EMS Systems Flashcards

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1
Q

EMS

A

Emergency Medical Services

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2
Q

Describes the four levels of EMS practice

A

National EMS Scope of Practice Model

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3
Q

KSAs

A

Knowledge, Skills, & Abilities

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4
Q

For any role in emergency services and health care, ___ must continue throughout your career

A

Education

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5
Q

This process verifies that a provider meets the minimum required KSA competencies for safe and effective emergency operations and patient care

A

Certification

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6
Q

NREMT

A

National Registry of EMTs

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7
Q

NEMSIS

A

National EMS Information System

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8
Q

How often does the NREMT survey EMS providers to evaluate the applicability of the exam?

A

Approximately every 5 years

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9
Q

The legal authority to practice in your state

A

Licensure

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10
Q

Verification process of a health care providers qualifications

A

Credentialing

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11
Q

Credentialing is typically directed and overseen by a ___

A

Physician medial director

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12
Q

4 Licensure levels

A
  1. Emergency Medical Responder
  2. Emergency Medical Technician
  3. Advanced EMT
  4. Paramedic
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13
Q

In some cases, EMTs may be specifically credentialed to perform either ___

A

Fewer or additional techniques in their area or to work in certain types of care systems

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14
Q

___ has basic emergency care and operations training, and is focused on managing the emergency scene and initiating immediate life-saving care before the ambulance arrives

A

An EMR

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15
Q

EMRs may also perform roles ___ with more advanced training

A

Under the direction of providers

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16
Q

___ has additional depth and breadth of training in basic emergency care and transportation of sick and injured patients

A

An EMT

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17
Q

Although not always the first to arrive, ___ most commonly focus on initial stabilization of the scene and fundamental emergency care

A

EMTs

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18
Q

___ are the primary link between the emergency scene and the health care system

A

EMTs

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19
Q

___ has additional preparation that includes training and education in specific aspects of advanced life support

A

An AEMT

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20
Q

ALS

A

Advanced Life Support

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21
Q

The ___ primary focus is on more advanced assessment techniques and selected emergency interventions know to improve patient outcomes

A

AEMTs

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22
Q

IV

A

Intravenous therapy

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23
Q

___ Have the greatest breadth and depth of education and training among emergency care providers

A

Paramedics

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24
Q

___ preparation focuses on ALS assessment; diagnostic and treatment tools and techniques

A

Paramedics

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25
Q

___ function as part of a collaborative response, working under medical direction with EMS providers of other levels to help extend the reach of the health care system

A

Paramedics

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26
Q

The standards for prehospital emergency care and the people who provide it are governed by the ___ and are typically regulated by ___

A
  1. Laws of each state
  2. An office of EMS operating under the state’s department of health
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27
Q

Most states requirements follow or exceed the guidelines recommended in the current ___

A

NHTSA EMS Education Standards

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28
Q

NHTSA

A

National Highway Traffic Safety Administration

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29
Q

A 12-digit ID number issued at no charge to all EMS professionals

A

National EMS-ID number system

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30
Q

Who issues the National EMS-ID number?

A

NREMT

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31
Q

Main areas of EMT focus

A
  1. Scene size-up
  2. Patient assessment
  3. Treatment
  4. Transport
  5. EMS as a career
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32
Q

Star of Life symbolism

A

Bars:
1. Detection
2. Reporting
3. Response
4. On-scene care
5. Care in transit
6. Transfer to definitive care
Serpent and Staff:
1. Staff of Asclepius, an ancient greek physician deified as the god of medicine
2. Staff represents medicine and healing
3. Skin-shedding serpent being indicative of renewal

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33
Q

ADA

A

Americans with Disabilities Act of 1990

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34
Q

Protects people who have a disability from being denied access to programs and services that are provided by state or local governments and prohibits employers from failing to provide full and equal employment to the disabled

A

ADA

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35
Q

Title I of the ADA protects EMTs with disabilities ___

A

seeking gainful employment under many circumstances

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36
Q

States have requirements prohibiting people with certain ___ from becoming EMS providers

A

Legal infractions

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37
Q

EMS as we know it today had its origins in ___

A

1966 with the publication of Accidental Death and Disability: The Neglected Disease of Modern Society

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38
Q

After the publication of Accidental Death and Disability, who was directed to take action on the issue?

A

Congress directed the NHTSA to enact the Highway Safety Act of 1966 and the Department of Health, Education, and Welfare (now the DHHS) to enact the Emergency Medical Services Development Act of 1973

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39
Q

Who published the Accidental Death and Disability?

A

Jointly by the Committees on Trauma and Shock of the Nation Academy of Sciences/National Research Council

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40
Q

DHHS

A

Department of Health and Human Services

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41
Q

Who administers EMS at the federal level?

A

DOT

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42
Q

First EMT textbook

A

Emergency Care and Transportation of the Sick and Injured “The Orange Book” 1971

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43
Q

Who published the Orange Book?

