Mod 1 Definitions Flashcards
1
Q
Professional
A
Member of a profession or any person who earns their living from a specified activity
2
Q
Professionalism
A
Conduct or qualities that characterize an expert practitioner in a particular field or occupation
3
Q
Patient Advocacy
A
Preforming in the best I tests of the patient despite the wishes/demands of other parties despite personal/religious beliefs, and while maintaining patient confidentiality
4
Q
Accountability
A
The fact or condition of being accountable responsibility.
5
Q
Respect
A
A feeling of admiring someone or something that is good, valuable, important
6
Q
Empathy
A
Identification with and understanding of another’s situation, feelings and motives
7
Q
Compassion
A
Deep awareness of the suffering of another couples with the wish to relieve it
8
Q
Sincerity
A
Virtue of speaking truly about ones feelings,thoughts and desires
9
Q
Sympathy
A
A feeling or an expression of pity or sorrow for the distress of another; compassion or commiseration
10
Q
Dignity
A
The quality or state of being worth of esteem and respect
11
Q
Diplomacy
A
The art of design with people in a sensitive and effective way
12
Q
Tact
A
Acute sensitivity to what is proper and appropriate in dealing with others, including the ability to speak or act without offending
13
Q
Discretion
A
The quality of behaving or speaking in such a way as to avoid causing offence or revealing private information
14
Q
Confidence
A
Feeling of assurance, especially of self-assurance
15
Q
What does NOCP stand for
A
National Occupational Competency Profile
16
Q
What are the four Levels of the NOCP
A
Emergency medical Responder
Primary Care Paramedic
Advanced Care Paramedic
Critical Care Paramedic
17
Q
Certification
A
Process by which an agency or association grants recognition to an individual who has met its qualifications
18
Q
Licensure
A
A process of occupational regulation
19
Q
Reciprocity
A
Process by which an agency grants certification or licensure to an individual of comparable certification, licensure or registration from another agency
20
Q
What is your patient assessment constructed of (4 points)
A
Initial Assessment
Physical Examination
Patient hx
Ongoing assessment
21
Q
When would you complete a patient care report
A
As soon as possible after emergency care has been provided
22
Q
What is the sequence of a call (6 points)
A
Preperation Response Patient Assessment Appropriate Disposition Patient Transfer Documentation
23
Q
What is an expanded scope paramedic
A
Expanded scope or community paramedicine moves beyond traditional roles to apply specialized training and skills
24
Q
What are some examples of acute settings of paramedics
A
Hospitals/Clinical Collaborative Emergency Centers Advanced care on Scene Alternative transport decisions or care plans Treat and release
25
What are some non-acute settings
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Primary care
Public health
Home visits
Partnerships with other health or public safety organizations
Isolated communities
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26
What are the components of physical fitness
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Muscular strength
Cardio
Flexibility and strength
Nutrition and weight control
Disease prevention
Freedom from harmful habits and addictions
Back safety
```
27
Isometric
Exercise is active exercise performed against stable resistance
28
Isotonic
Excel use is active exercise during which muscles are worked through their range of motion
29
Proteins
Utilized to help build, maintain and repair body tissues as well as other vital functions
30
Carbohydrates
Sugars used for energy
31
Cholesterol
A white waxy substance found in every cell and needed for normal body function. Cholesterol is manufactured in the liver and circulating levels are significantly affected by diet
32
Saturated fat
Considered bad fats, cause cholesterol to rise by shutting down the process that removes excess cholesterol
33
Unsaturated
Good fats
34
Trans fats
Manufactured fats
35
What is BSI
Body substance isolation
36
What does BSI control
What PPE a medic is to wear in what situations
37
What’s assumption should be made with all blood and bodily fluids
All blood and bodily fluids are infectious
38
Most important infection control is?
Hand washing
39
What is cleaning
refers to washing an object with soap and water
40
Disinfecting
Includes cleaning with a disinfectant
41
Sterilizing
Use of chemical or steam to kill all microorganisms on an object
42
What are your post exposure procedures
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Immediately wash affected areas
Get a medical evaluation
Take the immunization booster
Notify the agency’s infection control liaison
Notify your supervisor if required
Document the event
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43
Epidemiology
Study of factors that influence the frequency , distribution, and cause of injury disease and other related events in population
44
Injury
Intentional or unintentional damage to a person resulting from acute exposure to thermal, mechanical, electrical or chemical energy or from the absence of such essentials like heat or oxygen
45
What is the number one killer of people under the age of 45 in Canada
Injury
46
Accident
Unfortunate incident that happened unexpectedly and unintentionally, typically resulting in damage or injury
47
When do teachable moments occur
Shortly after injury.
