Exam 1: EMS Operations Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is certification?

A

an exam used to ensure all healthcare providers have at least the same basic level of knowledge and skill

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2
Q

What is licensure?

A

a process by which states ensure an applicant competency in an examination setting

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3
Q

What is certification reciprocity?

A

transfer certification from one state to another

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4
Q

Define clinical care?

A

describes the various pieces of equipment and the scope of practice for using that equipment

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5
Q

What is medical direction?

A

given by a medical director who defines the EMT’s scope of practice | acts as a liasion between EMS and medical community

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6
Q

What are the 2 ways EMTs obtain medical direction?

A

online and offline

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7
Q

What is an offline method of obtaining medical direction?

A

via protocols and standing orders

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8
Q

Define protocol.

A

comprehensive guide outlining EMT’s scope of practice

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9
Q

Define standing orders.

A

parts of a protocol that designate the required actions EMTs must take for a specific complaint/condition

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10
Q

What is an online method of obtaining medical direction?

A

contacting medical control over phone or radio

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11
Q

What does in the integration of health services mean?

A

the care EMTs provide should be continued at the ED

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12
Q

What are the 4 national levels of EMS training?

A

EMR, EMT-Basic, EMT-Intermediate (AEMT), and paramedic

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13
Q

What are the 4 common types of BSI/PPE?

A

gloves, mask, eye protection and a gown

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14
Q

List some medical conditions or pathogens which would make an EMT don a mask.

A

tuberculosis | COVID-19 | airborne droplets

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15
Q

List some conditions which would make the EMT where a face shield?

A

Vomiting, blood splatters, COVID-19

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16
Q

How much particulates does an N95 mask filter?

A

95%

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17
Q

Describe proper hand-washing techniques.

A

wash hands with soap and warm water for about 20 seconds, make sure to get under the fingernails, between fingers and back of the hand

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18
Q

List the steps in preparing for your shift.

A

Clock in, check ambulance outside in.

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19
Q

Describe your responsibilities as an EMT.

A

Protect patient and deliver high-quality emergency medical care

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20
Q

Describe the safe driving habits while responding in an ambulance with lights and sirens?

A

no speeding | patients restained with shoulder restraints | wear your seatbelt and remain seated as much as possible | learn how ambulance accelerates, turns, sways and stoops

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21
Q

Explain the process of approaching a school bus in an ambulance with lights and sirens.

A

Let the school bus pass | turn off lights and sirens

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22
Q

When do ambulances do not have the right of way?

A

train tracks | blocked intersections with no way to oppose | school buses with lights activated | pedestrians

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23
Q

Describe the type of patient who would benefit from helicopter transport.

A

critical patients | away from hospital | need prolonged extrication (ie: trapped at a mountain) | limb replantation (time sensitive) | hyperbaric chamber

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24
Q

3 techniques to improve radio communication.

A

short, simple language, no codes

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25
Q

Components of scene size up

A

PENMAN

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26
Q

List the 4 resources an EMT has to help identify an unknown hazardous material.

A

placards, fixed facilities, ERG guidebook, NFPA 704 system

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27
Q

What is consent?

A

permission to treat

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28
Q

3 types of consent

A

expressed, implied, involuntary

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29
Q

What is expressed consent?

A

informed consent = tell the patient everything about what is happening and why you are treating them

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30
Q

What are the 3 ways expressed consent may be given?

A

verbal, written, or signals/movements

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31
Q

What is implied consent?

A

applies only to patients who are unconscious or unable to make an informed consent

32
Q

What type of consent apply to unaccompanied minors?

A

implied consent if a true emergency exists = must treat patient

33
Q

What is involuntary consent?

A

against patient’s will despite if they are conscious

34
Q

Who does involuntary consent apply to?

A

mentally ill, in behavioral crisis, developmentally delayed

35
Q

Who can police personnel give consent for?

A

detained patients

36
Q

In what situations would using restraints apply?

A

patient is combative and a danger to themselves and others

37
Q

Why do we never position a patient in a prone position?

A

Can potentially close their airway

38
Q

Who has the right to refuse treatment?

