Emer107 FI Exam Flashcards
Paramedics follow an important sequence of procedures for each emergency call, which is the first phase?
Preparation
The recognition that prompts surgical intervention in a hospital setting, is more important than performing time consuming procedures in the field on a major trauma patient is MOST likely to result of what?
EMS research and evidence-based practice.
The quality improvement committee had identified that staff are delaying their departure from the base when they are dispatched a specific policy and action plan was developed in. Staff has been educated on both. What is the next necessary step to ensure quality improvement is carried out?
Enforce the plan of action.
A paramedics is working for a service that has two ambulances both staffed with PCPs the services is located 100 km from a large city. The first unit is currently in the city offloading a patient at the emergency department. The first unit will be ready to return to their service area soon but will need to get fuel before leaving the city the second unit which is currently at the station has just dispatched to transport an elderly patient from the local hospital into the city for placement at a care home there considering the potential for emergency response in the area what is the most appropriate use of resources?
Call the local hospital and tell them that the transfer will have to be delayed for a short time until the other unit is back within the service area.
Which of the following behaviours are attributes of patient advocacy?
1.) A paramedic who is observant for potential child maltreatment
2.) A paramedic who communicates the patient’s needs to potential caregivers
3.) A paramedic who reports suspected elder neglect to the authorities
4.) A paramedic who accommodates the patient’s wishes regardless of lifestyle.
1,3,4
Paramedics are returning to the base when another call comes in. They place the PCR from the last call in the back of the PCR clipboard out of sight. In responds to the next call after returning to base the paramedics partner collect the PCR from the clipboard and places it in the locked dropbox in the office for the administration staff the next morning the office administrator removes the PCR from the lock box and begins to enter patient information into the computer buckets all the way from their desk, leaving it in plain sight, coming on shift to PCR and read the patient’s name and chief complete on their way by the desk which person patient privacy in this situation?
1.) the paramedic who wrote the PCR and left it in the clipboard.
2.) the paramedics partner who gathered the PCR from the clipboard.
3.) the administrative staff who left the PCR sitting on their desk.
4.) the new paramedic coming on shift who read the PCR.
3,4.
A paramedic is assessing a 21-year-old male patient at a house party. The patient fell and struck his head and now has a large bump on the back of his head. The patient is adamant that he does not wish to be transported as he feels fine, the patient also insist that he has not been drinking alcohol. What steps should be taken to ensure due diligence before allowing the patient to refuse service?
1.) assess the patient to determine if he is intoxicated.
2.) ask to see some identification to ensure that he is in fact of legal age.
3.) ensure the patient understands that he should seek medical care if anything worsen or changes.
4.) Allow the patient to refuse service as you have no reason to believe he is not capable of decision-making.
1,3.
41-year-old woman with an extensive mental health history has attempted to kill herself by cutting her wrist. A paramedic has controlled the bleeding with direct pressure in a pressure bandage. The patient’s final signs are stable and she is conscious and alert however, she refuses to go to the hospital, even despite the desperate please from her family. How should the paramedic manage this?
Remain with the patient contact medical control, and request law enforcement to attend the scene.
What is a crucial aspect of critical thinking that can help a paramedic improve their decision-making ability?
Reflective practice.
Which of the following can be attributed to lifelong learning and effective professional development?
1.) taking opportunities to seek out new information.
2.) questioning both long-held, beliefs, and new information.
3.) setting measurable goals.
4.) evaluating new information once it has been learned.
All of the above.
What is the primary obligation of a self regulatory body such as the Saskatchewan College of paramedics (SCop)?
Protecting the public.
Making eye contact with a patient helps to communicate:
Honesty.
Paramedics are tending to a patient who just found out that her cancer has advanced to a palliative stage today the pain is unbearable and she is extremely upset about the rapid change in her situation. How can the paramedics demonstrate empathy by using therapeutic communication?
Display, genuine and honest concern and understanding for the patient’s feelings.
How should paramedic proceed when a patient is unable to grant consent for treatment?
