Chapter 1: EMS Systems Flashcards
How many hours of educational training do each of the licensure levels require?
- EMR: 50-80 hours
- EMT: 150-200 hours
- AEMT: 200-400 hours
- Paramedic: 1,000-2,000 hours
What phrase or word matches this definition?
The delivery of medication directly into the vein.
Intravenous (IV) Therapy
What are the four licensure levels in emergency medical care?
In order of lowest to highest scope of practice and education:
- Emergency Medical Responder (EMR)
- Emergency Medical Technician (EMT)
- Advanced Emergency Medical Technician (AEMT)
- Paramedic
What does the acronym mean?
EMR
Emergency Medical Response
What phrase or word matches this definition?
A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.
Emergency Medical Services (EMS)
What does the acronym mean?
CQI
Continuous Quality Improvement
What phrase or word matches this definition?
A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services.
Public Safety Access Point
What phrase or word matches this definition?
The designated area in which the EMS agency is resposible for the provision of prehospital emergency care and transportation to the hospital.
Primary Service Area (PSA)
What phrase or word matches this definition?
A first trained professional, such as a police officer, firefighter, lifeguard, or other rescuer, who may arrive first at a scene of an emergency to provide initial medical assistance.
Emergency Medical Responder (EMR)
What phrase or word matches this definition?
The physician who authorizes or delegates to the EMT the authority to provide medical care in the field.
Medical Director
What phrase or word matches this definition?
Device that detects treatable life-threatening cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.
Automated External Device (AED)
List the professional attributes an EMT should posess.
- Integrity
- Empathy
- Self-motivation
- Appearance and Hygiene
- Self-Confidence
- Time Management
- Communications
- Teamwork / Diplomacy
- Respect
- Patient Advocacy
- Careful Delivery of Care
What does the acronym mean?
HIPAA
Health Insurance Portability and Accountability Act
List the EMS Agenda 2050 components of an EMS system.
A people-centered EMS system that includes the following:
- Comprehensive, quality, convenient care
- Evidence-based clinical care
- Efficient, well-rounded care
- Preventive care
- Comprehensive and easily accessible patient records
Outline the historical timeline of the EMS system dating back to World War I.
- World War I - Volunteer ambulances and personnel went overseas to provide care for the wounded.
- World War II - Military trained special corpsman to provide care in the field and bring casualties to aid stations staffed by nurses and physicians.
- Korean Conflict - Utilized field medics and rapid helicopter evacuation to nearby Mobile Army Surgical Hospital units.
- 1966 - Accidental Death and Disability: The Neglected Disease of Modern Society established in EMS.
- Early 1970s - DOT published first EMT training curriculum.
- 1973 - Emergency Medical Services Act created funding sources and programs to develop improved systems of prehospital emergency care.
- 1971 - The American Academy of Orthopaedic Surgeons prepared / published first EMT book.
- 1980s - EMT National Standard Curriculum added AEMT level.
- 1990s - The National Highway Traffic Safety Administration (NHTSA) developed EMS Agenda for the Future (a plan to standardize EMS education / providers).
- 2019 - NHTSA revised the EMS Agenda for the Future and published EMS Agenda for 2050.
What criteria must be met to be a licensed EMT?
- High school diploma or equivalent
- Proof of immunizations against certain communicable diseases
- Successful completion of a background check and drug screening
- Valid driver’s license
- Successful completion of a recognized healthcare provider basic life support (BLS) / cardiopulmonary resuscitation (CPR) course
- Successful completion of a state-approved EMT course
- Successful completion of a state-recognized written certification examination (usually NREMT)
- Successful completion of a state-recognized practical certification examination
- Compliance with other state, local, and employer provisions
What phrase or word matches this definition?
A document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers.
National EMS Scope of Practice Model
What phrase or word matches this definition?
Federal legislation passed in 1996 effecting EMS in limiting availability of patients’ health care information and penalizing violations of patient privacy.
Health Insurance Portability and Accountability Act (HIPAA)
How has the Health Insurance Portability and Accountability Act (HIPPA) impacted patient privacy?
HIPPA has created an atmosphere of accountability among healthcare providers and EMS professionals, who are required to keep patient information confidential. Finding or any disclosures made by the patient should not be discussed with anyone other than those treating the patien or in limited situations, as required by law, the police, or other social agencies.