48
What percent of prehospital workers have back injuries
64%
49
Emergency move
An unstable or unsafe scene may require that the patients get moved before emergency can begin
50
What situations would you use an emergency mover
Fire or threat of fire
Explosion or threat of explosion
Inability to protect patient from hazards of the scene
Inability to gain access to patients who need life-saving care
When life saveing care cannot be given due to patient locating
51
Non-emergency moves
Generally performed with other rescuers
52
What are the five principles of the Canadian Health ACT
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-Public administration
Comprehensiveness
Universality
Portability
Accessibility
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53
What is your best protection from liability suits
Perform systemic assessments, provide appropriate medical care and maintain accurate and complete documentation
54
Scope of practice
Range of duties and skills that paramedics are allowed and expected to perform
Typical determined bu on-line off-line medical direction
55
What are the mandatory reporting requirements
```
Child Abuse
Spousal abuse and neglect
Elder abuse
GSW
Fatalities
Communicable diseases
```
56
What are the four kinds of child abuse
Physical
Emotional
Sexual
Neglect
57
How does the legislation for adult abuse vary between NS and NB
NB requirements currently exist in NB but do in NS
58
Negligence
Deviation from the accepted standard of care recognized by law for the protection of other against the unreasonable risk of harm
59
What are the 4 components of a negligence claim
Duty to Act
Breach of duty
Actual damages
Proximate cause
60
What is Duty to Act
Formal contractual or informal legal obligation to provide care
61
Malfeasance
Performance of a wrongful or unlawful act by a paramedic
62
Misfeasance
Performance of a legal act in a harmful or injurious manner
63
Nonfeasance
Failure to perform a required act or duty
64
Actual Damage
Refers to compensate physical, psychological, or financial harm
65
Act of commission
Performing an act that results in some harm
66
Act of omission
The failure to perform an act
67
Act of demission
Withdrawing a treatment
68
Borrowed servant doctrine
Using someone else’s license while on truck time as a student
69
Emergency doctorine vs implied consent
The same thing
70
When can confidentiality be breached
Patient consent
Other medical providers who need to know (treatment circle)
Required by law
Their party billing requirements
71
Defamation
An intentional false communication that injures a another persons reputation or good name.
72
Libel defamation
Written defamation that destroy reputation or taints their good name
73
Slander defamation
Spoken defamation that destroy the reputation or good name of a person
74
Consent
Granting of position to threat a patient
| Must always have consent before treating a patient
75
Informed consent
Conscious competent patients have the right to decide what medical care to.
76
What age must you be to give consent
18
77
Expressed consent
Verbal, non verbal or written communications by a patient who wishes to receive treatment
78
Implied consent
Consent for treatment that is presumed for a patient who is mentally, physically, or emotionally unable to give consent
79
Involuntary consent
Typically given by court order, most commonly with patients who must be held for mental-health evaluations or as directed by law enforcement
80
What is an emancipated minor
```
Person under 18 who
Married
Pregnant
A parent
A member of the armed forces
Financially independent living away from home
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81
When can a patient withdraw consent
A patient may withdraw consent at any time
82
Decision making capacity
A persons ability to make and express a reasonable choice
83
NOBI
No one brought in
84
Abandonment
Termination of the paramedic-patient relationship without assurance that an equal or greater level of care will continue
85
Assault
An act of unlawfully placing a person in apprehension of immediate bodily harm without his or her consent
86
Battery
Unlawful touching of another person without his or her consent
87
Advanced Direction
Document created to ensure that certain treatment choices are honoured when a patient is unconscious or otherwise unable to express his or her choice of treatment
88
Ethic
Are the rules of standards that govern the conduct of members of a particular group or profession
89
Morals
Are the social religious or personal standards of right and wrong
90
Beneficence
Principle of doing good for the patient
91
Nonmaleficience
The obligation not to harm the patient
92
Autonomy
A competent adults patients right to determine what happens to his or own body
93
Justice
Refers to the obligation to treat all patients fairly
94
Impartiality test
Asks whether you would be willing to undergo the procedure or action if you were in the patients place
95
Universalizability Test
Asks whether you would wan this action performed in all relevant similar circumstances
96
Advocacy
Always have patients interests in mind
97
How to avoid conflict about being a student
Clearly identify as a student
| Preceptor should step in and say something
98
What is a patient care report
Document used to effectively document essential elements of patient assessment care and transport
99
Why write a patient care report
Written, legal record of incident
Used for medical audit and quality improvement
Billing and administration
Data collection and research
100
What are the characteristics of a good patient care report
Appropriate med term spelling and grammar
Correct abbreviations and acronyms
Accurate and consistent times
Thoroughly documented actions
Pertinent negatives
Identification of additional resources and personnel on scene
101
What to include in a patient care report
All dates and response times
Difficulties to get to site ie traffic etc
Observations on scene
Medical History
Times of significant occurrences, interventions directives
102
Properly written EMS document is (5 points)
```
Accurate
Legible
Timely
Unaltered
Free of non profession extraneous info
```
103
Pertinent negatives
Those that warrant no medical care or intervention but which by seeking them shows evidence of thoroughness of the paramedics examination and history of the event
104
What is the SOAP Method for narrative
Subjective; what the patient told you
Objective; what you see, hear and touch
Assessment; things found wrong during your assessment
Plan; what you plan on doing for the patient (divided into three sections, diagnostics, therapeutics, patient education
105
What does CHART stand for
```
Chief complaint
History/present illness
Assessment
Rx (treatment)
Transport
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