Proceeded with emergency care until direction is received from an authorized decision-maker.
What impact can a paramedics leadership during a call have on patient outcomes?
By enhancing collaboration and fostering stronger relationships between team members. Overall patient care should be improved.
During a critical call, it is identified that a piece of equipment is being stored in such a way that is difficult to access in a timely fashion. To perform quality assurance, the paramedics should:
Document the reason for concern and request for change and share it with their supervisor.
According to techniques for constructive feedback, being objective is important because:
It allows information that is free from personal opinions or biases to be shared.
Which of the following statements demonstrates the best technique used by paramedics when explaining a treatment plan to a patient and immediate family (members)?
Speak clearly to both the patient and the family using lay terms, allowing time for them to process information and ask question.
Which of the following demonstrates “reflection in action”?
Applying oxygen to a patient and recognizing it is not having the effect you wanted.
A paramedic is assessing an elderly female who had a fall. She has minor injuries, but does require transport to the hospital. The patient is incredibly upset about the situation and thinks the trip to the hospital. She ends up in a nursing home because her children already think I can’t take care of myself anymore. She is emotional and weeping and asked the paramedic how often he sees something like this happened the paramedic is annoyed by her emotions and how upset she is over a simple fall and tells her to stop worrying so much you aren’t hurt your kids won’t put you in a home over this type of communication barrier is a paramedic fostering between himself and the patient with a response of that nature.
Emotional.
What is the goal of a quantitive approach to research?
To collect and measure numerical data, then generalize results to explain a phenomenon.
A paramedic is assessing an injured minor hockey player on the ice in front of an arena full of people when the paramedic attempts to remove the players helmet the team trainer yells at the paramedic. Don’t take the helmet off. It’ll make the injury worse. The trainer is adamant that the helmet should not come off. The paramedic knows that there is a difference in the level of knowledge and scope of practice between the trainer and the paramedic. What is the most appropriate way to manage the situation and respect the trainers concerns?
Minimize the potential conflict by moving the patient from public view and remove the helmet once in the ambulance.
When documenting on a patient care report form, “pertinent negatives” should be used this would include:
Anything that the patient denies presently that warrants no care or intervention.
What is the best approach a paramedic can take when answering a patient’s questions so that they do not sidestep the truth of the situation?
Tell them what you think might be going on based on assessment findings, be honest and sincere, but never be harsh.
Which statement best describes the paramedic system in Canada.
A complex network of coordinated services providing various levels of prehospital care to a community.
A man claiming to be a former patient has come to the office and is angrily demanding the paramedic on shift give him a copy of the patient care report from his last transport by ambulance. He tells you that he is taking legal action against everyone who cared for him that day what is the paramedics appropriate response to the situation?
Calm the man down, ask for his contact information and details and I assure him his request will be passed on to the appropriate people. Someone will contact him soon.
Which of the following is true about leadership?
1.) it is not linear. It occurs through ongoing interactions.
2.) great leader succeeded because they bring out greatness and others.
3.) it is a constant working relationship between the leader and the followers.
4.) great leaders are constantly reflecting rather than looking ahead.
1,2,3.
Which of the following is true regarding patient care reports (PCR‘s)?
A PCR provides for a continuum of patient care upon arrival at the receiving facility.
How does the paramedic association of Canada benefit not only an individual member, but the paramedic profession as a whole?
By advocating for the interest of the paramedics while promoting best practice.
What is the purpose of professional development?
To enhance personal and career growth.
Levels of care in Canada
CCP, ACP, PCP, EMS.
Scope of practice
The level you licensed in your province and what you are allowed to do
What is a mutual and a tiered response system
EMS, fire department, police, (activated, simultaneously in time sensitive calls)
Tiered
Response systems that can provide initial medical care to a patient until transporting EMS arrives
What is NOCP?
National occupational competency profiles-for paramedics practice in Canada this document identifies the competencies that need to be met to practice in Canada
A PCP needs to be able to assess the incident based on what principles system
Triage system
