III-01 Pt Care Guidlines Flashcards
After an extremity injury has been immobilized, what must you confirm
the presence of distal pulses or capillary refill less than 2 seconds, and normal sensation
When giving a full report when contacting the Base Station, what is the last step in your radio report
All interventions performed or medications given prior to contact and patient response
When repositioning an injured joint, ________________. The distal bone is simply returned to a normal appearing neutral position.
traction is generally not required
When performing CPR on an infant, compress the sternum at least 1/3rd the depth of the chest or how much
1.5 inches
Compress the neonate’s chest with two hands encircling the chest and compressing the chest with two thumbs on the ________ of the sternum just below the nipple line.
lower third
For patients who will not tolerate a non-rebreather mask utilize a nasal canula at 2-4 L/min. What should you titrate the O2 saturation to
> 94%
Injured extremities with apparent fractures should only be repositioned in what circumstances
only if there is loss of signs of circulation, loss of sensation distal to deformity, or if it is necessary in order to otherwise care for and transport the patient
Use of the traction splint does all of the following
- reduces/controls bleeding and shock
- causes alignment of the bone fragments
The History of Present Illness (HPI) is a concise but complete description of the medical sequence of events that led to the patient’s request for help. What acronym describes the questions we ask to investigate the HPI
OPQRST
What does the secondary survey begin with
the patient’s chief complaint
After an extremity injury has been repositioned, where should the injury be immobilized
the joint above and below, as well as the injured section
What are the only reasons for interrupting a primary assessment
for life threatening emergencies, cases of airway obstruction, a need for CPR or controlling exsanguinating hemorrhage
When attaching the AED to a patient , what is the first step in the guideline
Press On/Off
Vital signs will be measured on all patients to include what
Blood pressure, pulse rate and respiratory rate
For situations in which a hospital has advance knowledge that it will need to divert due to Internal Disaster, hospitals have been asked to notify who
the Base Station, as well as EMS Command in advance
When a member recognizes they have committed a medical error, how long does that member have to report the error to a supervising EMS officer
twenty-four on-duty hours
What does the P in the acronym CHAMPION stand for
Pulmonary
What are the guidelines for practices that are used by EMS personnel in a variety of situations within the EMS system
Protocols
How often should you assess the patient’s circulation (checking pulses in the feet and wrists) while the patient is restrained
every 2 minutes, or as frequently as time permits
Supervisors are to forward the completed Medical Error Reporting Form to the Office of the Medical Director in what, within 24 on-duty hours of being made aware of the error
a sealed envelope marked CONFIDENTIAL
What is an injury or symptom of a medical problem which is recent or has never been evaluated/treated by a medical professional
Acute emergency medical problem
Follow medical direction given by the on-scene physician who assumes responsibility for patient care provided it is similar to HFD protocols and standing orders. Who do you report any conflicts immediately to
an EMS Supervisor and EMS on-line physician
Who will be responsible for adhering to the guidelines outlined in this document
All personnel and/or representatives of the Houston Fire Department
If the patient declines care and/or transport, what do you have the patient sign
Refusal of Service Statement
