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EMT > Chapter 1 > Flashcards

Chapter 1 Flashcards

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1
Q

EMS is a

A

system

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2
Q

EMS system consists of a team of …, provides … care and … and is governed by …

A

health care professionals; emergency; transport; state laws

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3
Q

after you pass the certification exam, you are eligible to apply for …

A

state licensure

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4
Q

licensure is the process by which states ensure … in an examination setting. this allows states to manage who can function as a health care provider

A

applicant competency

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5
Q

in most states, there are four training and licensure levels: .., …, …, and …

A

emr; emt; aemt; paramedic

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6
Q

an emr has very … training: provides care before … and may assist in the …

A

basic; ambulance arrives; ambulance

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7
Q

An EMT has training in … (…), including:
…
….
assisting patients with …

A

basic life support; BLS; automated external defibrillation (AED); airway adjuncts; certain medications

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8
Q

an AEMT has training in specific aspects of…, including:

  1. …
  2. administration of a limited number of …
A

life support (ALS); intravenous (IV) therapy; emergency medications

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9
Q

a paramedic has extensive … training, including
…
emergency …
…
other advanced assessment and treatment skills

A

ALS; endotracheal intubation; pharmacology; cardiac monitoring

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10
Q

licensure requirements differ from state to state. generally, the requirements to be licensed and employed are:
… or equivalent
proof of …. against certain …
successful completion of a … and …
valid …
successful completion of a recognized health care provider … course
successful completion of a state-approved … course
successful completion of a state-recognized … exam
successful completion of a state recognized … exam
demonstration of the … and … abilities necessary to safely and properly perform all the tasks and functions described in the defined role of an EMT
compliance with other state, local, and employer provisions

A 
high school diploma
immunization; communicable diseases
background check; drug screening; 
drivers license
BLS/ CPR (cardiopulmonary resuscitation) 
EMT
written certification
practical certification
mental; physical
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11
Q

(americans with disabilities act-ADA- of 1990) protects people who have a disability from being denied access to .. and … that are provided by state or local govs

A

programs; services

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12
Q

(americans with disabilities act-ADA- of 1990) prohibits employers from failing to provide full and equal employment to

A

the disabled

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13
Q

(americans with disabilities act-ADA- of 1990) Title I protects EMTs with disabilities who are seeking … under many circumstances; Employers with a certain number of employees are required to adjust processes so that a candidate with a disability can be considered for a position and modify the … or how the job is …

A

gainful employment; work environment; normally performed

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14
Q

origins of ems include:
volunteer ambulances in …
field care in …
field medic and rapid helicopter evac in …

A

world war i; world war ii; Korean conflict

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15
Q

as recently as the 1960s and early 1970s emergency ambulance service and care … in the US

A

varied widely

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16
Q

EMS as we know it today originated in … with the publication of Accidental Death and Disability: The neglected DIsease of Modern Society (more commonly known as “…”)

A

1966; the white paper

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17
Q

The DOT published the first EMT training curriculum in the early

A

1970s

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18
Q

the American academy of orthopaedic surgeons prepared and published the first EMT textbook in … it is often called “…”

A

1971; the orange book

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19
Q

efforts are under way to … of EMS education nationally

A

standardize levels

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20
Q

in the late 1970s, the DOT developed a recommended …

A

National Standard Curriculum

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21
Q

During the 1980s many areas enhanced the emt national standard curriculum by adding emts with advanced levels of training who could provide key components of … and …

A

ALS care; advanced life-saving procedures

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22
Q

in the 1990s, the National Highway Traffic Safety Administration (NHTSA) developed the …, a document with a plan to standardize the levels of EMS education and providers

A

EMS Agenda for the Future

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23
Q

(levels of training) federal level: the national EMS scope of practice model provides … this document provides overarching guidelines for the … each level of EMS provider should be able to perform