A

American Academy of Orthopedic Surgeons

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44
Q

In the late 1970s the DOT developed a ___ for the education and training of paramedics and identified part of the course to serve for EMTs

A

recommended National Standard Curriculum

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45
Q

When was AEMT developed?

A

During the 1980s

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46
Q

In the 1990s the NHTSA created the ___

A

EMS Agenda for the Future

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47
Q

Provides over-arching guidelines for the minimum skills each level of EMS provider should be able to accomplish

A

National EMS Scope of Practice Model

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48
Q

Because licensure is a state function, laws are enacted at the ___ level to regulate how EMS providers will operate, and they are then executed by the ___. Finally, the ___ should provide regular oversight and support to EMS personnel

A
  1. State
  2. State-level EMS administrative offices that control licensure
  3. Local medical director
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49
Q

A medical director can limit the scope of practice but cannot ___

A

Expand it beyond state law

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50
Q

The complete list of approved skills in the National EMS Scope of Practice Model can be found at ___

A

www.ems.gov

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51
Q

AEDs

A

Automated External Defibrillators

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52
Q

What cardiac dysrhythmias can an AED treat?

A
  1. Ventricular fibrillation
  2. Ventricular tachycardia
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53
Q

The EMR course focuses on providing ___

A

Immediate care with limited equipment prior to the arrival of the ambulance

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54
Q

EMS courses are ___-based

A

Competency

55
Q

On arrival at the scene, you and any other EMTs who have responded should ___

A

Assume responsibility for the assessment and care of the patient and follow the proper packaging and transport of the patient to the ED, if appropriate

56
Q

The AEMT course is designed to ___

A

Add knowledge and skills in specific aspects of ALS to providers who have been trained and have experience as EMTs

57
Q

The ___ completes an extensive course of education and training that significantly increases knowledge and mastery of basic skills and covers a wide range of ALS skills

A

Paramedic

58
Q

Multidisciplinary, national review of all aspects of EMS delivery

A

EMS Agenda 2050

59
Q

5 key aspects of a people-centered EMS system in the EMS Agenda 2050

A
  1. Comprehensive, quality, convenient care
  2. Evidence-based clinical care
  3. Efficient, well-rounded care
  4. Preventive care
  5. Comprehensive and easily accessible patient records
60
Q

EMS Agenda 2050 guiding principles

A
  1. Inherently safe and effective
  2. Integrated and seamless
  3. Reliable and prepared
  4. Socially equitable
  5. Sustainable and efficient
  6. Adaptable and innovative
61
Q

Public Safety Access Point

A

911 Communication Center

62
Q

Assists dispatchers in providing callers with vital instructions to help them deal with a medical emergency until EMS crews arrive

A

EMD

63
Q

EMD

A

Emergency Medical Dispatch

64
Q

Aims to increase the ability of EMS providers to practice in other states through the REPLICA

A

Interstate Commission for EMS Personnel Practice

65
Q

___ is not a form of EMS licensure reciprocity. It extends a privilege for EMS personnel from member states to practice on a short-term or intermittent basis under approved circumstances in other members states

A

REPLICA

66
Q

REPLICA

A

Recognition of EMS Personnel Licensure Interstate CompAct

67
Q

Each EMS system has a ___ who authorizes the EMTs in the service to provide medical care in the field

A

Physician Medical Director

68
Q

The appropriate care for each injury, condition, or illness encountered in the field is determined by the ___ and is described in ___

A
  1. Medical director
  2. A set of written standing orders and protocols
69
Q

Standing orders are part of ___

A

Protocols

70
Q

Designate what the EMT is required to do for a specific complaint or condition

A

Protocols

71
Q

Providers are ___ to consult medical direction before implementing standing orders

A

Not required

72
Q

Ongoing working liaison between the medical community, hospitals, and the EMTs in the service

A

Medical director

73
Q

If treatment problems arise or different procedures should be considered, they are referred to the ___ for their decision and action

A

Medical director

74
Q

Determines and approves the continuing education and training that are required of each EMT in the service

A

Medical director

75
Q

Medical control is provided either ___

A

Off-line (indirect) or online (direct)

76
Q

Consists of direction given over the phone or radio directly from the medical director or a designated physician

A

Online medical control

77
Q

Medical direction can be transferred by the ___

A

Physician’s designee

78
Q

Consists of standing orders, training, and supervision authorized by the medical director

A

Off-line medical control

79
Q

The ___ will identify an EMS physician or other designee, usually at a local hospital who can be reached by radio or telephone for medial control during a call

A

Service’s protocols

80
Q

Although each EMS system, medical director, and training program has latitude, their training, protocols, and practices must conform to ___

A

The EMS legislation, rules, regulations, and guidelines adopted by each state

81
Q

The area which an EMS system is responsible for prehospital care

A

Primary Service Area

82
Q

Daily operations and overall direction of the service are provided by an appointed ___

A

Chief executive officer and several officers who serve under them

83
Q

Method of delivering health care that utilizes the prehospital spectrum of care resources

