Mod 1 Definitions Flashcards
Professional
Member of a profession or any person who earns their living from a specified activity
Professionalism
Conduct or qualities that characterize an expert practitioner in a particular field or occupation
Patient Advocacy
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
Accountability
The fact or condition of being accountable responsibility.
Respect
A feeling of admiring someone or something that is good, valuable, important
Empathy
Identification with and understanding of another’s situation, feelings and motives
Compassion
Deep awareness of the suffering of another couples with the wish to relieve it
Sincerity
Virtue of speaking truly about ones feelings,thoughts and desires
Sympathy
A feeling or an expression of pity or sorrow for the distress of another; compassion or commiseration
Dignity
The quality or state of being worth of esteem and respect
Diplomacy
The art of design with people in a sensitive and effective way
Tact
Acute sensitivity to what is proper and appropriate in dealing with others, including the ability to speak or act without offending
Discretion
The quality of behaving or speaking in such a way as to avoid causing offence or revealing private information
Confidence
Feeling of assurance, especially of self-assurance
What does NOCP stand for
National Occupational Competency Profile
What are the four Levels of the NOCP
Emergency medical Responder
Primary Care Paramedic
Advanced Care Paramedic
Critical Care Paramedic
Certification
Process by which an agency or association grants recognition to an individual who has met its qualifications
Licensure
A process of occupational regulation
Reciprocity
Process by which an agency grants certification or licensure to an individual of comparable certification, licensure or registration from another agency
What is your patient assessment constructed of (4 points)
Initial Assessment
Physical Examination
Patient hx
Ongoing assessment
When would you complete a patient care report
As soon as possible after emergency care has been provided
What is the sequence of a call (6 points)
Preperation Response Patient Assessment Appropriate Disposition Patient Transfer Documentation
What is an expanded scope paramedic
Expanded scope or community paramedicine moves beyond traditional roles to apply specialized training and skills
What are some examples of acute settings of paramedics
Hospitals/Clinical Collaborative Emergency Centers Advanced care on Scene Alternative transport decisions or care plans Treat and release
What are some non-acute settings
Primary care Public health Home visits Partnerships with other health or public safety organizations Isolated communities
What are the components of physical fitness
Muscular strength Cardio Flexibility and strength Nutrition and weight control Disease prevention Freedom from harmful habits and addictions Back safety
Isometric
Exercise is active exercise performed against stable resistance
Isotonic
Excel use is active exercise during which muscles are worked through their range of motion
Proteins
Utilized to help build, maintain and repair body tissues as well as other vital functions
Carbohydrates
Sugars used for energy
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
Saturated fat
Considered bad fats, cause cholesterol to rise by shutting down the process that removes excess cholesterol
Unsaturated
Good fats
Trans fats
Manufactured fats
What is BSI
Body substance isolation
What does BSI control
What PPE a medic is to wear in what situations
What’s assumption should be made with all blood and bodily fluids
All blood and bodily fluids are infectious
Most important infection control is?
Hand washing
What is cleaning
refers to washing an object with soap and water
Disinfecting
Includes cleaning with a disinfectant
Sterilizing
Use of chemical or steam to kill all microorganisms on an object
What are your post exposure procedures
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
Epidemiology
Study of factors that influence the frequency , distribution, and cause of injury disease and other related events in population
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
What is the number one killer of people under the age of 45 in Canada
Injury
Accident
Unfortunate incident that happened unexpectedly and unintentionally, typically resulting in damage or injury
When do teachable moments occur
Shortly after injury.
What percent of prehospital workers have back injuries
64%
Emergency move
An unstable or unsafe scene may require that the patients get moved before emergency can begin
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
Non-emergency moves
Generally performed with other rescuers
What are the five principles of the Canadian Health ACT
-Public administration Comprehensiveness Universality Portability Accessibility
What is your best protection from liability suits
Perform systemic assessments, provide appropriate medical care and maintain accurate and complete documentation
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
What are the mandatory reporting requirements
Child Abuse Spousal abuse and neglect Elder abuse GSW Fatalities Communicable diseases
What are the four kinds of child abuse
Physical
Emotional
Sexual
Neglect
How does the legislation for adult abuse vary between NS and NB
NB requirements currently exist in NB but do in NS
Negligence
Deviation from the accepted standard of care recognized by law for the protection of other against the unreasonable risk of harm
What are the 4 components of a negligence claim
Duty to Act
Breach of duty
Actual damages
Proximate cause
What is Duty to Act
Formal contractual or informal legal obligation to provide care
Malfeasance
Performance of a wrongful or unlawful act by a paramedic
Misfeasance
Performance of a legal act in a harmful or injurious manner
Nonfeasance
Failure to perform a required act or duty
Actual Damage
Refers to compensate physical, psychological, or financial harm
Act of commission
Performing an act that results in some harm
Act of omission
The failure to perform an act
Act of demission
Withdrawing a treatment
Borrowed servant doctrine
Using someone else’s license while on truck time as a student
Emergency doctorine vs implied consent
The same thing
When can confidentiality be breached
Patient consent
Other medical providers who need to know (treatment circle)
Required by law
Their party billing requirements
Defamation
An intentional false communication that injures a another persons reputation or good name.
Libel defamation
Written defamation that destroy reputation or taints their good name
Slander defamation
Spoken defamation that destroy the reputation or good name of a person
Consent
Granting of position to threat a patient
Must always have consent before treating a patient
Informed consent
Conscious competent patients have the right to decide what medical care to.
What age must you be to give consent
18
Expressed consent
Verbal, non verbal or written communications by a patient who wishes to receive treatment
Implied consent
Consent for treatment that is presumed for a patient who is mentally, physically, or emotionally unable to give consent
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
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
When can a patient withdraw consent
A patient may withdraw consent at any time
Decision making capacity
A persons ability to make and express a reasonable choice
NOBI
No one brought in
Abandonment
Termination of the paramedic-patient relationship without assurance that an equal or greater level of care will continue
Assault
An act of unlawfully placing a person in apprehension of immediate bodily harm without his or her consent
Battery
Unlawful touching of another person without his or her consent
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
Ethic
Are the rules of standards that govern the conduct of members of a particular group or profession
Morals
Are the social religious or personal standards of right and wrong
Beneficence
Principle of doing good for the patient
Nonmaleficience
The obligation not to harm the patient
Autonomy
A competent adults patients right to determine what happens to his or own body
Justice
Refers to the obligation to treat all patients fairly
Impartiality test
Asks whether you would be willing to undergo the procedure or action if you were in the patients place
Universalizability Test
Asks whether you would wan this action performed in all relevant similar circumstances
Advocacy
Always have patients interests in mind
How to avoid conflict about being a student
Clearly identify as a student
Preceptor should step in and say something
What is a patient care report
Document used to effectively document essential elements of patient assessment care and transport
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
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
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
Properly written EMS document is (5 points)
Accurate Legible Timely Unaltered Free of non profession extraneous info
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
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
What does CHART stand for
Chief complaint History/present illness Assessment Rx (treatment) Transport
