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EMT > EMT chapter 1 > Flashcards

EMT chapter 1 Flashcards

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1
Q

Efforts to limit the effects of an injury/illness that you cannot completely prevent

A

Secondary prevention

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2
Q

An individual who has extensive training in advance life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills

A

Paramedic

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3
Q

An individual who was training in basic life support, including automates external defibrillation, use of definitive airway adjunct, and assisting patients with certain medication

A

Emergency Medical Technician (EMT)

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4
Q

A trained professional, such as police officer, firefighter, lifeguard, or other rescuer, who may arrive first at the scene of an emergency to provide initial medical assistance.

A

Emergency medical responder

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5
Q

An established process to determine the qualifications necessary to be allowed to practice a particular profession, or to function as an organization.

A

Credentialing

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6
Q

A method of delivering health care that involves providing health care within the community rather than at a physician’s office or hospital.

A

mobile integrated health care

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7
Q

An approach to medicine where decisions are based on well-conducted research, classifying recommendations based on the strength of the scientific evidence; also called science-based medicine.

A

Evidence-based medicine

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8
Q

The delivery of medication directly into a vein

A

Intravenous therapy(IV therapy)

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9
Q

A document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers.

A

National EMS Scope of Practice Model

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10
Q

Advanced life-saving procedures, some of which are now being provided by the EMT.

A

advanced life support

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11
Q

An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications.

A

Advance emergency medical technician (AEMT)

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12
Q

A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.

A

Emergency medical services

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12
Q

Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients’ health care information and penalizing violations of patient privacy.

A

Health Insurance Portability and Accountability Act

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13
Q

Oversight by the medical director to ensure the appropriate medical care standards are met by EMTs on each call.

A

Quality control

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14
Q

The branch of medicine that is focused on examining the health needs of entire populations with the goal of preventing health problems.

A

public health

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15
Q

A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care.

A

Certification

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16
Q

The process whereby a competent authority, usually the state, allows people to perform a regulated act.

A

Licensure

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17
Q

The physician who authorizes or delegates to the EMT the authority to provide medical care in the field.

A

Medical Director

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18
Q

A system of internal and external reviews and audits of all aspects of an EMS system aimed at improving outcomes.

A

continuous quality improvement

19
Q

Efforts to prevent an injury or illness from ever occurring.

A

Primary prevention

20
Q

Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.

A

Medical control

21
Q

A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services.

A

Public safety access point

22
Q

A health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment, such as health evaluations, monitoring of chronic illnesses or conditions, and patient advocacy.

A

community paramedicine

23
Q

A device that detects treatable life-threatening cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.

A

Automated external defibrillator (AED)

24
Q

The designated area in which the EMS agency is responsible for the provision of prehospital emergency care and transportation to the hospital.

A

Primary service area

25
Q

A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and provides callers with vital instructions until the arrival of EMS crews.

A

Emergency medical dispatch

26
Q

Comprehensive legislation that is designed to protect people with disabilities against discrimination.

A

Americans with Disabilities Act (ADA)

27
Q

List five aspects of a people-centered EMS system

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
28
Q

The purpose of EMS Agenda 2050

A

Encourages an environment where people want to work

29
Q

Medical director is responsible for maintaining _____

A

Quality control

30
Q

Medical control can be

A

Off-line(direct): Standing orders, training, supervision

Online(direct): Physician directions given over the phone/radio

31
Q

What is a just culture

A

a learning culture that holds employees accountable for behavioral choices

-balancing fairness and accountability

32
Q

How does one improve patient safety

A

-minimizing medical errors that occur

33
Q

The cause of medical errors could be the result of:

A

Rule-based failure/knowledge-based failure/skill-based failure (or a combination of all three)

34
Q

What are the roles and responsibilities of the EMT?

