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AEMT class > intro into advanced practice > Flashcards

intro into advanced practice Flashcards

1
Q

Stages of grief

A
  • Denial
  • Anger
  • Bargaining
  • Depression
  • Acceptance

These do not come in particular order

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2
Q

Inductive reasoning

A

Drawing a general conclusion from a set of specific observations
Draw a causal link between a premise and hypothesis
Ex: In the summer, there are ducks on our pond. Therefore, summer will bring ducks to our pond.

(found thru google)

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3
Q

Expressed consent

A

A type of informed consent where the pt does or says something that demonstrates he or she is giving you permission to provide emergency care

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4
Q

Abandonment

A

Is a form of negligence that involves the termination of medical care without the pt’s consent
Pt had a continuing need for medical treatment and that a sudden stop of said treatment caused injury or death
Pts who do not need transportation is not considered abandonment so long as the pt consents

Page 116

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5
Q

Malfeasance

A

Unauthorized act committed outside the scope of medical practice defined by law
something I am not trained as a paramedic to do

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6
Q

1977

A

First paramedic curriculum created by US DOT

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7
Q

Standard of care

A

Describes what a reasonable paramedic with training would do in the same or a similar situation

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8
Q

Harm / Harm resulted

A 
Plaintiff must prove that they were harmed
Physical harm is easier to prove
More are filing for:
emotional distress
loss of income
loss of enjoyment of life
loss of spousal consortium
loss of household services
loss of future earning capacity
The plaintiff would have to prove that the medics
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9
Q

EMTALA

A

Emergency Medical Treatment and Active Labor Act
A federal law enacted in 1989 to combat the practice of pt dumping (hospitals refusing to admit seriously ill pts or women in labor who could not pay, forcing EMS providers to dump the pts at another hospital).

Page 129

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10
Q

Slander

A

Aka Defamation
Making statements both verbal or written that injure a person’s good name

Page 102, 127

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11
Q

Ryan White Act

A

Created in 1990
Hospitals have a legal requirement to give information to EMS on if the pt had a disease that is/was contagious when that information is requested

Created so that health care workers had a way to report when possibly exposed to certain diseases
Human immunodeficiency virus, acquired immunodeficiency syndrome, tuberculosis, hepatitis B, meningitis, diphtheria, hemorrhagic fevers, plague, and rabies
Requires health care companies to have a way for employees to notify if they were possibly exposed
To have a designated infection control officer that helps assist all employees who may have gotten exposed
Access to medical records of the pt who was the source of the exposure

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12
Q

Defamation

A

Intentionally making a false statement, through written or verbal communication, which injures a person’s good name or reputation

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13
Q

Public health

A

The practice of preventing disease and promoting good health within groups of people.

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14
Q

Deductive reasoning

A

Making an inference based on widely accepted facts or premises
When you take two true statements, or premises, to form a conclusion

Ex: A is equal to B. B is also equal to C. Given those two statements, you can conclude A is equal to C using deductive reasoning.

(found thru google)

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15
Q

Proximate cause

A

aka Failure to act appropriately
plaintiff will have to prove that the medics improper action, or failure to act, was the cause of the injury

Careful documentation can help show that an injury happened before you arrived vs what you did or what you didn’t do

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16
Q

In loco parentis

A

“In the place of the parent”

Adults in like school, daycare, summer camp are able to make treatment and transport decisions if the parents are not available

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17
Q

Use of restraints

A

Only use restraints if the pt is a danger to themselves or others
(Should probably call law enforcement in these situations)

Page 113

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18
Q

Refusal of care

A

Pt must have decision-making capacity
Pt must be AxO 4
Pt must meet criteria for informed consent
Pt must understand what is going on, the risks of refusing care and the possible outcomes

page 109-111

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19
Q

HIPAA

A

Health Insurance Portability and Accountability Act
Created in 1996 to provide privacy requirements for pt information.

Medical info can be disclosed only if it is necessary for a pt’s treatment, payment/medical billing, or when authorized in writing by the pt or lawful representative

page 104-106

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20
Q

1970

A

NREMT started to get used

Helicopters more available

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21
Q

Ethics

A

A set of values in society that differentiates right from wrong
Making sure that pt comes first and needs
To make sure pt care confidentiality happens

Page 97-99

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22
Q

Morbidity

A

Number of non fatal injuries and subsequent disability

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23
Q

Tort

A

a wrongful act that gives rise to a civil lawsuit

24
Q

Breach of Duty

A

Paramedic failed to perform within the standard of care (what a reasonable medic in the same or similar situation would have done)

Careful documentation is critical to show what you did do. If it wasn’t written down, you didn’t do it.

