post test 1 Flashcards
According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to:
a peripheral intravenous catheter
EMR’s such as firefighters , law enforcement officer’s, and park rangers are an integral part of the EMS system because:
they often arrive at the scene before the ambulance and EMT’s
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
National Highway Traffic Safety Administration (NHTSA)
The ___ deals with the well-being of the EMT, career progression, and EMT compensation.
human resources department
The person who is responsible for authorizing EMT’s to perform emergency care in the field is the:
medical director
Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model?
The paramedic administers a patient’s flu vaccination
Which of the following skills would a layperson most likely be trained to perform before the arrival of EMS?
Bleeding control using a tourniquet
Which of the following statements regarding the EMS medical director and an EMT’s scope of practice is correct?
An EMT’s scope of practice may be expanded by the medical director after proper training and state approval
Why are prehospital emergency care guidelines updated on a regular basis ?
Additional information and evidence indicate that the effectiveness of certain interventions has changed
EMS as we know it today had its origins in 1966 with the publication of:
Accidental Death and Disability: The Neglected Disease of Modern Society
The determination that prompt surgical care in the hospital is more important than preforming time-consuming procedures in the field on a major trauma patient is based mostly on:
EMS research
The standards for prehospital emergency care and the individual who provide it are typically regulated by the:
state office of EMS
Which of the following skills or interventions is included at every level of prehospital emergency training?
automated external defibrillation
Which type of medical direction do standing orders and protocols describe?
off-line
Which of the following statements regarding the different stages of the grieving process is correct?
The stages of the grieving process might occur simultaneously
Which type of stress reaction occur when an EMT is exposed to many insignificant stressors order a period of several months or years?
Cumulative stress reaction
While trying to make a family member feel better after a loved one has died, your partner states, “ I know how you are feeling.” The family members might view this as:
your partners attempt to diminish their grief
You and your partner respond to the residence of a 66 yr old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the healthcare system caused his disease. which stage of the grieving process is this patient’s behavior consistent with?
Anger
You are transporting an elderly woman who has possibly experienced a stroke. She is obviously scared but is unable to talk and cannot move the entire right side of her body. In addition to providing the medical care that she needs, you should:
acknowledge that she is scared and tell her that you will take good care of her
You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement, “ He has a gun!”. Your most appropriate action should be:
seek a safe place and request law enforcement assistance
Your partner , a veteran EMT with whom you have worked regularly for the past four years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do?
discreetly report your suspicions to your supervisor
Carbon monoxide blocks the ability of the blood to oxygenate the body because it:
binds with the hemoglobin in red blood cells
If you are exposed to a patient’s blood or other bodily fluid, your first action should be to:
transfer care of the patient to another EMS provider
Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, except:
when patient’s are actively being assessed or treated
Which of the following signs would indicate that your partner is experiencing significant stress?
isolation from the rest of the crew
While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterwards, a virus was transmitted to another emergency medical technician (EMT) several days later. Which route of transmission does this scenario describe?
indirect contact
You are transporting a veteran whose legs were amputated in the war. When calling your radio report to the emergency department, which of the following words be the most appropriate to use when describing the patient?
disabled
Common question asked by patients with a serious illness or injury include all of the following, except:
“Which hospital am I going to?”
All of the following are considered to be protected health information (PHI), except:
location of the call
During your monthly internal quality improvement (QI) meeting, you receive several patient care reports (PCRs) with the staff of your EMS system. You identify the patient’s name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:
are in violation of HIPPA because you did not remove the PHI from the PCR beforehand
If an action or procedure that was preformed on a patient is not recorded on the written report:
it was not preformed, according to the eyes of the law
In which of the following circumstances can the EMT legally release confidential patient information?
the patient is competent and signs a release form
In which of the following situations does a legal duty to act clearly exist?
a call received 15min prior to shift change
Shortly after you load your patient, a 50 yr old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding the situation is correct?