A

Mobile Integrated Health Care

84
Q

MIH

A

Mobile Integrated Health Care

85
Q

This model offers access to care for patients within communities who may have limited medical resources, and leads to better service for those who are homebound or disabled

A

MIH

86
Q

Involves experienced paramedics who receive advanced education and training to equip them to provide services within a community

A

Community paramedicine

87
Q

Information gathered by NEMSIS can be found at ___

A

www.nemsis.org

88
Q

The ___ is responsible for maintaining ___, ensuring that all staff members under their supervision meet appropriate medical care standards on each call

A
  1. Medical director
  2. Quality control
89
Q

A strategy for quality that promotes a learning culture that holds employees accountable for behavioral choices by balancing fairness and accountability

A

Just Culture

90
Q

Encourages trust within the agency and promotes reporting of errors and mishaps so their causes can be found and measures developed for prevention

A

Just Culture

91
Q

A quality management process that encourages team members at every level of the health care system to ask “how are we doing now?” and “what can we do to be better?”

A

CQI

92
Q

CQI

A

Continuous Quality Improvement

93
Q

A proactive process of development capitalizing on strengths and addressing challenges

A

CQI

94
Q

HROs

A

High Reliability Organizations

95
Q

To be an ___ means that the organization has a commitment to teamwork, a culture of safety, and a commitment to CQI in an effort to prevent errors

A

HRO

96
Q

In ___, information is gathered about processes, performance, and outcomes. Evaluation of this information generates ideas to improve performance and efficiency, these ideas are tried and evaluated, and the cycle continues

A

CQI

97
Q

This cycle in CQI is known as ___

A

Plan-do-study-act

98
Q

The ___ phase involves gathering and analyzing information

A

Plan

99
Q

The enacting of the ideas generated in the plan phase is the ___ phase

A

Do

100
Q

The ___ phase evaluates any significant positive or negative changes that resulted from the implementation of the new idea

A

Study

101
Q

If the change is positive, then a larger part of the EMS system adopts the change in the ___ phase

A

Act

102
Q

At every level, CQI is a learning and improvement process rather than ___

A

Simply a way to punish identified problems

103
Q

Measures care against a predefined standard or benchmark

A

Quality Assurance

104
Q

Continuous cycle that measures the behavior and implements actions to improve performance

A

Quality improvement

105
Q

3 possible sources of errors

A
  1. Rules-based
  2. Knowledge-based
  3. Skills-based
106
Q

Detailed plans that describe how certain patient issues are to be managed

A

Protocols

107
Q

As an EMT you are a patient care ___

A

Advocate

108
Q

Knowing the reason for your actions gives you time to ___

A

Reflect and make a more informed decision

109
Q

Proper ___ by the EMS provider can significantly impact an agencies ability to process medical insurance claims, provide eligibility for financial grants for training or equipment, and provide evidence of competent practices

A

Documentation

110
Q

HIPAA

A

Health Insurance Portability and Accountability Act

111
Q

ET3

A

Emergency Triage, Treat, and Transport

112
Q

The key to being a good EMT a providing high-quality care is ___

A

Your commitment to continual learning and increasing your knowledge and skills

113
Q

Examines the health needs of entire populations with the goal of preventing health problems

A

Public health

114
Q

The concept of prevention applies to both the ___

A

Patient and EMS provider

115
Q

The goal of public education should be to create an environment where the need for EMS is ___

A

Decreased

116
Q

The focus of the public health arm of health care is ___

A

Prevention

117
Q

___ focuses on strategies that will prevent the event from ever happening

A

Primary prevention

118
Q

Vaccines are an example of ___ within public health

A

Primary prevention

119
Q

In a ___ strategy, the event has already happened. The question is how can we decrease the effects of the event?

A

Secondary prevention

120
Q

Helmets and seatbelts are examples of ___

A

Secondary prevention

121
Q

___ is focused on procedures that have proven useful in improving patient outcomes

A

Evidence-based medicine

122
Q

EBM

A

Evidence-based medicine

123
Q

Keeping in mind what is in the best interest of the patient is referred to as being a ___

A

Patient advocate

124
Q

Consistent adherence to a code of honest behavior

A

Integrity

125
Q

Aware of and thoughtful toward the needs of others

A

Empathy

126
Q

Able to discover problems and solve them without direction

A

Self-motivation

127
Q

Uses persona to project a sense of trust, professionalism, knowledge, and compassion

A

Appearance & hygiene

128
Q

Able to perform or delegate multiple tasks, ensuring efficiency and safety

A

Time management

129
Q

Able to understand others and have them understand you

A

Communications

130
Q

Able to work with others and able to know your place within a team; able to communicate while giving respect to the listener

A

Teamwork and diplomacy

131
Q

Places other in high regard or importance; understands others are more important than self

A

Respect

132
Q

Constantly keeps the needs of the patient at the center of care

A

Patient advocacy

133
Q

Pays attention to detail; makes sure what is being done for the patient is done as safely as possible

A

Careful delivery of care