Chapter 2: Workforce Safety and Wellness Flashcards

1
Q

When should a gown be worn?

A
  • During procedures and patient care activities when contqact of the EMT’s clothing / exposed skin to blood, body fluids, secretions, excretions, or contaminated items is anticipated.
  • When patient has a confirmed or is suspected of having a highly communicable disease.
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2
Q

What phrase or word matches this definition?

The use of an animal to spread an organism from one person or place to another.

A

Vector-Borne Transmission

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3
Q

List examples of events that are likely to cause eustress.

A
  • Receiving a promotion
  • Taking a vacation
  • Moving
  • Participating in a culture of challenge and debate
  • Undertaking a physical fitness regimen
  • Receiving an award or recognition
  • Giving birth
  • Taking a new certification class
  • Taking a new job or joining a new organization
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4
Q

What phrase or word matches this definition?

The tactical use of an impenetrable barrier for protection.

A

Cover

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5
Q

What phrase or word matches this definition?

The primary federal agency that conducts and supports public health activities in the United States. Part of the US Department of Health and Human Services.

A

Centers for Disease Control and Prevention (CDC)

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6
Q

What phrase or word matches this definition?

The abnormal invasion of a host or host tissues by organisms such as bacteria, viruses, or parasites, with or without signs or symptoms of disease.

A

Infection

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7
Q

What does the acronym mean?

OSHA

A

Occupational Safety and Health Administration

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8
Q

What does the acronym mean?

CISM

A

Critical Incident Stress Management

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9
Q

What phrase or word matches this definition?

Inflammation of the liver, usually by a viral infection causing fever, loss of appetite, jaundice, fatigue, and altered liver function.

A

Hepatitis

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10
Q

What phrase or word matches this definition?

Prolonged or excessive stress.

A

Cumulative Stress Reactions

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11
Q

What phrase or word matches this definition?

Treatments that increase the risk for transmission of infections that are spread through the air or by droplets; CPR is an example.

A

Aerosol-Generating Procedure

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12
Q

What phrase or word matches this definition?

The body’s ability to protect itself from acquiring a disease.

A

Immune

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13
Q

What phrase or word matches this definition?

A situation in which a person had contact with blood, body fluids, tissues, or airborne particles in a manner that suggests disease transmission may occur.

A

Exposure

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14
Q

What phrase or word matches this definition?

Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but not limited to, hepatitis B virus and human immunodeficiency virus (HIV).

A

Bloodborne Pathogens

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15
Q

What phrase or word matches this definition?

The contamination of food or water with an organism that can cause disease.

A

Foodborne Transmission

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16
Q

What does the acronym mean?

CDC

A

Center for Disease Control and Prevention

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17
Q

What phrase or word matches this definition?

The spread of an organism via droplets or dust.

A

Airborne Transmission

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18
Q

What phrase or word matches this definition?

The presence of infectious organisms on or in objects such as dressings, water, food, needles, wounds, or a patient’s body.

A

Contamination

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19
Q

What phrase or word matches this definition?

Protective measures that have traditionally been developed by the CDC for use in dealing with objects, blood, body fluids, or other potential exposure risks of communicable disease.

A

Standard Precautions

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20
Q

When should gloves be worn?

A
  • For touching blood, body fluids, secretions, excretions, or contaminated items.
  • For touching mucous membranes and nonintact skin.
  • When patient has a confirmed or is suspected of having a highly communicable disease.
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21
Q

How should needles and other sharp objects be handled?

A
  • Do not recap, bend, break, or hand-manipulate used needles.
  • Use safety features when available (needleless intravenous systems).
  • Place sharps in puncture-resistant containers.
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22
Q

Describe the characteristic of partial immunity.

A

Infection provides lifelong immunty to the patient from acquiring a new infection from the same germ, but the original illness may reoccur if the germ remiains in the body lying dormant and later becoming active again (i.e. chicken pox later presenting as shingles).

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23
Q

What phrase or word matches this definition?

Exposure or transmission of a communicable disease from one person to another by physical contact.

A

Direct Contact

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24
Q

When should hand hygiene be performed?

A
  • After touching blood, body fluids, secretions, excretions, or contaminated items.
  • Immediately after removing gloves.
  • Between patient contacts.
  • Before putting gloves on if patient has a confirmed or is suspected of having a highly communicable disease.
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25
Q

Describe environmental controls that reduce disease transmission.

A
  • Have procedures for the routine care, cleaning, and disinfection of environmental surfaces.
  • Pay special attention to frequently touched surfaces within the ambulance (handrails, seats, cabinets, doors).
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26
Q

What phrase or word matches this definition?

