Ch1emssystems

Question 1

Is the verification process of a health care providers qualifications

Answer 1

Credentialing

Question 2

Describes the four levels of ems practice.

Answer 2

The national ems scope of practice model

Question 3

This process verifies that a provider meets the minimum required KSA competencies for safe and effective emergency operations and patient care

Answer 3

Certification

Question 4

Is a team of health care professionals who are responsible for and provide emergency care and transportation to the sick and injured

Answer 4

Emergency medical services (EMS)

Question 5

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

Answer 5

National Registry of EMTS (NREMT).

Question 6

is a nongovernmental, not-for-profit organization whose mission is to provide a valid, uniform process to assess the KAs for competent EMS practice.

Answer 6

NREMT

Question 7

The current ___ determines the certification test plan for each level of ems provider

Answer 7

Practice analysis

Question 8

The legal authority to practice in his or her state

Answer 8

Licensure

Question 9

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

Answer 9

Office of ems

Question 10

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 _____

Answer 10

National highway traffic safety administration (NHTSA) ems education standards

Question 11

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.

Answer 11

The Americans With Disabilities Act (ADA) of 1990

Question 12

volunteer ambulances were organized and personnel went overseas to provide care for the wounded in World War __

Answer 12

World War I

Question 13

During _____, the military trained special corpsmen to provide care in the field and bring the casualties to aid stations staffed by nurses and physicians.

Answer 13

World War II

Question 14

Many advances in the immediate care of trauma patients resulted from the casualty experiences in the ___

Answer 14

Korean and Vietnam wars

Question 15

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,

Answer 15

Accidental Death and Disability: The Neglected Disease of Modern Society

Question 16

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,

Answer 16

National Highway Traffic Safety Administration (NHTSA), under the US Department of Transportation (DOT),

Question 17

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.

Answer 17

the Department of Health, Education, and Welfare (now known as the Department of Health and Human Services [DHHS])

Question 18

In the early 1970s, the___ developed and published the first curriculum to serve as the guideline for EMT training.

Answer 18

DOT

Question 19

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.

Answer 19

Emergency Care and Transportation of the Sick and Injured in 1971,

Question 20

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.

Answer 20

National Standard Curriculum

Question 21

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.

Answer 21

EMS Agenda for the Future

Question 22

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.

Answer 22

state-level EMS administrative offices

Question 23

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___

Answer 23

state approval.

Question 24

EMR courses are estimated to take approximately __to__hours

Answer 24

50 to 80

Question 25

EMT course may require approximately __to__hours

Answer 25

150 to 200

Question 26

AEMT courses range from __to__

Answer 26

200 to 400

Question 27

Paramedic course ranges from __to_

Answer 27

1,000 to well over 2,000

Question 28

__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,

Answer 28

EMS Agenda 2050

Question 29

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___.

Answer 29

public safety access point

Question 30

A system called__ assists dispatchers in providing callers with vital instructions to help them deal with a medical emergency until EMS crews arrive.

Answer 30

emergency medical dispatch (EMD)

Question 31

Each EMS system has a____ who authorizes the EMTs in the service to provide medical care in the field.

Answer 31

physician medical director

Question 32

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

Answer 32

medical director

Question 33

__is provided either off-line (indirect) or online (direct), as authorized by the medical director.

Answer 33

Medical control

Question 34

_____medical control consists of standing orders. training, and supervision authorized by the medical director.

Answer 34

Off-line

Question 35

__ 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.

Answer 35

Online

Question 38

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.

Answer 38

state EMS office

Question 39

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.

Answer 39

primary service area

Question 40

____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.

Answer 40

Integration of health services

Question 41

___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.

Answer 41

Mobile integrated health care (MIH)

Question 42

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.

Answer 42

community paramedicine

Question 43

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.

Answer 43

information system

Question 44

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.

Answer 44

quality control

Question 45

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.

Answer 45

Just Culture

Question 46

___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.

Answer 46

Continuous quality improvement (CQl)

Question 47

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___

Answer 47

plan-do-study-act

Question 48

The ___ phase in the plan-do-study -act invoked gathering and analyzing information

Answer 48

Plan

Question 49

The __phase in the plan-do-study-act enacts ideas from information gathered

Answer 49

Do

Question 50

The _phase in the plan-do-study-act evaluates any significant positive or negative changes that resulted from the implementation of the new idea.

Answer 50

Study

Question 51

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

Answer 51

Act

Question 52

Examines the health needs of entire populations with the goal of preventing health problems

Answer 52

Public health

Question 53

Focuses on strategies that will prevent the event from ever happening

Answer 53

Primary prevention

Question 54

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.

Answer 54

secondary prevention

Question 55

Is focused on procedures that have proven useful in improving patient outcomes

Answer 55

Evidence based medicine