Chapter 1 Flashcards
EMS system is a team of: ________________________.
Health Care Professionals
EMS system provides _________________ and _________________.
Emergency care and transport
EMS system is governed by: ____________________.
State Laws
After completion of an EMS class you are eligible to take either of these exams?
1.) National Registry of EMT’s exam
2.) Your state’s certification exam
Most states have four training and licensure levels. Name them.
1.) EMR
2.) EMT
3.) AEMT
4.) Paramedic
Which of the four levels of training and licensure is considered very basic training that provides care before an ambulance arrives and may assist in the ambulance?
EMR
Which of the four levels of training and licensure has training in basic life support, automated external defibrillation, airway adjuncts and assisting patients with certain medications?
EMT
Which of the four levels of training and licensure has training in specific aspects of advanced lift support including: IV therapy and administration of a limited number of emergency medications?
AEMT
Which of the four levels of training and licensure has extensive ALS training, including: endotracheal intubation, emergency pharmacology, cardiac monitoring and other advanced assessment and treatment skills?
Paramedic
What are the four learning activities included in the EMT course?
1.) Reading assignments, lecture presentations and classroom discussions
2.) Step-by-step demonstrations
3.) Summary skills sheets
4.) Case presentations and scenarios
True or False: EMTs are the backbone of the EMS system in the United States
True
True or False: EMTs provide emergency care to the sick and injured.
True
What are the general requirements to be an EMT?
1.) High School Diploma
2.) Proof of Immunization
3.) Successful completion of a background check + drug screening
4.)Valid driver’s license
What are the licensure requirements to be an EMT?
1.) Successful completion of required courses and certification exams
2.) Demonstration of the mental and physical abilities necessary to perform the job
3.) Compliance with other state, local and employer provisions
What is the ADA?
Americans with Disabilities Act which prohibits employers from failing to provide full and equal employment
What is Title I of the ADA?
Protects EMTs with disabilities who are seeking employment and may require modifying the work environment or how the job is performed.
What is the origins of the history of EMS?
Volunteer ambulances in WWI
Field care in WWII
Field medic and rapid helicopter evacuation in Korean conflict
In what year was: Accidental Death and Disability - The Neglected Disease of Modern Society established EMS?
1966
In what year did the DOT publish the first EMT training curriculum?
Early 1970s
In what year was the Emergency Medical Services Act?
1973
In what year did the AAOS publish the first EMT textbook?
1971
In what years were the national standardization efforts?
1970s - DOT National Standard Curriculum
1980s - Advanced levels of EMTs
1990s - NHTSA’s EMS agenda for the future
2019 - NHTSA’s EMS Agenda 2050
What are the three levels of EMS training?
Federal level
State level
Local level
What EMS level is: the national EMS scope of practice?
Federal Level
What EMS level creates laws to regulate EMS operations?
State Level
What level of EMS has a medical director to provide oversight and support?
Local Level
True or False: Laypeople cannot be trained in BLS/CPR?
False: Millions of laypeople are trained in BLS/CPR.
True or False: Automated external defibrillators are used by laypeople?
True
EMR includes __________ and ______________.
Law enforcement officers and firefighters
True or False: EMRs initiate immediate care and assist EMTs on their arrival?
True
True or False: EMRs focus on providing BLS and urgent care with extensive equipment.
False: EMRs focus on providing BLS and urgent care with limited equipment
How many hours does and EMT course require?
150-200 hours
The EMT assumes responsibility for these four things of the patient:
1.) Assessment
2.) Care
3.) Packaging
4.) Transport
AEMT training adds knowledge and skills in specific aspects of ALS, including these three things:
1.) IV Therapy
2.) Advanced airway adjuncts
3.) Administration of limited number of medications
Paramedic training includes how many hours in the classroom and internships?
1,000 - 1,300 hours
What are the five components of the EMS system?
1.) Comprehensive, quality, convenient care
2.) Evidence-based clinical care
3.) Efficient, well-rounded care
4.) Preventative care
5.) Comprehensive and easily accessible patient records
What are the four forms of public access?
1.) 911 system
2.) Dispatchers
3.) Emergency medical dispatch system
4.) Mobile apps to assist with CPR and AED
True or False: Human Resources focus on people who deliver care?
True
True or False: The EMS Agenda 2050 encourages an environment where people want to work?
True
Who authorizes EMTs to provide medical care in the field?
Physician Medical Director
Who acts as a liaison?
Medical Director
True or False: Medical control can be offline only.
False: Medical control can be off-line or online.
Offline or Online? : Standing orders, training and supervision.
Off-line
Offline or Online? : Physician’s directions given over the phone or radio.
Online
Senior EMS officials handle which administrative tasks?
