Module One Flashcards

1
Q

What is the first priority of the EMT on the scene of an emergency?

A

TO ENSURE PERSONAL SAFETY

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2
Q

An EMT is an operating as a designated agent of the ______________________

A

MEDICAL DIRECTOR

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3
Q

The _________________ is legally responsible for the clinical and patient-care aspects of an EMS system.

A

MEDICAL DIRECTOR

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4
Q

The first concern of an EMT always must be __________________ safety.

A

PERSONAL

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5
Q

What is the term used for a policy set by an EMS medical director that allows EMTs to administer glucose to patients in certain circumstances without speaking to the physician?

A

STANDING ORDER

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6
Q

An order from an EMS system’s on-duty physician given by radio or phone is an example of _________________

A

ON-LINE MEDICAL DIRECTION

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7
Q

The level of EMS that involves medical training for those who are usually first on the scene of an emergency is _________________

A

EMERGENCY MEDICAL RESPONDER

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8
Q

Most EMT courses today are based on models developed by the _______________

A

National Highway Traffic Safety Administration (NHTSA)

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9
Q

The system of internal and external reviews and audits for all aspects of an emergency medical system is known as what?

A

Quality Improvement (QI)

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10
Q

The aspect of the EMT’s job that involves protecting the patient’s right is called __________________

A

ADVOCACY

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11
Q

The stage of the dying process that can be characterized by the words “Why me?” is known as ________________

A

ANGER

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12
Q

While working in the EMS what is the type of emergency call likely to produce extreme levels of stress?

A

INJURY OR DEATH OF A COWORKER

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13
Q

What is the goal of CISD?

A

To assist emergency care workers in dealing with stress.

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14
Q

A less structured version of the CISD, which may be held from 1 to 4 hours after an incident and before the formal debriefing, is called a(n) _________________

A

DEFUSING

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15
Q

What is the stage of grieving in which a patient seeks to postpone death, even for a short time?

A

BARGAINING

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16
Q

What is the term that most specifically describes organisms that can cause infectious diseases?

A

PATHOGENS

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17
Q

Which of the following concepts is used by OSHA, and based on the assumption that any patient’s blood and body fluids can transmit infectious disease?

  • *Universal Standards
  • *Risk Management
  • *Preventive Controls
  • *Standard Precautions
A

STANDARD PRECAUTIONS

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18
Q

Which of the following would be used as personal protective equipment to prevent infection with a bloodborne disease?

  • *turnout gear
  • *a “sharps” container
  • *disposable exam gloves
  • *hospital grade disinfectant
A

DISPOSABLE EXAM GLOVES

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19
Q

Which of the following is the best way to protect yourself from exposure when caring for a patient with known or suspected active tuberculosis?

    • wear a surgical face mask
    • place an oxygen mask on the patient
    • wear a HEPA mask
    • place a surgical mask on the patient
A

WEAR A HEPA MASK

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20
Q

Lifestyle changes that can help an EMT deal with stress include all of the following except

    • cut down on sugar, fat, and caffeine
    • avoid exercise in your daily routine
    • avoid self medication
    • keep balance in your life
A

AVOID EXERCISE IN YOUR DAILY ROUTINE

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21
Q

Which of the following materials is NOT recommended for gloves to be used when there is the potential for contact with blood and other body fluids?

    • latex
    • vinyl
    • cotton
    • synthetics
A

COTTON

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22
Q

Equipment used as BSI precaution includes all of the following EXCEPT

    • a HEPA respirator
    • vinyl gloves
    • cotton scrub pants
    • goggles
A

COTTON SCRUB PANTS

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23
Q

What is the process by which an object is subject to a chemical or physical substance that kills all microorganisms on the surface?

A

STERILIZATION

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24
Q

A situation that would usually call for the use of a gown as protection would be one involving a _________________

A

CHILDBIRTH

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25
Q

Where is one supposed to dispose of all needles immediately after use?