A

People 18yo+ who are ANOx4

39
Q

What must you do when patients refuse treatment

A

explain risks and consequences of their refusal, encourage treatment, ask them to sign a refusal of care form, document refusal, have a witness available and sign

40
Q

What is a “Do Not Resuscitate” (DNR) order?

A

an advanced directive that gives permission not to resuscitate

41
Q

What kinds of patients might have a DNR?

A

cancer patients, those in hospice, have life-threatening conditions

42
Q

How does a DNR impact the care an EMT may provide?

A

unable to perform CPR or Ventilations but may treat other problems such as a sprained ankle

43
Q

What must be present on the DNR in order for it to be valid?

A

Physician signature and patient or health proxy signature

44
Q

When would an EMT NOT follow a DNR order?

A

if no DNR is given or the patient decides they want to be resuscitated

45
Q

List the criteria for not providing any interventions or CPR in a patient?

A

if they have a DNR OR present with definitive signs of death.

46
Q

What are the 4 definitive signs of death?

A

rigor mortis, putrification, lividity, and decapitation

47
Q

What is rigor mortis?

A

stiffening

48
Q

What is putrification?

A

body decomposition

49
Q

What is lividity?

A

blood settling

50
Q

Discuss the importance of patient management at a crime scene and how an EMT would go about moving items at the scene?

A

patient care is top priority after scene safety. if need to move objects, ask PD or personnel or let them know.

51
Q

Explain findings that would make the EMT think there was presence of a weapon of mass destruction.

A

Everyone will present with the same symptoms and general appearance

52
Q

Describe the steps of a primary assessment including treatment taken.

A

PENMAN (C-Spine stabilization) | GI = AVPU (unconscious no pulse but breathing = CPR) and LOC | ABCDs

53
Q

When does a duty to act legally apply?

A

responding to a call or have begun treatment

54
Q

What is standards of care?

A

manner in which you must act

55
Q

What is negligence?

A

failure to provide the same care that a person with the same level of licensure would provide in the same situation

56
Q

What are the 4 things that need to be present in order to be charged with negligence?

A

duty to act | breach of duty | damage to the patient | your actions caused the damages

57
Q

What is abandonment?

A

unilateral termination of care by EMT without patient consent or transferring care to someone with the same or higher level of licensure

58
Q

What is assault?

A

verbal threats , unlawful placing person in fear of immediate bodily harm

59
Q

What is battery?

A

unlawful touching a person (can be charged if you treat a patient without consent)

60
Q

What is false imprisonment?

A

unauthporized confinement of a person

61
Q

what is defamation?

A

communication of false information that damages reputation of a person

62
Q

What is libel?

A

written defamation

63
Q

What is slander?

A

spoken defamation

64
Q

What are the 7 cases in which special mandatory reporting occurs?

A

abuse | sexual assault | injury while committing a felony | domestic violence | exposures to infectious diseases | crime scene | death

65
Q

What must an EMT encourage a patient to not do in a sexual assault case?

A

not shower or bathe

66
Q

What must the EMT avoid doing when removing clothing of a patient at a crime scene?

A

don’t cut through bullet holes and stab wounds | dispose bloody clothes in a paper bag

67
Q

What is ethics?

A

philosophy of right and wrong, moral duties, IDEAL PROFESSIONAL BEHAVIOR

68
Q

What is morality?

A

code of conduct affecting character, conduct and conscience

69
Q

What is bioethics?

A

specifically addresses issues that arise in healthcare

70
Q

What criteria must be met to be considered an MCI situation?

A

3+ patients | place of demand on the system to require mutual aid | overwhelms capabilities of an agency’s normal first response

71
Q

In a START triage, who would qualify as Yellow?

A

Repirations < 30/min, CR < 2s, able to follow commands can’t walk

72
Q

In a START triage, who would qualify as Red?

A

RR > 30/min, CR > 2s OR unable to follow commands

73
Q

In a START triage, who would qualify as Black?

A

dead/expectant = those who do not have an open airway, no respirations

74
Q

Signs and Symptoms of nerve agent exposure?

A

SLUDGEM = salivation, lacrimation, urination, defecation, GI upset, emesis, twitching eyes (miosis)

75
Q

List the 4 conditions in which rapid extrication is necessary?

A

AMS, inadequate ventilation, shock (hypoperfusion) and dangerous weather conditions