1.) Scheduling
2.) Personnel
3.) Budgets
4.) Purchasing
5.) Vehicle Maintenance
Prehospital care is coordinated with ________________.
Hospital Care
Prehospital care is continued in the __________________.
Emergency Department
Integration ensures comprehensive ________________ of care for the patient.
Continuity
What is the method of delivering health care that utilizes the prehospital spectrum?
Mobile Integrated Health Care
Why did mobile integrated health care evolve to what is it today?
To improve access to healthcare at an affordable price
True or False: There is the same level of training for MIH for EMS providers as without?
False: Additional training was created for MIH EMS providers including community paramedicine which allows community paramedics to provide additional services.
These are used for documentation of patient care: ____________________.
Computer systems
True or False: Electronically stored information can be used to improve care.
True
Who is responsible for maintaining quality control?
Medical Director
This promotes a learning culture that holds employees accountable for behavioral choices by balancing fairness and accountability: ___________________________.
Adopting a Just Culture
_________________________ reviews and performs audits of the EMS system to identify areas of improvement and/or assign remedial training.
Continuous Quality Improvement
What is the goal of CQI?
Minimizing errors
What does the CQI use?
A plan-do-study-act cycle
Maximize patient safety by minimizing these three things: ______________, _______________, _____________.
Rules-based failure
Knowledge-based failure
Skill-based failure
True or False: Patient safety requires efforts of both the EMS agency and EMS personnel?
True
Finance systems vary depending on the __________________ involved.
Organization
Personnel may be ___________, __________ or a combination of the two.
Paid or volunteer
What three things may an EMT be asked to do in terms of finance?
Gather insurance information
Secure signatures
Obtain permission from patients to bill insurance
In 2020, the centers for Medicare and Medicaid services implemented a pilot program called _______________________.
Emergency Triage, Treat and Transport (ET3)
What is the purpose of the ET3?
Reimburse EMS systems for providing the right patient care at the right time
and
Setting up a payment model for the patient transport to alternative destinations
True or False: EMS instructors are not licensed in most states.
False: They are licensed in most states.
Most EMS training programs must adhere to ______________ standards.
National
How can you maintain and update your skills and knowledge as an EMT?
Continuing Education
Refresher Courses
Computer-Based or Manikin-Based self-education exercises
What are the two components of the EMS system with a focus on public health?
Prevention
Public Education
Is the emphasis on Public Education or Prevention?
Prevention
How many types of prevention are there that EMS works with health agencies on?
Two: Primary and Secondary
Give some examples of Prevention in the public?
Vaccination Programs
Fluoridation of water supplies
Helmet Laws
Sewage Systems
Formation of the Food and Drug Administration
Clean Drinking Water
Seat Belt Laws
Tobacco Use Laws
Restaurant Inspections
Prenatal screenings
________________ helps determine the shape of EMS via Evidence Based Medicine.
EMS Research
What do EMS systems consult in terms of research?
The National Model EMS Clinical Guidelines from the National Association of State EMS Officials
Which of the following options is a role and responsibility of the EMT? (Choose all that apply)
A.) Keep vehicles and equipment ready
B.) Ensure Safety and perform scene evaluation
C.) Be Familiar with emergency vehicle operation
D.) Provide on-scene leadership
All of the Above
Which of the following options is a role and responsibility of the EMT? (Choose all that apply)
A.) Call for additional Resources as needed
B.) Restrict Patient Access
C.) Perform a Patient Assessment
D.) Wait until the medical doctor arrives before providing emergency medical care.
A and C are correct.
B is incorrect - You need to gain patient access
D is incorrect - You need to give emergency medical care while awaiting additional medical resources
Which of the following options is a role and responsibility of the EMT? (Choose all that apply)
A.) Give emotional support and maintain continuity of care
B.) Avoid emergency incidents
C.) Uphold medical and legal standards
D.) Ensure and protect patient privacy
A, C and D are correct.
B is incorrect - You need to resolve emergency incidents.
Which of the following options is a role and responsibility of the EMT? (Choose all that apply)
A.) Reserve administration support for front desk personnel
B.) Constantly continue professional development
C.) Cultivate and sustain community relations
D.) Give back to the profession
B, C and D are correct.
A is incorrect - You need to give administrative support
List professional attributes of an EMS professional?
Integrity, Empathy, Self-Motivation, Appearance and hygiene, self confidence, time management, communications, teamwork and diplomacy, respect, patient advocacy and careful delivery of care.
Every patient is entitled to ______________, __________ and the best care.
Compassion, Respect
EMTs are bound by patient confidentiality via this act: ____________________________.
Health Insurance Portability and Accountability Act (HIPAA)
