Chapter 1: EMS Systems Flashcards

1
Q

How many hours of educational training do each of the licensure levels require?

A
  • EMR: 50-80 hours
  • EMT: 150-200 hours
  • AEMT: 200-400 hours
  • Paramedic: 1,000-2,000 hours
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2
Q

What phrase or word matches this definition?

The delivery of medication directly into the vein.

A

Intravenous (IV) Therapy

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3
Q

What are the four licensure levels in emergency medical care?

A

In order of lowest to highest scope of practice and education:

  1. Emergency Medical Responder (EMR)
  2. Emergency Medical Technician (EMT)
  3. Advanced Emergency Medical Technician (AEMT)
  4. Paramedic
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4
Q

What does the acronym mean?

EMR

A

Emergency Medical Response

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5
Q

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.

A

Emergency Medical Services (EMS)

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6
Q

What does the acronym mean?

CQI

A

Continuous Quality Improvement

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7
Q

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.

A

Public Safety Access Point

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8
Q

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.

A

Primary Service Area (PSA)

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9
Q

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.

A

Emergency Medical Responder (EMR)

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10
Q

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.

A

Medical Director

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11
Q

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.

A

Automated External Device (AED)

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12
Q

List the professional attributes an EMT should posess.

A
  • Integrity
  • Empathy
  • Self-motivation
  • Appearance and Hygiene
  • Self-Confidence
  • Time Management
  • Communications
  • Teamwork / Diplomacy
  • Respect
  • Patient Advocacy
  • Careful Delivery of Care
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13
Q

What does the acronym mean?

HIPAA

A

Health Insurance Portability and Accountability Act

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14
Q

List the EMS Agenda 2050 components of an EMS system.

A

​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
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15
Q

Outline the historical timeline of the EMS system dating back to World War I.

A
  • 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.
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16
Q

What criteria must be met to be a licensed EMT?

A
  • 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
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17
Q

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.

A

National EMS Scope of Practice Model

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18
Q

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.

A

Health Insurance Portability and Accountability Act (HIPAA)

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19
Q

How has the Health Insurance Portability and Accountability Act (HIPPA) impacted patient privacy?

A

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.

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20
Q

What role does an EMT play in disease and injury prevention and public education in the community?

A

EMTs can aid in primary prevention efforts by becoming involved in programs that educate the community (i.e. First Aid / CPR classes). Information from patient care reports (PCR) can provide valuable statistical informaiton that can lead to change in laws, protcols, etc (secondary prevention).

21
Q

What does the acronym mean?

MIH

A

Mobile Integrated Health Care

22
Q

What phrase or word matches this definition?

An individual who has training in specific areas of advanced life support, such as intravenous therapy, and the administration of certain emergency medications.

A

Advanced Emergency Medical Technician (AEMT)

23
Q

What phrase or word matches this definition?

A system that assists dispatchers in selecting appropriate units to respond to particular calls for assistance and provides callers with vital instructions until the arrival of EMS crews.

A

Emergency Medical Dispatch (EMD)

24
Q

What phrase or word matches this definition?

Efforts to limit the effects of an injury or illness that cannot be completely prevented.

A

Secondary Prevention

25
Q

What phrase or word matches this definition?

A health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment, such as health evaluations, monitoring of chronic illnesses or conditions, and patient advocacy.

A

Community Paramedicine

26
Q

What phrase or word matches this definition?

An individual who has extensive training in advanced life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.

A

Paramedic

27
Q

What phrase or word matches this definition?

An individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications.

A

Emergency Medical Technicians (EMT)

28
Q

What phrase or word matches this definition?

A method of delivering health care which involves providing health care within the community rather than at a physician’s office or hospital.

A

Mobile Integrated Healthcare (MIH)

29
Q

What does the acronym mean?

EMT

A

Emergency Medical Technician

30
Q

What does the acronym mean?

EMS

A

Emergency Medical Services

31
Q

What phrase or word matches this definition?

Oversight by the medical director to ensure the appropriate medical care standards are met by EMTs on each call.

A

Quality Control

32
Q

What does the acronym mean?

IV

A

Intravenous

33
Q

What phrase or word matches this definition?

An established process to determine the qualifications necessary to be allowed to practice a particular profession, or to function as an organization.

A

Credentialing

34
Q

What phrase or word matches this definition?

The branch of medicine that is focused on examining health needs of entire populations with the goal of preventing health problems.

A

Public Health

35
Q

How does the Americans with Disabilities Act (ADA) apply to employment as an EMT?

A

Title 1 of ADA protects EMTs with disabilities by requiring employers to adjust processes so a candidate with a disability can be considered for the position and when possible, modify the work environment or how the job is normally performed.

36
Q

List the roles and responsibilities of the EMT.

A
  • Keep vehicles and equipment ready for an emergency.
  • Ensure the safety of yourself, your partner, bystanders, and the patient.
  • Operate the emergency vehicle.
  • Be an on-scene leader.
  • Evaluate the scene.
  • Call for additional resources as needed.
  • Gain patient access.
  • Perform a patient assessment.
  • Give emergency medical care to the patient while awaiting the arrival of additional medical resources.
  • Give emotional support to the patient, the patient’s family, and other responders.
  • Maintain continuity of care by working with other medical professionals.
  • Resolve emergency incidents.
  • Uphold medical and legal standards.
  • Ensure and protect patient privacy.
  • Give administrative support.
  • Constantly continue your professional development.
  • Cultivate and sustain community relations.
  • Give back to the profession.
37
Q

What phrase or word matches this definition?

Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (offline/indirect), as authorized by the medical director of the service program.

A

Medical Control

38
Q

What does the acronym mean?

ADA

A

Americans with Disabilities Act

39
Q

What phrase or word matches this definition?

Advanced lifesaving procedures, some of which are now being provided by the EMT.

A

Advanced Life Support (ALS)

40
Q

What phrase or word matches this definition?

Efforts to prevent an injury or illness from ever occurring.

A

Primary Prevention

41
Q

What does the acronym mean?

EBM

A

Evidence-Based Medicine

42
Q

What phrase or word matches this definition?

The process whereby a competent authority, usually the state, allows people to perform a regulated act.

A

Licensure

43
Q

What phrase or word matches this definition?

A system of internal and external reviews and audits of all aspects of an EMS system aiming at improving outcomes.

A

Continuous Quality Improvement (CQI)

44
Q

What are the components of the CQI Model for Improvement?

A

45
Q

What does the acronym mean?

EMD

A

Emergency Medical Dispatch

46
Q

What phrase or word matches this definition?

Comprehensive legislation designed to protect people with disabilities against discrimination.

A

Americans with Disabilities Act (ADA)

47
Q

What phrase or word matches this definition?

A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards for providing safe and ethical care.

A

Certification

48
Q

What are the hierarchies of the National EMS Scope of Practice Model?

A
49
Q

What does the acronym mean?

AEMT

A

Advanced Emergency Medical Technician