25
Q

Battery

A

When you touch the pt without permission in a harmful or offensive way
Charges can happen if you just touch the pt without permission

Example: putting on a 12 lead on a female without permission and telling her what you are doing so you are just lifting up her breast and moving it around

Page 101

26
Q

Common infection control

A 
Hand washing
Gloves
Gown
Eye protection
Mask - surgical, N95
Sharps container
Cleaning reused equipment between each pt

page 47

27
Q

Non-Urgent move

A

-Eg. Pt has a sprained ankle so taking our time will not worsen pts outcome

28
Q

Informed consent

A

Pt’s voluntary agreement to be treated knowing about what is going on and what the treatment options are.
Pt has decision making capacity

29
Q

1966

A

National academy of sciences and the national research council released “the white paper”
Helped with funding BLS and ALS services/programs

National highway safety act of 1966

US DOT created
Revolutionized the way we view and manage injury in America

(Need more info)

30
Q

Misfeasance

A

An appropriate act performed in an improper manner, such as medication administered at the wrong dose

31
Q

Justice

A

Treat all pts fairly

32
Q

The 4 E’s of prevention

A

Education
Enforcement
Engineering/environment
Economic incentives

33
Q

Signs and Symptoms of Depression

A

Numbed, dazed state, quiet, keeping to themselves, sad, hopeless, restless, irritable, sleep or eating disruptions, low energy, slumped posture, slow movements, speaking in a flat/monotone voice

Page 57, 528

34
Q

CQI

A

Continuous quality improvement
Helps make sure we are always improving
Ex: -looking at statistics of pt’s results when they leave the hospital
-looking over certain things like intubations and seeing how we can improve them
-having an environment where it feels like a safe place to admit you did wrongdoing and that when someone else corrects you, you accept the criticism to improve your pt care

35
Q

Urgent move

A
  • Pt is sick and needs to be moved ASAP

- Can take some time to plan out the move and quickly grab equipment

36
Q

Infectious disease VS Contagious disease

A

Infectious - Only some infectious disease is contagious. Example: pneumococcus bacteria is infectious but cannot spread from one person to another.

Contagious- All contagious disease is infectious. Example: Hepatitis B virus (HBV) is a infectious and contagious disease that can spread from one person to another
37
Q

Involuntary consent

A

Situations in which law enforcement officers or legal guardian grants permission to treat someone who is under arrest, (or in custody), incapacitated, a minor or for other reasons

38
Q

Chronic stress signs

A

Fatigue, Depression, Headaches, insomnia, ulcers, acne, asthma, diabetes, arthritis

Page 467

39
Q

Negligence

A

Must meet all four tenets

Duty to act
Breach of duty
Failure to act appropriately/Proximate cause
Harm resulted

40
Q

Communicable disease

A

A disease that can be spread from one person or species to another

41
Q

Qualitative

A

Involves a descriptive judgment using concept words instead of numbers
Ex: gender, country name, animal species, and emotional state

42
Q

Secondary prevention

A

Pt has sustained injury or illness and our goal is to prevent it from getting worse
This is the main thing EMS does and has done since the beginning

43
Q

Beneficence

A

aka Benefit

our (the medics) responsibility to “do good” for the pt

44
Q

Emancipated minors

A

Are under the legal age (18) but can be treated as legal adults because of qualifying circumstances
Other criteria is if the minor is married or pregnant or active military serivice

45
Q

Emergency/Emergent Move

A
  • Pt is at life or limb risk and needs to be moved immediately
  • Anyway possible to save life or limb
  • benifits should out weigh the risks every time
46
Q

Interpersonal Justifiability Test

A

Are you able to justify or defend your actions to others?
Without violating your own morals and ethics?

Do you feel good about doing this and can you justify it to others

47
Q

Nonmaleficence

A

The medics responsibility to not harm the pt

First do no harm

48
Q

Quantitative

A

Involves a measurable quantity–numbers are used

Ex: length, mass, temp, and time

49
Q

Universalizability Test

A

This test helps make sure you are withing standard of care

50
Q

Autonomy

A

Pt’s right of self-determination - Deciding whats best for themselves
(So long as the pt meets the criteria)

51
Q

Implied consent

A

When the pt is unable to consent due to being unconscious or too ill to consent verbally
We assume the pt would want to have life saving treatment

52
Q

Duty / Duty to act

A

Prescribed by the law: it is what the paramedic must do and how we must do it
Do no more harm to the pt
“An obligation, to which law will give recognition and effect; to conform to a particular standard of conduct toward another”
Must perform to a standard of care if we do stop to provide care when clocked out
Must stay with the patient until other

Do not:
In most states, we do not have a duty to stop at a roadside crash when clocked out
We do not have to put a sticker on that we are a medic on personal vehicles

53
Q

Impartiality Test

A

Would you agree to the same thing if you were the pt?

54
Q

Reciprocity

A

The process of granting licensure or certification to a provider from another state or agency

55
Q

Primary prevention

A

Keeping an injury or illness from occurring
Innovative ways to secure resources
Partnering with local media to create prevention messages, especially related to seasonal injuries or hazards
Seeking grants from regional, state, or national sources, such as the EMSC program (contacting your state EMS office about grant programs is a good place to start)
Seeking sponsorships from local nonprofit service organizations or commercial firms
Ex: showing new parents how to properly secure a baby into a car seat and the car seat to the car

AEMT class (14 decks)

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