A

guidelines for EMS skills; minimum skills

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24
Q

(levels of training) state level: … regulate EMS provider operations

A

laws

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25
Q

(levels of training) local level: the … provides daily oversight and support to EMS personnel. examples include the medications that will be carried on an ambulance r where patients are transported

A

medical director

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26
Q

(levels of training) public BLS and immediate aid: millions of laypeople are trained in …–> teachers, coaches, and child care providers, people who regularly accompany groups on trips to remote locations, AEDs are used by laypeople

A

BLS/CPR

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27
Q 
(levels of training) Emergency Medical Responders (EMRs) (not recognized by NJ): 
… 
… 
… 
…
A

law enforcement officers; firefighters; park rangers; ski patrollers

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28
Q

(levels of training) EMR training provides these individuals with the skills necessary to initiate … and assist EMTs upon their arrival. the course focuses on providing immediate … and … with ..

A

immediate care; BLS; urgent care; limited equipment

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29
Q

(levels of training) good Samaritans trained in … and … often show up at a scene and can provide valuable assistance; they can also interfere with operations and endanger themselves and others

A

first aid; CPR

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30
Q

(levels of training) Emergency medical technicians (EMTs): The EMT course requires about … hours, and even more hours in some states.
the EMT possesses the knowledge and skills to provide basic …

A

150 hours; emergency care

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31
Q

(levels of training) on arrival at the scene, the EMT, together with any other EMTs who have responded, assumes responsibility for the …, …, .., and … of the patient

A

assessment; care; packaging; transport

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32
Q

(levels of training) Advanced emergency medical technicians (AEMTs): the course adds knowledge and skills in specific aspects of … for those trained and with experience as EMTs:
…
advanced …
administration of a limited number of ..

A

ALS; IV therapy; airway adjuncts; medications

33
Q

(levels of training) paramedics: extensive course of training- course hours range from … to more than … hours, divided between classroom and internship training. course may be offered within the context of an .. or … college program. training covers a wide range of ALS skills

A

1000; 1300; associate’s; bachelor’s

34
Q 
The EMS Agenda for the Future outlines 14 components of an EMS system:
public …
… care
… direction
integration of …
… systems
…
…
… systems
… and … 
…
system …
public …
… systems
A 
public access
clinical care
medical direction
integration of health services
information systems
prevention
EMS research
communication systems
Human resources
legislation and regulation 
evaluation
system finance
public education 
education systems
35
Q

(components of EMS system)
public access:
easy access to help in an emergency is essential
the … system is the public safety access point
at the communication center, trained dispatchers obtain info and dispatch the … and other equipment and responders
an … system has been developed to assist dispatchers in providing callers with vital medical instructions until EMS arrival

A

911; ambulance crew; emergency medical dispatch (EMD)

36
Q

(components of EMS system) communication systems:
from caller info, the dispatcher selects the appropriate parts of the emergency system to …
EMS may be: a … agency, other … agency, … services, …-based prograns and … services (less common)

A

activate; fire; non-fire gov; private; hospital; Native American tribal services

37
Q

(components of EMS system) communication systems

new tech can help responders … their patients

A

locate

38
Q

(components of EMS system) clinical care:
describes the pieces of …
describes the … for using that equipment
familiarizes EMTs with their … – that is, the main area in which an agency operates
familiarizes EMTs with …

A

equipment; scope of practice; primary service are (PSA); ambulance controls

39
Q

(components of EMS system) human resources: focuses on the people who deliver the care:
…
interaction with other members of …

efforts are under way to allow EMS providers to move from … more seamlessly.
The EMS agenda for the future encourages the creation of systems to help protect the .. of EMS providers, including the development of …

A

compensation; medical community; state to state; well-being; career ladders

40
Q

(components of EMS system) medical direction: a physician medical director authorizes EMTs to provide … in the field

A

medical care

41
Q

(components of EMS system) medical direction
appropriate care is described in .. and …:
… are described in a comprehensive guide delineating the EMT’s cope of practice
.. are part of protocols and designate what the EMT is required to do for a specific complaint or condition

A

standing orders; protocols; protocols; standing orders

42
Q

(components of EMS system) medical directions

providers are not required to consult medical direction before implementing ..