A

A DESIGNATED “SHARPS” CONTAINER

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26
Q

What is the single most important way an EMT can prevent the spread of infection?

A

HAND WASHING

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27
Q

In general, what should an EMT do before entering a hazardous materials scene?

A

Call for a specialized HAZMAT team

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28
Q

What is the test that can detect exposure tuberculosis?

A

PPT

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29
Q

What is one to do if there is a suspected potential for violence at the scene?

A

CALL LAW ENFORCEMENT

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30
Q

What should vehicles, structures, and storage containers holding hazardous materials be identified by?

A

SIGNS OR PLACARDS

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31
Q

Dying patients experience what five emotional stages?

A
DENIAL
ANGER
BARGAINING
DEPRESSION
ACCEPTANCE
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32
Q

A(n) ______________________ is a single incident in which there are multiple patients.

A

MULTIPLE-CASUALTY INCIDENT

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33
Q

____________________ is brought about by work-related problems in an emotionally charged environment and can lead to burnout.

A

CHRONIC STRESS

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34
Q

________________ _____________, which include deep-breathing exercises and meditation, are valuable stress reducers

A

RELAXATION TECHNIQUES

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35
Q

Held within 24-72 hours of a critical incident, a(n) _________________ ____________ __________ ____________ is a process in which a team of trained peer counselors and mental health professionals meet with rescuers and health care providers who have been involved in the incident.

A

CRITICAL INCIDENT STRESS DEBREIFING

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36
Q

What is the state of emotional exhaustion and irritability that can markedly decrease an EMT’s effectiveness in delivering medical care?

A

BURNOUT

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37
Q

According to the U.S. Public Health Service, most contaminants can be removed from the skin with ______________________

A

10 TO 15 seconds of vigorous hand washing

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38
Q

______________________ are spread by tiny droplets sprayed during breathing, coughing, or sneezing

A

AIRBORNE PATHOGENS

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39
Q

What is the strict for form of infection control for emergency personnel?

A

BODY SUBSTANCE ISOLATION

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40
Q

In addition to eye protection, gloves, and a mask, another item of personal protective equipment that should be worn when there may be significant contact with blood or other body fluids is a(n) ______________________

A

GOWN

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41
Q

As an advance safety precaution, an EMT should have a ________________ ____________ _____________ test for TB every year

A

PURIFIED PROTEIN DERIVATIVE

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42
Q

The level of cleaning for items such as backboards and cervical collars, which come in contact with the intact skin of patients, is ____________________________

A

DISINFECTION

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43
Q

EMS personnel treating a patient suspected of having TB should use a(n) __________________

A

HEPA RESPIRATOR

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44
Q

Before entering scenes involving domestic disputes, gang fights, or bar fights, an EMT should first do what?

A

CALL LAW ENFORCEMENT

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45
Q

When approaching a wrecked vehicle that may be carrying hazardous materials, use binoculars to try to find ______________ or ___________________ signs that can identify the material as hazardous

A

PLACARDS

SIGNS

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46
Q

________________ are mentally competent adults of legal age who accept care from an EMS crew that have said to give consent

A

EXPRESSED CONSENT

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47
Q

EMS personnel can treat unconscious patients because the law holds that rational patients would consent to treatment if they were conscious. This principle is known as _______________ consent

A

IMPLIED CONSENT

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48
Q

Minors who are married or of a certain age and who are legally able to give consent for medical care are known as _____________________

A

EMANCIPATED

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49
Q

When a patient refuses care, he or she must sign a(n) ________________

A

RELEASE FROM LIABILITY FORM

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50
Q

A legal document, usually signed by the patient and his physician, which states that the patient has a terminal illness and does not wish to prolong life through resucitative efforts, is called a(n) _________________

A

DNR order

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51
Q

A person whom the signer of a document names to make health care decisions for her in case the signer is unable to make such decisions for herself is known as a(n) _____________________

