Exam Review Flashcards
How are medics affected by the highway traffic act?
- Don’t have 6 or more demerit points under the Highway Traffic Act
- Maintaining, during 2 years immediately prior to the date he/she commenced employment and during employment has a valid driver’s work
- Such as your F license and G
- Must stop at traffic lights and clear the intersection before proceeding through when responding with lights and sirens
- You can only drive 20km over the speed limit
What are the rights of workers?
Workers have the right to know about workplace health and safety hazards
- The right to know
- The right to participate
- The right to refuse
What is the Employer Responsibilty?
- Employers and supervisors are required to address hazards and educate any hazards in the workplace.
- The employer, typically represented by senior management, has the greatest responsibilities with respect to health and safety in the workplace
What is the Worker Responsibilty?
- Workers in the workplace who see a health and safety problem, such as a hazard or contravention of the OHSA in the workplace, have a statutory duty to report the situation to the employer or a supervisor
What happens if you fail to stop at a scene of an accident?
- Considered a federal crime offence under the criminal code of Canada
- Any driver involved in an accident must remain at the scene (until additional resources arrive)
- Failure to remain at scene of an accident could result in a penalty of 7 demerit points, $400-2000 fine, possible jail time up to 6 months, license suspension of up to 2 years.
Hot does failure to stop/ remain at a scene of an accident effect Paramedics?
- Ambulances do not have to remain at a scene of a minor accident and there pt is in critical condition
- Notify dispatch/ police that you have gone
- If the accident is major, you need to stay and call a back up crew to come and get your patient
Criminal Code- Protection of persons in authority
- Every school teacher, parent or person standing in place of a parent is justified in using force by way of correction toward a pupil or child, as the case may be, who is under his care, if the force does not exceed what is reasonable under the circumstances.
What is PHIPPA?
- PHIPPA creates a consistent approach to protecting personal health information across the health sector. The legislation was designed to give individuals greater control over how their personal health info is collected, used or disclosed.
What agencies are required at a residence that looks to be a hoarder house with animals on scene?
- Police
- Fire
- Animal control: Niagara Region Animal Services (NRAS)
- Animal welfare inspector
What are the parts of the directive book?
- Indications
- Conditions
- Contraindications
- Clinical considerations
- Treatment
Airborne PPE
- N95
- Gown
- Gloves
- Goggles
Contact PPE
- Gloves
- Surgical mask
Droplet PPE
- Gloves
- Goggles
- Face shield
- Surgical mask
Airborne Illness
- Measles, TB, Varicella
Droplet Illness
- Meningitis, whooping cough, pneumonia
Contact Illness
- Scabies, bedbugs, lice
What are the qualifications for emancipation?
- Anyone under 18 years of age
- Get married
- Join the army
- Be financially stable
- Declaration of emancipation
Mental Health Act
- You are allowed to be formed
- There are 4 forms:
- Form 1- can be held against your will, signed by a physician
- Form 2- order of examinations
- Form 3- certificate of involuntary admission last up to 14 days
- Form 4- extension of form 3
- These forms are ordered by someone else, need to explain to them what you are doing
When can we restrain a pt?
- Can restrain a pt in the back of the ambulance
- Police has to go in the back if pt is restrained or in handcuffs
- When restraining a pt do not lay them supine
- Pt must show danger to them self or others
- You can use a triangular to restrain a pt
What constitutes a code 5 pt?
Obviously dead:
- dependent lividity
- rigor mortis
- transection
- decapitation
- obvious brain matter
- grossly charred body
- decomposition
Coroner’s Inquest
- Coroner inquest is requested when an unexpected death occurs
- Coroner’s inquest consists of 5 people
- Can’t get fired by a coroner’s inquest
- The point of a coroner inquest is to make improvements and to help prevent some deaths from occurring
When is a coroner’s inquest mandatory?
- Jail death
- If pt dies in police custody
- Workplace death
- Psychiatric pt death
- Death of a child due to a criminal act
Different Types of Consent
- Implied consent
- Informed consent
Implied Consent
- Unconscious pt, children who definitely need care
Informed consent
- Tell pt you want to take a BP and they say you can
What is capacity?
- Capable to make decisions
- Need to be sober
- Need to be mentally fit
- Explain it in terms that they will understand and they must say yes to everything on the back of the ACR
- They understand the risks, have an adult with them
When someone declines, what should we do?
- Call everyone, call supervisor, call BHP, get partner to talk to them
- Make sure they understand the risks
- Be very persuasive
Patient and Sequence
Have 3 patients and 1 of the pts is on your stretcher
- Pt-03, Sequence- 01 (3-2, 3-3)
If you have a pt refuse
- Pt-00, Sequence- 00
If you transport 1 pt to the hospital
- Pt- 01, Sequence- 01
How many vitals do we need to obtain on a refused pt?
At least 2 sets of vitals
When do we do an Incident Report?
- Broken equipment
- MVC’s
- Any delays
- Suspicious or unexpected death
- Any circumstances that result in harm to a pt or any other person in the ambulance
- When the service is going to receive a complaint
- Police inducement
Can police look at our ACR’s?
- No and if they ask for a statement, you say not right know
- Police need a subpoena
What does 10-2000/ red button mean?
- Urgent PD
What do we do if we accidentally hit the red button?
- Get everyone to open with truck # and alpha charlie
What does 10-200 mean?
- Need police
What does 10-20 mean?
- What’s ur location
What does 10-19 mean?
- Return to base
What does 10-4 mean?
- Acknowledge
What does 10-8 mean?
- Mobile
What does 10-7 mean?
- Arrived on scene
When do we patch to receiving hospital?
- Only for CTAS 1 & 2
When do we patch to BHP?
- When we’ve come to the end of the directive, need a TOR, withhold of resuscitation or advice
When patching what should we use?
ISBAR
- identification
- Situation
- Background
- Assessment
- Response
What are the 3 types of abuse?
- Emotional
- Physical
- Sexual
Responsible Grounds
- Refers to information that an average person, using normal and honest judgement, would need in order to decide to report
Can we call directly to FAC’s or do we tell police first?
- We can go directly to FAC’s but tell people along the way, police, hospital staff, etc
What do we do if we recognize a child is being neglected, but the family won’t let you transport?
- Try to stall
What do we look for if we suspect neglect?
- Bruises
- Burns
- Locks on the outside of doors
- Malnourishment
- Children who haven’t been changed in awhile
When should we maybe have a high suspicion for abuse?
- Drownings
- All burns
- Chemical ingestion/ poisoning
- Children falls (suspicious ones)
How many levels of paramedics is their?
3