A mnemonic to make it easy to remember: “Every Smart Medic Brings Simple Care, Great Treatment, Helping People Make Real Progress, Generating Excellent Continuous Care, Reaching Ultimate Excellence”

A
  1. Equipment ready
  2. Safety
  3. Medical vehicle operation
  4. Be on-scene leader
  5. Scene evaluation
  6. Call for resources
  7. Gain patient access
  8. Through patient assessment
  9. Help with medical care
  10. Provide emotional support
  11. Maintain continuity support
  12. Resolve incidents
  13. Protect patient privacy
  14. Give administrative support
  15. Ensure professional development
  16. Cultivate community relations
  17. Contribute to the profession
  18. Reflect on medical and legal standards
35
Q

What are the professional attributes an EMT is expected to posses?

A mnemonic to make it easy to remember: “I Enjoy Smooth And Simple Tasks, Creating Team Respect, Providing Care.”

A
  1. Integrity
  2. Empathy
  3. Self-motivation
  4. Appearance and hygiene
  5. Self-confidence
  6. Time management
  7. Communication
  8. Teamwork and diplomacy
  9. Respect
  10. patient Advocacy
  11. Careful delivery of care
36
Q

What is standing order?

A

A form of off-line(indirect) medical controls that involves performing certain life-saving interventions before contacting a physician

37
Q

Which of the following is an example of care that is provided using standing orders?

A. Medical control is contacted by the EMT after a patient with chest pain refuses EMS care.

B. The EMT defibrillates a patient in cardiac arrest, begins CPR, and then contacts medical control.

C. A physician gives the EMT an order via radio to administer oral glucose to a diabetic patient.

D. Following an overdose, the EMT contacts the medical director for permission to give activated charcoal.

A

B. The EMT defibrillates a patient in cardiac arrest, begins CPR, and then contacts medical control.

38
Q

Upon arriving at the scene of a domestic dispute, you hear yelling and the sound of breaking glass from inside the residence. You should:

A. immediately gain access to the patient.

B. carefully enter the house and then call the police.

C. retreat to a safe place until the police arrive.

D. tell the patient to exit the residence so you can provide care.

A

C. retreat to a safe place until the police arrive.

39
Q

Which of the following is NOT a component of continuous quality improvement (CQI)?

A. Periodic review of run reports

B. Discussion of needs for improvement

C. Negative feedback given to those who make mistakes while on a call

D. Remedial training as deemed necessary by the medical director

A

C. Negative feedback given to those who make mistakes while on a call

40
Q

All of the following are responsibilities of the EMS medical director, EXCEPT:
A. evaluating patient insurance information.

B. serving as a liaison to the medical community.

C. ensuring that the appropriate standards are met by EMTs.

D. ensuring appropriate EMT education and continuing training.

A

A. evaluating patient insurance information.

41
Q

Which of the following situations would MOST likely disqualify a person for EMS certification?
A. A misdemeanor committed at age 17

B. Driving under the influence of alcohol

C. Possessing a valid driver’s license from another state

D. A mild hearing impairment that is corrected with hearing aids

A

B. Driving under the influence of alcohol

42
Q

Which of the following should be the EMT’s highest priority?
A. Controlling severe bleeding

B. Maintaining a patient’s airway

C. Ensuring patient safety

D. Ensuring personal safety

A

D. Ensuring personal safety

43
Q

A patient who requires cardiac monitoring in the field would require, at a minimum, which level of EMS provider?

A. EMR

B. EMT

C. Paramedic

D. AEMT

A

C. Paramedic

44
Q

Emergency patient care occurs in progressive phases. What occurs first?
A. Activation of EMS

B. Initial prehospital care

C. The patient receives definitive care

D. Incident recognition

A

D. Incident recognition

45
Q

Which of the following is a professional responsibility of the EMT?

A. Telling the family of a dying patient that everything will be OK

B. Maintaining only the skills that he or she feels uncomfortable with

C. Maintaining a professional demeanor in even the most stressful situations

D. Advising an emergency department nurse that patient reports are given only to a physician

A

C. Maintaining a professional demeanor in even the most stressful situations

46
Q
A

EMT (1 decks)

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