A

PROXY

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52
Q

Legislative measures intended to provide legal protection for citizens and some health care personnel who administer emergency care are known as ______________

A

GOOD SAMARITAN LAWS

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53
Q

An EMT’s obligation in certain situations to provide care to a patient is referred to as a(n) __________________

A

DUTY TO ACT

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54
Q

If a jury finds that an EMT had a duty to a patient, that he failed to carry out that duty properly, and that his action caused harm to the patient, the EMT could be convicted of __________________________

A

NEGLIGENCE

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55
Q

A living will is one example of a(n) _____________

A

ADVANCE DIRECTIVE

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56
Q

The principle that information about a patient’s history, condition, or treatment must not be shared with unauthorized parties is called ________________

A

CONFIDENTIALITY

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57
Q

If you discover that a critically injured patient is an organ donor, as an EMT, you should _________________

A

CONTACT MEDICAL DIRECTION

58
Q

Once police have made the scene safe, the priority of the EMT at a crime scene is to _____________________

A

PROVIDE PATIENT CARE

59
Q

Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training is known as _________________

A

ABANDONMENT

60
Q

The actions and care that an EMT is legally allowed to perform are referred to as ________________

A

SCOPE OF PRACTICE

61
Q

When dealing with children and mentally incompetent adults, the _________________ or _______________ have the legal authority to give consent

A

PARENTS OR GUARDIANS

62
Q

Minors who are married or who meet certain other criteria that allow them to legally give consent as an adult would are called _________________ minors

A

EMANCIPATED

63
Q

Failure to provide the standard of care is one of the elements that must be proved in a case involving a charge of __________________ against an EMT

A

NEGLIGENCE

64
Q

If all efforts fail and the patient does not accept your care or transportation, you must have the patient sign a(n) ___________________

A

REFUSAL OF TREATMENT FORM

65
Q

To refuse care, a patient must be _________________ to make decisions and demonstrate that he understands the risks of refusing treatment

A

COMPETENT

66
Q

An EMT who is on an ambulance and is dispatched to call clearly has a(n) ____________________

A

DUTY TO ACT

67
Q

In many states, an off-duty EMT has no legal obligation to provide ____________________

A

EMERGENCY CARE

68
Q

If the EMT is off duty and begins care, then leaes the patient before other trained personnel arrive, he may be considered to have ________________________

A

ABANDONED THE PATIENT

69
Q

Laws that provide immunity from liability to persons who stop to help in an emergency are known as __________________

A

GOOD SAMARITAN LAWS

70
Q

The only time that confidential information about a patient may be disclosed is when the patient has signed a(n) ____________________

A

WRITTEN RELEASE

71
Q

A person who has signed a legal document to allow his organs and tissues to be harvested for transplantation to another person is called an ____________________

A

ORGAN DONOR

72
Q

Obvious signs of death, with which resuscitative efforts do not have to be made, include decomposition of the body, dependent lividity, __________________ and __________________

A

DECAPITATION and RIGOR MORTIS

73
Q

All of the following are purposes served by patient care report documentation except

    • prevention of lawsuits
    • continuity of care
    • quality assurance
    • reimbursement
A

PREVENTION OF LAWSUITS

74
Q

The paper or electronic record of an EMT’s documentation of a call is known informally as a _______________

A

PCR (patient care report)

75
Q

Which of the following is least likely to be the fate of a patient care report?

    • evidence in a legal case
    • part of the hospital’s permanent records
    • data in a research project
    • private property controlled by the patient
A

PRIVATE PROPERTY CONTROLLED BY A PATIENT

76
Q

Administrative information on a PCR is often referred to as _____________________

A

RUN DATA

77
Q

The standardized information that should be collected on all PCRs is called the _________________

A

MINIMUM DATA SET

78
Q

Which federal agency has developed a list of minimum data elements to be collected on patient care reports?