A

standing orders

43
Q

(components of EMS system) medical direction

the medical director is the ongoing working liaison between the …, …, and the EMTs in service

A

medical community; hospitals

44
Q

(components of EMS system) medical direction
medical control can be … or …
… (indirect): standing orders, training, supervision
… (direct): physician directions given over the phone/radio

A

off-line; online; off-line; online

45
Q

(components of EMS system) legislation and regulation:’
Although each EMS system, medical direction, and training program has some latitude, its training, protocols, and practices must follow state …, …, …, and …..

A

legislation; rules; regulations; guidelines

46
Q

(components of EMS system) A senior EMS official is usually in charge of necessary … such as scheduling, personnel, budgets, purchasing, and vehicle maintenance, and the daily operations of ambulances and crews.

a. Similar to a police chief or fire chief
b. Not in charge of …

A

administrative tasks; medical matters

47
Q

(components of EMS system) integration of health services:
prehospital care by the EMT is coordinated with care administered by the …
care should be continued in the … (ED)
integration ensures that the patient receives ..

A

receiving hospital; emergency department; comprehensive continuity of care

48
Q

(components of EMS system) Some EMS systems collaborate with local hospitals to improve patient outcomes associated with …, such as in heart attacks, trauma, and stroke.

A

time-sensitive treatment

49
Q

(components of EMS system) mobile integrated health (MIH) care: new method of delivering health care that utilizes the …

A

prehospital spectrum

50
Q

(components of EMS system) MIH has evolved as a result of the patient protection and affordable care act, with the goal of facilitating improved .. to health care at an …

A

access; affordable price

51
Q

(components of EMS system) in the MIH model, health care is provided within the …, rather than at a physician’s office/hospital, by an integrated team of health care professionals; this new branch of health care is causing the evolution of … for EMS providers

A

community; additional training levels

52
Q

(components of EMS system) MIH expansion of health care:
one new aspect is ..,. in whiche xperienced paramedics receive advanced raining to equip them to provide services within a community.
in addition tot he patient care services a paramedic would typically provide, services provided by community paramedics may include:
performing …
monitoring … or …
obtaining … samples
administering …
serving as ..

A

community paramedicine; health evals; chronic illnesses; conditions; lab; immunizations; patient advocates

53
Q

(components of EMS system) evaluation: the … is responsible for maintaining quality control within the MEs system. the … program reviews and performs audits of the EMS system to identify areas of improvement and/or assign remedial training

A

medical doctor; continuous quality improvement (CQI)

54
Q

(components of EMS system) evaluation:

information and skills in emergency medical care change constantly. … and … are important

A

refresher training; continuint education

55
Q

(components of EMS system) evaluation:
minimizing errors is the goal
errors are not inevitable
errors can result from ..-based failure, ..-based failure, ..-based failure, or any combination of these problems
the … ccan be part of the reason for errors (for example, distractions, poor lighting)
when you are about to perform a skill, ask yourself, why am i doing this
using … or a copy of your protocol book can help limit errors

A

rule; knowledge; skills; environment

56
Q

(components of EMS system) information systems: used to efficiently .. the care that has been delivered; once stored electronically, the information can be used to …

A

document; improve care

57
Q

(components of EMS system) for example, stored info can help determine: how … a department has seen specific types of symptoms, average … for trauma patients, need for …, national …

A

often; on-scene; educational sessions; trends

58
Q

(components of EMS system) system finance:
finance systems vary depending on which … is involved
personnel may be …, …, or a mix of these
EMTs may be asked to gather … information from patients, secure .. on certain docs such as HIPAA notifications, obtain … from patients to bill their health insurance company

A

organization; paid; volunteer; insurance; signatures; written permission

59
Q

(components of EMS system) education systems
most ems training programs must adhere to … established by two accrediting organizations: committee on accreditation of educational programs for the Emergency Medical Services Professions (CoAEMSP) and Commission on Accreditation of Allied Health Education Programs (CAAHEP).

