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
PAC
Paramedic Association of Canada-the purpose is to represent the practitioner on a national level and to promote quality care through cooperative working relationships
COPR
Canadian organization of paramedic regulations as one of their task states determine the four different levels of practice in Canada and to find scope of practice in standard competencies for them
PCOC
Paramedics chiefs of Canada-a national forum for policy development
SPEC
Society of prehospital educators in Canada-develop and maintenance of both initial and continuing education of prehospital care providers
Saskatchewan health
Collaborates with SCoP to make sure the paramedical clinical practice protocols
SCoP
Governed by a council and six elected members
PCOS
Promotes development and awareness of the EMS profession through educational workshops
Quality assurance
A way to evaluate problems and generate solutions and to assess effectiveness of current practice
Patient advocacy
Speaking for a patient at a time where they cannot do so for themselves, keeping their best interest in mind
Communication in EMS
Only 7% is verbal
(Written or oral) 93% of communications are nonverbal
Values: respect
Proper communication calling patient by preferred name treat every patient equally
Values : accountability
Working within your scope of practice, taking responsibility for your actions ensuring you are updated in policies and procedures
Values: excellence
Ability to think critically and make judgements based on best evidence, commitment through advancing in the profession
Values: quality
Patients evaluation of service planning for system improvements continuously evaluation for system improvements
Values: compassion
Providing emotional support during treatment of the sick and injured, taking the time to explain procedure before performing it awareness of patient distress and want to help
Leadership
Is not a linear event it occurs through ongoing interactions
Transactional leadership
Done through supervision and performance good actions are rewarded and bad actions are punished example Steve Jobs
Transformational leadership
Encourages individuals growth, and success leading by example example would be Martin Luther King Junior
Autocratic leadership
Leader holds complete power and there is little room for discussion example Mark Zuckerberg
Situational leadership
Is a leader who changes their style depending on situation and what the people around them require example Dwight D Eisenhower
People orientated leadership
They find success in the success of their followers and focus on their development example Gandhi
Participative leadership
Taking into account opinions of team members example Walt Disney
Charismatic leadership
Uses the own leaders, enthusiasm and energy to motivate others example Adolf Hitler nah I’m just playing but low-key though it would be but it’s actually Mother Teresa
Laissez-faire
AK leave it be leadership style hands off type of leadership by giving broad direction and letting the individual take their own approach. Example Queen Elizabeth II.
Bureaucratic leadership
by the books, expecting procedures and policies to be followed with no deviation example Abraham Lincoln
Leadership vs management
Leadership inspiring, influencing, guiding others in a common effort.
Management planning, organizing, controlling, and allocating resources in a common effort
Age of majority
18 years old for legal matters
Ambulance act
How the operator may deploy employees and resources
Good Samaritan act
Was developed to protect healthcare professionals from liability when voluntarily giving medical services an emergency situation, not in a hospital or a voluntary performing first aid assistance at the scene
The corners act
The duty to notify a corner of a death that there is reason to believe an accident, violence or self-inflicted
Healthcare directive act
Document with directions of what you want to be done for you in case individual can’t make the medical decisions themselves or document that appoint someone to make those decisions for you
Maid bill C-14 medical assistance in dying
Outlines who is eligible to receive it practitioners that can facilitate the process and responsibility of those involved
Child and family services act
Designed to promote the well-being of children in need of protection and our duties and responsibilities in the presence of child abuse
Mental health services act
Helps ensure that people who need involuntary mental health treatment receive help in a lawful and respectful manner
Paramedic act of Saskatchewan
Defines the duties of the SCoP to serve and protect the public and act in their best interest
Health information protection act (HIPA)
Identifies specific rights that patients and you have with respect to their personal health information HIPA applies to individuals and organizations who are a part of Saskatchewan healthcare system, and who have control of PHI
Rights of the patients
The right to be informed, the right to be respected, the right to participate in decision-making affecting his or her health, the right to equal access to healthcare
Consent validity
For it to be valid, it must be free voluntary and genuine if not mentally capable a guardian or relative can do it
Protocol deviation
The protocol or guidelines and should not replace the judgement and experience of the paramedic. Any alterations from protocol is deemed as a protocol deviation and is subject to clinical review.
Payoff questions, questions
Questions you develop to ask patients that reveal sub surface issues like have you ever felt like that before? or are you afraid of someone?
Empathy vs sympathy
Empathy is understanding what others are feeling because you have experienced it yourself or can put yourself in their shoes
Sympathy is acknowledging another person, emotional hardship, and providing comfort and assurance
Cooperation
The extent to which individuals attempt to set differences aside and satisfy the concern of others
Assertiveness
The extent to which individuals attempt to satisfy their own concerns in assertive attitude and behavior, lets others know that you confident and there to perform your duties as required while still showing respect to others
Intercept protocol
Members involved in a interfacility transfer must ensure that a qualified staff is available to accompany the patient during transport
Clinical trials
A paramedic must notify PPC if participating in any clinical trials
Communication failure protocol
In that event, if you cannot communicate with OLMC PHYSICIANS PRACTITIONERS MAY GO AHEAD AND PERFORM THE PROCEDURES THAT ARE
1) necessary for emergency care of patient
2) significant for survival/well-being of patient
3) deemed to be accepted standard of prehospital care
Death in field
Provider can pronounce a patient dead (even if CPR has been initiated) in the event
-Injuries incompatible with life
-If CPR places the rescue at risk of any kind
-Patient with assigned DNR or advance directive
-Victims of trauma with no pulse or pupil reflexes
-Arrest patients who have failed to respond to resuscitation for longer than 30 minutes, drowning victims, submerge for longer than 60 minutes
A paramedics first priority in preparation should
Their knowledge
Interacting with a psychiatric patient
Encourage some motor activity
-maintain non-judgmental attitude
-be as calm and direct as possible
Pertinent negatives
Patient wasn’t nauseous as an example
Quantitive research
Research that provides data that can be expressed with numbers such as ranks or scales often a true representation of the population since it’s based on large sample sizes
Qualitative research
Research that relies on what is seen in the field or naturalistic settings more than on statistical data human behavior, and motivations like studies and focus groups
Evidence based practice
Formal development of clinical guidelines and standards of care in medical practice
Evidence informed practice
It acknowledges many factors beyond evidence such as available resources, or cultural and religious norms
Gibbs cycle
Description, feelings, evaluation, analysis, conclusion, action plan