A

Department of transportation (DOT)

79
Q

In which section of a patient care report would an EMT record the time the emergency unit left the scene?

A

ADMINISTRATIVE INFORMATION

80
Q

Which of the following elements of patient information is not provided in a radio report but must be provided on a patient care report?

    • name and address
    • age and sex
    • chief complaint
    • vital signs
A

NAME AND ADDRESS

81
Q

All of the following are included in the patient narrative section of a prehospital care report EXCEPT

    • billing information
    • chief complaint
    • pertinent negatives
    • SAMPLE history
A

BILLING INFORMATION

82
Q

What is the recommended punctuation mark when writing the patient’s chief complaint?

A

QUOTATION MARKS

83
Q

All of the following should be found in a well-written narrative EXCEPT

    • pertinent negatives
    • radio codes
    • scene information
    • standardized abbreviations
A

RADIO CODES

84
Q

The EMT may provide confidential information to all of the following EXCEPT

    • the patient’s family
    • the emergency department nurse
    • a court under a subpoena
    • the police in a criminal investigation
A

THE PATIENT’S FAMILY

85
Q

If a competent patient refuses care or transport, an EMT should __________________

A

DOCUMENT THE REFUSAL

86
Q

Incorrect information in a prehospital care report should be ______________________

A

CROSSED OUT WITH A SINGLE LINE

87
Q

During a multiple-casualty incident (MCI), patient information is usually passed along by ___________________

A

TRIAGE TAGS

88
Q

The important part of an EMT’s care, in which he records a variety of information that serves administrative, educational, and research uses, is called the ________________

A

PATIENT CARE REPORT

89
Q

To ensure that patient care meets current medical and organizational standards, most EMS agencies have a ______________________ system in place

A

QUALITY IMPROVEMENT

90
Q

The U.S. Department of Transportation calls the information it wants on all PCRs the ___________________

A

MINIMUM DATA SET

91
Q

When a bystander or patient gives information, such as a statement about what happened or the patient’s chief complaint, you should consider using ________________ to show that you are recording the words of the bystander or patient

A

QUOTATION MARKS

92
Q

When you have examined an area of the body and did not notice any signs of illness or injury that would be expected in a patient with a given complaint, you record this information as __________________

A

PERTINENT NEGATIVES

93
Q

You must avoid allowing others to see or obtain a PCR because the information contained in it is considered ________________

A

CONFIDENTIAL

94
Q

If a patient declines emergency treatment or transport, he should be asked to sign a(n) __________________

A

REFUSAL OF TREATMENT FORM

95
Q

In a multiple-casualy incident (MCI), patient information is often passed through the system in the form of _____________________

A

TRIAGE TAGS

96
Q

The initial communication EMT’s receive about an emergency call comes from _______________

A

DISPATCH

97
Q

The two-way radio located at a hospital or dispatch center is a ___________________

A

BASE STATION

98
Q

All of the following should be included in a radio medical report except

    • name and address
    • age and sex
    • mental status
    • chief complaint
A

NAME AND ADDRESS

99
Q

The federal agency that assigns and licenses radio frequencies used by EMS units is the ___________

A

FCC

100
Q

If an order from medical direction appears to be inappropriate, the EMT should ____________

A

TACTFULLY QUESTION IT

101
Q

The principles of radio communication encourage transmissions that make use of __________________

A

COURTESIES SUCH AS “THANK YOU”

102
Q

To keep emergency frequencies open, an EMT should pause for several seconds if a transmission takes longer than _____________________

A

30 SECONDS

103
Q

To help calm a patient, an EMT should __________________

A

EXPLAIN ALL PROCEDURES

104
Q

In assessing a child, an EMT should ______________

A

CROUCH AT THE CHILD’S LEVEL

105
Q

If an on-line physician orders medication, an EMT should ____________________

A

REPEAT BACK THE ORDER WORD FOR WORD

106
Q

The important part of an EMT’s care, in which he records a variety of information that serves administrative, educational, and research uses, is called _______________

