the publication of___. This report, prepared jointly by the Committees on Trauma and Shock of the National Academy of Sciences/National Research Council,
Accidental Death and Disability: The Neglected Disease of Modern Society
As a result, Congress mandated that two federal agencies address these issues. Seeing early EMS as essentially an emergency transportation service, the____ was directed to enact the Highway Safety Act of 1966,
National Highway Traffic Safety Administration (NHTSA), under the US Department of Transportation (DOT),
and the ____ was directed to enact the Emergency Medical Services Development Act of 1973, creating funding sources and programs to develop improved systems of prehospital emergency care.
the Department of Health, Education, and Welfare (now known as the Department of Health and Human Services [DHHS])
In the early 1970s, the___ developed and published the first curriculum to serve as the guideline for EMT training.
DOT
To support the EMT course, the American Academy of Orthopaedic Surgeons prepared and published the first EMT textbook-_____in 1971, often called the Orange Book for its original trademark orange cover.
Emergency Care and Transportation of the Sick and Injured in 1971,
In the late 1970s, the DOT developed a recommended____ for the education and training of
paramedics and identified a part of the course to serve for EMTs.
National Standard Curriculum
the 1990s, NHTSA began an examination of EMS from a national perspective. With the counsel of EMS providers, physicians, fire chiefs, nurses, state administrators, educators, and other interested professionals, NHTSA created the____. This important document established a plan to standardize the levels of EMS education and EMS providers in an effort to ensure a more seamless delivery of EMS care across the country. In 2019, NHTSA revised this document and published EMS Agenda 2050.
EMS Agenda for the Future
Because licensure is a state function, laws are enacted at the state level to regulate how EMS providers will operate, and they are then executed by the____ that control licensure.
state-level EMS administrative offices
The only way a medical director can allow an EMT to perform a skill is if the state has already approved that skill. The medical director can limit the scope of practice but cannot expand it beyond state law. Expanding the scope of practice requires___
state approval.
EMR courses are estimated to take approximately __to__hours
50 to 80
EMT course may require approximately __to__hours
150 to 200
AEMT courses range from __to__
200 to 400
Paramedic course ranges from __to_
1,000 to well over 2,000
__is a multidisciplinary, national review of all aspects of EMS delivery. Ine goal is to develop a more cohesive and consistent system across the country. The document features five key aspects of a people-centered EMS system,
EMS Agenda 2050
At the communication center, trained dispatchers obtain the necessary information from the caller and, following dispatch protocols, dispatch the ambulance crew and other equipment and responders that may be needed (FIGURE 1-6). This communication center is called a___.
public safety access point
A system called__ assists dispatchers in providing callers with vital instructions to help them deal with a medical emergency until EMS crews arrive.
emergency medical dispatch (EMD)
Each EMS system has a____ who authorizes the EMTs in the service to provide medical care in the field.
physician medical director
To ensure the proper training standards are met, the ____determines and approves the continuing education and training that are required of each emt in the service
medical director
__is provided either off-line (indirect) or online (direct), as authorized by the medical director.
Medical control
_____medical control consists of standing orders. training, and supervision authorized by the medical director.
Off-line
__ medical control consists of direction given over the phone or radio directly from the medical director or a designated physician such as a base station physician at a receiving hospital. The medical direction can be transferred by the physician’s designee; it does not have to be transferred by the physician himself or herself.
Online
Although each EMS system, medical director, and training program has latitude, their training, protocols, and practices must conform to the
EMS legislation, rules, regulations, and guidelines adopted by each state. The____ is responsible
for authorizing, auditing, and regulating all EMS, training institutions, courses, instructors, and providers within the state.
state EMS office
At the local level, each EMS system operates in a designated____ in which it is responsible for the provision of prehospital emergency care and the transportation of the sick and injured to the hospital.
primary service area
____means that the prehospital care you administer is coordinated with the care administered at the hospital. When you deliver a patient to the ED you are simply transferring that patient to another care provider. The excellent care that you began should be continued in the ED. This component helps to decrease errors, to increase efficiencies, and, most of all, to ensure the patient receives comprehensive continuity of care.
Integration of health services
___is a method of delivering health care that utilizes the prehospital spectrum of care resources. It has evolved with the goal of facilitating improved access to health care at an affordable price. In the___ model, health care is provided within the community, rather than at a physician’s office or hospital. An integrated team of health care professionals, including EMS providers, delivers health care services in the community, and connects patients with other valuable resources such as social services. An advantage of this model is that it offers access to care for patients within communities who may have limited medical resources, and leads to better service for those who are homebound or disabled.
Mobile integrated health care (MIH)
The developing field of __involves experienced paramedics who receive advanced education and training to equip them to provide services within a community. In addition to the patient care services a paramedic would typically provide, services provided by community paramedics may include performing health evaluations, monitoring chronic illnesses or conditions, obtaining laboratory samples, administering immunizations, and serving as a patient advocate.
community paramedicine
EMS is not unlike any other profession in today’s world. Without computers, the job would be much more difficult. An ____allows EMS providers to efficiently document the care that has been delivered. Once that information is stored electronically, it can be used to improve care.
information system
The medical director is responsible for maintaining___, ensuring that all staff members under his or her supervision meet appropriate medical care standards on each call. Chief officers and supervisors for each EMS function are responsible for ensuring delivery of quality care under their watch.
quality control
A more productive approach to managing quality is to adopt a____. ___ is a strategy that promotes a learning culture that holds employees accountable for behavioral choices by balancing fairness and accountability.
Just Culture
___is a quality management process that encourages team members at every level of the
health care system to ask, “How are we doing now?” and “What can we do to be better?”__ is a proactive process of development capitalizing on strengths and addressing challenges.
The__ process is an essential element of any organization where the consequences of failure are potentially very harmful to either the patient, the team, or the community.
Continuous quality improvement (CQl)
In CQI, information is gathered about processes, performance, and outcomes. Evaluation of this information generates ideas to improve performance and efficiency, these ideas are tried and also evaluated, and the cycle continues. This cycle is known as___
plan-do-study-act
The ___ phase in the plan-do-study -act invoked gathering and analyzing information
Plan
The __phase in the plan-do-study-act enacts ideas from information gathered
Do
The _phase in the plan-do-study-act evaluates any significant positive or negative changes that resulted from the implementation of the new idea.
Study
The _phase in the plan-do-study-act that if a change is positive,then a larger part of the end system adopts the change in the __phase
Act
Examines the health needs of entire populations with the goal of preventing health problems
Public health
Focuses on strategies that will prevent the event from ever happening
Primary prevention
In a __strategy, the event has already happened. The question is, how can we decrease the effects of the event? Helmets and seat belts do not prevent the accident from happening, yet they do prevent serious injuries from occurring due to the accident.
secondary prevention
Is focused on procedures that have proven useful in improving patient outcomes
Evidence based medicine
