EMS Systems Flashcards
EMS
Emergency Medical Services
Describes the four levels of EMS practice
National EMS Scope of Practice Model
KSAs
Knowledge, Skills, & Abilities
For any role in emergency services and health care, ___ must continue throughout your career
Education
This process verifies that a provider meets the minimum required KSA competencies for safe and effective emergency operations and patient care
Certification
NREMT
National Registry of EMTs
NEMSIS
National EMS Information System
How often does the NREMT survey EMS providers to evaluate the applicability of the exam?
Approximately every 5 years
The legal authority to practice in your state
Licensure
Verification process of a health care providers qualifications
Credentialing
Credentialing is typically directed and overseen by a ___
Physician medial director
4 Licensure levels
- Emergency Medical Responder
- Emergency Medical Technician
- Advanced EMT
- Paramedic
In some cases, EMTs may be specifically credentialed to perform either ___
Fewer or additional techniques in their area or to work in certain types of care systems
___ 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
An EMR
EMRs may also perform roles ___ with more advanced training
Under the direction of providers
___ has additional depth and breadth of training in basic emergency care and transportation of sick and injured patients
An EMT
Although not always the first to arrive, ___ most commonly focus on initial stabilization of the scene and fundamental emergency care
EMTs
___ are the primary link between the emergency scene and the health care system
EMTs
___ has additional preparation that includes training and education in specific aspects of advanced life support
An AEMT
ALS
Advanced Life Support
The ___ primary focus is on more advanced assessment techniques and selected emergency interventions know to improve patient outcomes
AEMTs
IV
Intravenous therapy
___ Have the greatest breadth and depth of education and training among emergency care providers
Paramedics
___ preparation focuses on ALS assessment; diagnostic and treatment tools and techniques
Paramedics
___ 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
Paramedics
The standards for prehospital emergency care and the people who provide it are governed by the ___ and are typically regulated by ___
- Laws of each state
- An office of EMS operating under the state’s department of health
Most states requirements follow or exceed the guidelines recommended in the current ___
NHTSA EMS Education Standards
NHTSA
National Highway Traffic Safety Administration
A 12-digit ID number issued at no charge to all EMS professionals
National EMS-ID number system
Who issues the National EMS-ID number?
NREMT
Main areas of EMT focus
- Scene size-up
- Patient assessment
- Treatment
- Transport
- EMS as a career
Star of Life symbolism
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
ADA
Americans with Disabilities Act of 1990
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
ADA
Title I of the ADA protects EMTs with disabilities ___
seeking gainful employment under many circumstances
States have requirements prohibiting people with certain ___ from becoming EMS providers
Legal infractions
EMS as we know it today had its origins in ___
1966 with the publication of Accidental Death and Disability: The Neglected Disease of Modern Society
After the publication of Accidental Death and Disability, who was directed to take action on the issue?
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
Who published the Accidental Death and Disability?
Jointly by the Committees on Trauma and Shock of the Nation Academy of Sciences/National Research Council
DHHS
Department of Health and Human Services
Who administers EMS at the federal level?
DOT
First EMT textbook
Emergency Care and Transportation of the Sick and Injured “The Orange Book” 1971
Who published the Orange Book?
American Academy of Orthopedic Surgeons
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
recommended National Standard Curriculum
When was AEMT developed?
During the 1980s
In the 1990s the NHTSA created the ___
EMS Agenda for the Future
Provides over-arching guidelines for the minimum skills each level of EMS provider should be able to accomplish
National EMS Scope of Practice Model
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
- State
- State-level EMS administrative offices that control licensure
- Local medical director
A medical director can limit the scope of practice but cannot ___
Expand it beyond state law
The complete list of approved skills in the National EMS Scope of Practice Model can be found at ___
www.ems.gov
AEDs
Automated External Defibrillators
What cardiac dysrhythmias can an AED treat?
- Ventricular fibrillation
- Ventricular tachycardia
The EMR course focuses on providing ___
Immediate care with limited equipment prior to the arrival of the ambulance