gonzo notes chapter 10

Question 1

The main difference between a Fire Service and EMS is clashes of _______differences

Answer 1

cultural

Question 2

• Emergency Medical Services Systems Act (1973)

o Designated _______for EMS

Answer 2

funding

Question 3

• Highway Safety Act (1966)

o Ambulance attendant _______, ________, and design

Answer 3

training, equip., and design

Question 4

• State Health Departments

o Most EMS agencies are housed within the state’s ______ dept.

Answer 4

health

Question 5

______ _______firefighters is the most common approach to fire-based EMS

Answer 5

cross training

Question 6

• Advantages:

o All ______ready work-forces

Answer 6

hazards

Question 7

• Ambulance responders began to be trained in advanced first aid and CPR in the _____

Answer 7

1960s

Question 8

The Emergency Medical Services Systems Act was put into place in ____

Answer 8

1973

Question 9

serve to coordinate the federal governments involvement with EMS

Answer 9

o The National Highway Traffic Safety Administration (NHTSA)

Question 10

o Empowers paramedics the delivery of care under the license of a physician

Answer 10

DELEGATED PRACTICE:

Question 11

The overall goal of risk management is to reduce the _______and________ of preventable adverse events

Answer 11

frequency and the severity

Question 12

The first step in any risk management program is to identify the ____.

Answer 12

Risk

Question 13

o involves meeting the needs and expectations of the customer
o Measuring the performance against the goals

Answer 13

QI/QM

Question 14

_______is a post-incident review & audit to determine compliance with performance indicators

Answer 14

QA

Question 15

Customer service is greatly dependent upon ______manner

Answer 15

bedside

Question 16

Medical equipment and device malfunction must be reported to the _______

Answer 16

FDA

Question 17

Every EMS agency must have an infection control program designated infection control officer per OSHA __ ___ ____

Answer 17

29 CFR 1910.

Question 18

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%

Answer 18

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%

Question 19

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

Answer 19

25

Question 20

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)

Answer 20

narcotics

Question 21

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%)

Answer 21

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%)

Question 22

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

Answer 22

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