A

national standards

60
Q

(components of EMS system) education systems;
Frequent continuing education, refresher courses, and computer-based or manikin-based self-education exercises are measures intended to …and …an EMT’s skills and knowledge.

A

maintain; update

61
Q

(components of EMS system) ALS-level instructors and directors must hold a … degree
ALS training is usuaully provided in college, adult career center, or hospital settings

A

four year

62
Q

(components of EMS system) prevention and public education
prevention and public ed are aspects of EMS where the focus is on …, which examines the health needs of … with the goal of … health problems

A

public health; entire populations; preventing

63
Q

(components of EMS system) prevention and public ed
ems works with public health agencies in two ways:
… prevention focuses on strategeies that will prevent the event from ever happening
… prevention occurs after the event has already happened, to decrease the effects of the event

A

primary; secondary

64
Q

(components of EMS system) EMS research: helps to determine and shape the .. of EMS on the community. application of evidenc-ebased practice is becoming an integral part of functioning as an EMS provider. patient care should be focused on procedures that have proved useful in improving patient outcomes. EMTS may be involved inr esearch through … the results could then be shared with the rest of the ems community.

A

impact; gathering data

65
Q

(components of EMS system) EMS research:
… decision making is based on research
it is important for EMS providers to stay current on the latest advances in health care. be skeptical, ask questions, conduct your ownr esearch

A

evidence-based

66
Q

roles and responsibilities of an EMT:
keep vehicles and equipment ready for ..
ensure the … of yourself, partner, patient, and bystanders
be familiar with ..
be an on-scene ..
perform an … of the scene
call for … resources as needed
gain … access
perform a … assessment
give emergency medical care to the patient while awaiting the arrival of ..
give … support to the patient, their family, and other responders
maintain … by working with other medical professionals
resolve … incidents
uphold … and … standards
ensure and protect …
give … support
constantly continue your .. development
cultivate and sustain ..
give back to the profession

A

an emergency; safety; emergency vehicle operation; leader; evaluation; additional; patient; patient; additional medical resources; emotional; continuity of care; emergency; medical; legal; patient privacy; administrative; professional; community relaitons

67
Q

integrity: acting consistently; maintaining a firm adherence to a code of

A

hoenst behavior

68
Q

..; being aware of and thoughtful toward theneeds of others

A

empathy

69
Q

self-motivation: discovering problems and solving them without

A

someone directing you

70
Q

appearance and hygiene: using your persona to project a sense of …, …, …, and ..

A

trust; professionalism; knowledge; compassion

71
Q

self-confidence: knowing what you know and knowing what you don’t; being abe to

A

ask for help

72
Q

…: perofmring or delergating multiple tasks while ensuring efficiency and safety

A

time management

73
Q

…: understanding others and amking yourself understood

A

communicatiosn

74
Q

…: being able to work with others; knowing your place within a team; communicating while giving respect to the listener

A

Teamwork and diplomacy

75
Q

…: holding others in high regard or importance; understanding that others are more important than you

A

Respect

76
Q

…: constantly keeping the needs of the patient at the center of care

A

Patient advocacy

77
Q

…: paying attention to details; making sure that what is being done for the patient is done as safely as possible

A

Careful delivery of care

78
Q

Findings or disclosures made by the patient should be discussed only in the following circumstances:

a. With those …
b. In limited situations, as required by …, with the police or other social agencies

A

treating the patient; law

79
Q

protection of patient privacy has drawn national attention with the passage of the …

A

Health Insurance Portability and Accountability Act (HIPAA)

EMT (45 decks)

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