Reactions to stress that occur after a stressful situation.

A

Delayed Stress Reactions

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27
Q

List the components of an Infection Control Plan.

A
  • Determination of Exposure Risk
  • Education and Training
  • Personal Protective Equipment
  • Cleaning and Disinfection Practices
  • Tuberculin Skin Testing / Fit Testing
  • Hepatitis B Vaccine Program
  • Postexposure Management
  • Compliance Monitoring
  • Communication of Hazards to Employees and Training
  • Record Keeping
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28
Q

What phrase or word matches this definition?

A medical condition caused by the growth and spread of small, harmful organisms within the body.

A

Infectious Disease

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29
Q

What phrase or word matches this definition?

A microorganism that is capable of causing disease in a susceptible host.

A

Pathogen

30
Q

What does the acronym mean?

PPE

A

Personal Protective Equipment

31
Q

What phrase or word matches this definition?

Procedures to reduce transmission of infection among patients and health care personnel.

A

Infection Control

32
Q

What phrase or word matches this definition?

A combination of exhaustion, cynicism, and reduced performance resulting from longterm job stresses in health care and oather high stress professions.

A

Burnout

33
Q

When should a mask and eye protection or face shield be worn?

A
  • During procedures and patient care activities likely to generate splashes or sprays of blood, body fluids, secretions, or excretions.
  • When patient has a confirmed or is suspected of having a highly communcicable disease. N95 or higher respirator, or powerd air-purifying respirator should be worn.​
34
Q

What phrase or word matches this definition?

A disease that can be spread from one person or species to another.

A

Communicable Disease

35
Q

What can an EMT do promote good patient respiratory hygiene and cough etiquette?

A
  • Instruct symptomatic patients to cover mouth / nose when sneezing or coughing.
  • Place a surgical mask on patient.
  • If mask cannot be used, maintain special separation (> 6 feet / 2 meters if possible).
36
Q

What phrase or word matches this definition?

Any unwelcome sexual advance, request for sexual favors, or other verbal or physical conduct of a sexual nature when submitting is a condition of employment, submitting or such conduct substantially interferes with performance and / or creates a hostile or offensive work environment.

A

Sexual Harassment

37
Q

What does the acronym mean?

HIV

A

Human Immunodeficiency Virus

38
Q

Describe the characteristic of lifelong immunity.

A

The illness will not recur.

39
Q

What phrase or word matches this definition?

The federal regulatory compliance agency that develops, publishes, and enforces guidelines concerning safety in the workplace.

A

Occupational Safety and Health Administration (OSHA)

40
Q

How should textiles and laundry be handled?

A

In a manner that prevents transfer of microorganisms to other sand to the environment.

41
Q

What phrase or word matches this definition?

The capacity of an individual to cope with and recover from distress.

A

Resilience

42
Q

What phrase or word matches this definition?

The body’s response to stress that transitions through alarm, reaction and resistance, recovery and if stress is prolonged, exhaustion.

A

General Adaptation Syndrome

43
Q

What phrase or word matches this definition?

The type of sexual harassment that involves jokes, touching, leering, requests for a date, or talking about body parts.

A

Hostile Work Environment

44
Q

What phrase or word matches this definition?

Caused by a virus that damages cells in the body’s immune system rendering the body unable to fight infection.

A

Human Immunodeficiency Virus (HIV)

45
Q

How can an EMT reduce exposure risk during patient resuscitation?

A

Use a resuscitation bag or other ventilation devices to prevent contact with mouth and oral secretions.

46
Q

What phrase or word matches this definition?

A negative response to a stressor.

A

Distress

47
Q

List examples of events that are likely to cause distress.

A
  • Death of a family member or friend
  • Divorce
  • Financial Problems
  • Interpersonal Conflict
  • Health Issues
  • Responding to a scene of violence
  • Responding to a mass-casualty incident
  • Responding to the death of a child
  • Illness or injury of a friend or coworker
48
Q

What phrase or word matches this definition?

The use of objects to limit a person’s visibility of you.

A

Concealment

49
Q

What phrase or word matches this definition?

Exposure or transmission of a communicable disease from one person to another by physical contact.

A

Direct Contact

50
Q

What phrase or word matches this definition?

A process that confronts the responses to critical incidents and defuses them, directing the emergency services personnel toward physical and emotional equilibrium.

A

Critical Incident Stress Management (CISM)

51
Q

List warning signs of Cumulative Stress.