A

DOCUMENTATION

107
Q

A recent development in prehospital care reports is the _______________

A

ELECTRONIC CLIPBOARD

108
Q

A PCR is a _______________________ that can sometimes find its way into either criminal or civil court cases

A

LEGAL DOCUMENT

109
Q

To ensure that patient care meets current medical and organizational standards, most EMS agencies have a _________________ system in place

A

QUALITY IMPROVEMENT

110
Q

The U.S. Department of Transportation calls the information it wants on all PCRs the ________________

A

MINIMUM DATA SET

111
Q

The ________________ information includes unit numbers, date, times, call number, and crew member names.

A

ADMINISTRATIVE

112
Q

The patient’s name, address, sex, age, and any care provided before the EMT arrived are called __________________

A

PATIENT DATA

113
Q

Statements that can be measured or verified are called ______________ statements

A

OBJECTIVE

114
Q

Statements that reflect opinion are called __________ statements

A

SUBJECTIVE

115
Q

When a clock shows the right time, it is called ____________________

A

ACCURATE

116
Q

When all clocks being used show the same time, they are called ______________________

A

SYNCHRONOUS

117
Q

When a bystander or patient gives information, such as a statement about what happened or the patient’s chief complaint, you should consider using ____________________ to show that you are recording the words of the bystander or patient.

A

QUOTATION MARKS

118
Q

When you have examined an area of the body and did not notice any signs of illness or injury that would be expected in a patient with a given complaint, you record this information as __________________

A

PERTINENT NEGATIVES

119
Q

At least ______________ complete sets of vital signs should be taken and recorded

A

TWO

120
Q

If a patient declines emergency treatment or transport, he should be asked to sign a ___________________

A

REFUSAL-OF-CARE FORM

121
Q

You must avoid allowing others to see or obtain a PCR because the information contained in it is considered __________________

A

CONFIDENTIAL

122
Q

In a MCI, patient information is often apssed through the system in the form of ___________________

A

TRIAGE TAGS

123
Q

A fixed site that serves as a dispatch and coordination area is a ________________

A

BASE STATION

124
Q

A __________________ breaks down sound into digital codes

A

ENCODER

125
Q

A __________________ only responds to encoder codes

A

DECODER

126
Q

A ______________ allows EMTs to be in touch with the members of the EMS while they are away from the ambulance

A

PORTABLE RADIO

127
Q

In the event of power failure or malfunction, EMS systems should have ______________

A

BACK UP RADIOS

128
Q

The federal agency that assigns radio frequencies and oversees radio communications is the _______________

A

FCC

129
Q

After receiving an order from medical direction to administer medication, the EMT should __________________

A

REPEAT THE ORDER WORD FOR WORD

130
Q

At the conclusion of a call, the EMTs should notify _________________ of their return to the station

A

DISPATCH

131
Q

When caring for a patient with a hearing loss, be sure that your _______________ are visible or see if relatives can _____________ using American Sign Language

A

LIPS

SIGN

132
Q

The EMT should never use the patient’s ___________________ in radio transmissions

A

NAME

133
Q

A handheld, two-way radio

A

PORTABLE RADIO

134
Q

Federal agency that assigns and licenses radio frequencies

A

FCC

135
Q

A two way radio mounted on a vehicle

A

MOBILE RADIO

136
Q

A unit of measurement for radio output

A

WATT

137
Q

A type of portable phone

A

CELL PHONE

138
Q

A two way radio at a fixed site, such as a hospital

A

BASE STATION

139
Q

A member of the EMS system who receives the initial call for help

A

EMD

140
Q

Patient information sent while en route to the hospital

A

RADIO REPORT

141
Q

A device that picks up radio signals from lower power units

A

REPEATER

142
Q

Patient information given at the hospital

A

ORAL REPORT