EMS 430 questions Flashcards
A patient is defined as
a person who presents with subjective and / or objective signs and/ or symptoms or a complaint which results in evaluation and / or treatment
A patient encounter is dependent on neither treatment nor transport nor cooperation from the patient. If a technician _______
perceives a medical problem that requires evaluation, a patient encounter has been made and a full patient care report must be completed.
Controlled substances will be stored at all times in the locked storage safe mounted in each ALS vehicle with a numbered seal. Access t the locked storage safe will be limited to the _____
Paramedic Officer-in-Charge of the ALS Company or Paramedic assigned to the ALS Company
Completed JFRD Controlled Substances daily Checklist will______
remain with the notebook until collect by the District/ Battalion Chief and forwarded to the Quality Improvement Officer
A Baker Act is an involuntary mental health commitment by law enforcement. What are the criteria for a Baker Act/
- Mentally incompetent, danger to self or others
- Suicidal
- Homicidal
A mentally competent patient is considered to give informed consent when any of the following occur
patient verbally gives permission to treat
patient gives written permission to treat
patient does not object as you begin assessment.
In order to give informed consent, a patient must be legally allowed to act as an adult. This means that the patient must be: At least 18 years of age OR Emancipated. Less than 18 and married or legally released from custody of parent or guardian. The exceptions to this are?
- An unmarried pregnant minor may give consent for medical problems related to her pregnancy
- An unmarried minor mother may give consent for her child
If a patient is incapacitated or otherwise not mentally competent, decisions regarding the patient’s medical treatment can be made by an agent with durable power of attorney. The agent must be?
a person who is 18 years of age or older, who must present JFRD with a notarized power of attorney document, signed by the patient and two witnesses.
If medical personnel are concerned for the safety of a minor and the parent or legal guardian refused treatment and transport, contact_______/
- the Rescue District / Battalion Chief
- law enforcement for assistance with transport
In examining and treating a person who is apparently intoxicated , under the influence of drugs, or otherwise incapable or providing informed consent, the emergency medical technician / paramedic , shall ?
proceed wherever possible with the consent of the person
-if the person reasonably appear to be incapacitated and refused his or her consent, the person may be examined if he or she is in need of emergency attention , with his or her consent, but reasonable force shall not be used.
Each time a controlled substance is administered, The controlled substance inventory will be checked and documented on the JFRD Controlled Substance Daily Checklist. You should?
Inspect the controlled substance for expiration date and damage
Errors made on the JFRD Controlled Substance Daily Checklist will be noted by?
single line through the error and initialed by the person correcting the error.
Daily Inspections of controlled substance will occur
anytime the Paramedic Officer-in-Charge or Paramedic assigned to the ALS Company is relieved.
If a stocked spare rescue ( able unit ) is not staffed for the day, the Officer-in-Charge or Paramedic assigned to the ALS Engine will, with the witness present, verify that the numbered seal is intact and document accordingly , If the sea is broken_________.
contact the appropriate Rescue District/Battalion Chief
On the first day of each month: The Paramedic Officer-in-Charge or paramedic assigned to the ALS company will, with a witness present ?
- Inspect the controlled substances for expiration date and damage
- Audit the JFRD Controlled Substance Daily Checklist, ensuring that the actual count and the documented count are the same.
The monthly chief inspection should occur when?
on either the 23rd, 24th, or 25th of each month.
Who restocks all controlled substances?
The Rescue District / Battalion Chiefs
When will restocking of controlled substances occur?
- minimum Rescue or ALS Engine inventory is reached
- Month prior to expiration date
- Prior to holiday or weekend when stock is close to minimum Rescue inventory.
Until returned any expired or damaged controlled substances will be labeled?
DO NOT USE
Expired or damaged controlled substances will be turned in to ?
The rescue District/ Battalion Chief during normal business hours
Patients in police custody can still sign an AMA Refusal or Non-Emergency/ Non-Transport Waiver if
if allowed by law enforcement
If the patient in police custody is unstable, transport to the closest, most appropriate hospital. If the patient is stable?
law enforcement will dictate the hospital destination.
If law enforcement refuses to remove the handcuffs to allow the patient to sign, document in the Narrative section of the PCR that the patient verbalized a refusal of treatment.
Sign your name in the proper refusal signature box where the patient would normally sign and have the law enforcement officer sign the Witness signature in the PCR.