A
  • Irritability toward coworkers, family, and friends
  • Inability to concentrate
  • Difficulty sleeping, increased sleeping, or nightmares
  • Feelings of sadness, anxiety, or guilt
  • Indecisiveness
  • Loss of appetite (GI Disturbances)
  • Isolation
  • Loss of interest in work
  • Increased use of alcohol
  • Recreational drug use
  • Physical symptoms such as chronic pain (headache, backache)
  • Feelings of hopelessness
52
Q

What does the acronym mean?

PTSD

A

Posttraumatic Stress Disorder

53
Q

What phrase or word matches this definition?

Reactions to stress that occur during a stressful situation.

A

Acute Stress Reactions (ASR)

54
Q

What phrase or word matches this definition?

A beneficial response to a stressor.

A

Eustress

55
Q

How should soiled patient care equipment be handled?

A
  • EMT should wear gloves.
  • Handle in a manner that prevents transfer of microorganisms to other and to the environment.
  • Practice hand hygiene.
56
Q

What phrase or word matches this definition?

The way in which an infectious disease is spread: contact, airborne, by vehicles, or by vectors.

A

Transmission

57
Q

What phrase or word matches this definition?

The individual in the department charged with the responsibility of managing exposures and infection control issues.

A

Designated Officer

58
Q

What phrase or word matches this definition?

Protective equipment that blocks exposure to a pathogen or a hazardous material.

A

Personal Protective Equipment (PPE)

59
Q

What phrase or word matches this definition?

The type of sexual harassment where the harasser requests sexual favors in exhange for something else (i.e. promotion).

A

Quid Pro Quo

60
Q

List the four types of immunity.

A
  • Lifelong
  • Partial
  • None
  • Other / Unknown
61
Q

What phrase or word matches this definition?

A stress disorder characterized by gradual lessening of compassion over time.

A

Compassion Fatigue

62
Q

What phrase or word matches this definition?

The organism or individual attacked by the infecting agent.

A

Host

63
Q

What phrase or word matches this definition?

Exposure or transmission of disease from one person to another by contact with a contaminated object.

A

Indirect Contact

64
Q

List strategies to manage stress.

A
  • Minimize or eliminate stressors as much as possible.
  • Change partners to avoid a negative or hostile personality.
  • Change work hours.
  • Change the work environment.
  • Cut back on overtime.
  • Change your attitude about the stressor.
  • Talk about your feelings with people you trust.
  • Seek professional counseling if needed.
  • Do not obsess over frustrating situations that you are unable to change, such as relapsing alcoholics and nursing home transfers; focus on delivering high-quality care.
  • Try to adopt a more relaxed, philosophical outlook.
  • Expand your social support system beyond your coworkers.
  • Develop friends and interests outside emergency services.
  • Minimize the physical response to stress by using various techniquess, including…
    • ​Periodic stretching or yoga
    • Slow, deep breathing
    • Regular physical exercise (150 min per week including cardiovascular effort)
    • Progressive muscle relaxation
    • Meditation
    • Limit intake of caffeine, alcohol, and tobacco use
65
Q

What phrase or word matches this definition?

A delayed stress reaction to a prior incident. Often the result of one or more unresolved issues concerning the incident, and may relate to an incident that involved physical harm or the threat of physical harm.

A

Post Traumatic Stress Disorder (PTSD)

66
Q

List the risks and hazards of sleep deprivation.

A
  • Medical Errors
  • Vehicle Crashes
  • Harm to patients, bystanders, EMS providers
  • Hypertension
  • Sleep apnea
  • Respiratory issues
  • Diabetes
  • Increase stress levels, which contributes to fatigue and more sleep issues
67
Q

What are five ways diseases can be transmitted?

A
  1. Direct Contact
  2. Indirect Contact
  3. Airborne Transmission
  4. Foodborne Transmission
  5. Vector-Borne Transmission
68
Q

Describe the actions an EMT should take when exposed to patient blood or bodily fluids.

A
  1. Turn over patient care to another EMS provider.
  2. When safe, clean the exposed area with soap / water. If eyes were exposed, flush for at least 20 minutes.
  3. Activate the department’s infection control plan. ​Contact supervisor or the infection control officer who will advise on next steps.
  4. ​Complete an exposure report.
69
Q

List the different types of protective clothing worn to prevent injury.

A
  • Cold Weather Clothing
  • Turnout Gear
  • Work Gloves
  • Helmets
  • Boots
  • Safety Glasses
  • Ear Protection
  • Skin Protection
  • Body Armor
70
Q

What are the stages of gried and how does one cycle through them?

A

Stages of Grief:

  • Denial
  • Anger / Hostility
  • Bargaining
  • Depression
  • Acceptance

There isn’t a specific linear progression. The stages may follow one another is some people while in others they may occur simultaneously or a person may jump back and forth between stages.