gonzo notes chapter 10 Flashcards
The main difference between a Fire Service and EMS is clashes of _______differences
cultural
• Emergency Medical Services Systems Act (1973)
o Designated _______for EMS
funding
• Highway Safety Act (1966)
o Ambulance attendant _______, ________, and design
training, equip., and design
• State Health Departments
o Most EMS agencies are housed within the state’s ______ dept.
health
______ _______firefighters is the most common approach to fire-based EMS
cross training
• Advantages:
o All ______ready work-forces
hazards
• Ambulance responders began to be trained in advanced first aid and CPR in the _____
1960s
The Emergency Medical Services Systems Act was put into place in ____
1973
serve to coordinate the federal governments involvement with EMS
o The National Highway Traffic Safety Administration (NHTSA)
o Empowers paramedics the delivery of care under the license of a physician
DELEGATED PRACTICE:
The overall goal of risk management is to reduce the _______and________ of preventable adverse events
frequency and the severity
The first step in any risk management program is to identify the ____.
Risk
o involves meeting the needs and expectations of the customer
o Measuring the performance against the goals
QI/QM
_______is a post-incident review & audit to determine compliance with performance indicators
QA
Customer service is greatly dependent upon ______manner
bedside
Medical equipment and device malfunction must be reported to the _______
FDA
Every EMS agency must have an infection control program designated infection control officer per OSHA __ ___ ____
29 CFR 1910.
Leading cause of EMS Litigation:
• Motor vehicle accidents = 58%
• Patient handling = 28%
• Medical management = 9% (some of the most litigation awards involve airway management)
o Airway management must be a top risk management priority
• Response = 5%
• Equipment issues = 4%
Leading cause of EMS Litigation:
• Motor vehicle accidents = 58%
• Patient handling = 28%
• Medical management = 9% (some of the most litigation awards involve airway management)
o Airway management must be a top risk management priority
• Response = 5%
• Equipment issues = 4%
MOTOR VEHICLE ISSUES (58%) (Claims arising from the operation of M/V are the most significant risk to EMS providers)
• Crashes running lights and siren (60%)
• MV Fatalities running lights and siren (58%)
o __% fewer crashes with 39.6 % less severity with EMD protocols limit running lights and siren
25
MEDICAL MANAGEMENT (9% of EMS litigation) (some of the highest litigation awards)
• Airway management 41 % (top risk management priority) (missed ett)
• Procedural problems 21 %
o Protocol compliance, spinal injuries, fractures,
• Assessment problems 19 %
o Failure to treat
o Failure to transport
o Improper moving
• Adverse drug reactions 12 %
o Wrong dose or wrong route of administration (________are the most often error)
narcotics
RESPONSE AND TRANSPORT (5%) o Transport to the wrong or inappropriate facility (52%) o Response Errors (44%) • Failure to dispatch an ambulance • Navigational errors • Slow or delayed response • Situation where the patient was not located and EMS left the scene o Patient Security (4%)
RESPONSE AND TRANSPORT (5%) o Transport to the wrong or inappropriate facility (52%) o Response Errors (44%) • Failure to dispatch an ambulance • Navigational errors • Slow or delayed response • Situation where the patient was not located and EMS left the scene o Patient Security (4%)
EQUIPMENT (4%) In the area of risk management in EMS there are two key areas of litigation involving EMS equipment: Failure and Lack of equipment • Lack of equipment o Left on scene o Not brought from the ambulance to the patient o No oxygen or empty o Ignition key missing • Equipment failure o Defibrillators o Dead Batteries o Suction units o AED’S
EQUIPMENT (4%) In the area of risk management in EMS there are two key areas of litigation involving EMS equipment: Failure and Lack of equipment • Lack of equipment o Left on scene o Not brought from the ambulance to the patient o No oxygen or empty o Ignition key missing • Equipment failure o Defibrillators o Dead Batteries o Suction units o AED’S