A mentally competent adult can withdraw his or her consent to tret at any time
When caring for a 65 yr old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient’s condition continues to deteriorate: He develops cardiac arrest and dies at the hospital. This scenario is an example of:
negligence
When faced with a situation in which a patient is in cardiac arrest and a valid living will or DNR order cannot be located, you should:
begin resuscitation at once
When is forcible restraint permitted?
When the patient poses a significant threat to self or others
When preforming his or her duties, the EMT is generally expected to:
exercise reasonable care and act prudently
Where would you most likely find information regarding a patient’s wishes to be an organ donor?
driver’s license
Which of the following components are needed to prove negligence?
Duty to act, breach of duty, injury/damages, and causation
Which type of consent is involved when a 39 yr old, mentally competent female with a severe headache asks you to take her to the hospital?
expressed
While transporting a stable patient with chest pain to the hospital, you come across a major vehicle crash involving several critically injured patients. You should:
continue transporting your patient and notify the dispatcher of the crash
While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should:
contact medical control and notify them of the error
You and your partner arrive at the scene of a major vehicle crash. The driver, a young male, is severally entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, not breathing, and does not have a palpable carotid pulse. You should:
have your partner check for a pulse to confirm that the patient is deceased
You are dispatched to a middle school for a 16 yr old female experiencing an asthma attack. She is conscious and alert but in severe respiratory distress. The school nurse informs you that she has tried several times to contact the patient’s parents but has not been successful. You should:
provide treatment up to your level of training and transport the child at once
You are dispatched to an apartment complex to respond to a shooting. Law enforcement personnel are present and have the suspect in custody. You find the patient lying in a narrow space between the couch and coffee table of his small apartment. He is semiconscious and has a large gunshot wound to his chest. You should:
quickly move the coffee table so you can access and treat the patient
You are dispatched to an office building for a 49 yr old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert but in obvious pain. He tells you that he did not call 911; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should:
ensure that he is aware of the risks of refusing medical care
You are dispatched to the residence of a person who frequently calls 911 for nonemergency care. You should:
ask the dispatcher to send law enforcement before you respond
Despite your numerous, sincere efforts to convince a 40 yr old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that the patient has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:
ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign
General guidelines for effective radio communications include all of the following, except:
using 10 codes to ensure radio traffic confidentially
The official transfer of patient care does not occur until the EMT:
gives an oral report to the emergency room physician or nurse
When obtaining patient orders from a physician via a two-way radio, it is important to remember that:
the physician’s instructions are based on the information you provide
When you are communicating with an older patient, it is important to remember that:
most older people think clearly and are capable of answering questions
Which of the following has the weakest transmission signal and, as a result, is least likely to be heard by the party being called?
handheld portable radio
Which of the following statements is not appropriate to document in the narrative section of a PCR?
“general impression revealed that the patient was intoxicated.”
Which of the following statements regarding standing orders is correct?
standing orders should be followed when physician contact is not possible
You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do?
follow locally established protocols or standing orders
You are assessing a 75 yr old woman with mild shortness of breath. As you are asking her questions about her chief complaint and medical history, you progressively move closer to her. In doing this, it is important to remember that.
as you physically get closer to the patient, a greater and greater sense of trust must be established
A 4 yr old boy had an apparent seizure. He is conscious and calm and is sitting on his mother’s lap. His father is sitting in a nearby chair. The child’s mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:
ask the father to hold the child so you can assess him while your partner tries to calm the mother
After delivering your patient to the hospital, you sit down to complete the handwritten PCR. When documenting the patients last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should:
Draw a single horizontal line through the error, initial it, and write the correct data next to it
During your assessment of a w0 yr old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:
Allow him time to think about the question and respond to it
Information included in a radio report to the receiving hospital should include all of the following, except:
A preliminary diagnosis of the patients problem
Medical control gives you an order that seems inappropriate for thr patients condition. After confirming that your heart the physician correctly, you should:
Advise the physician that the order is unclear and ask for clarification
A newborn has four anatomic abnormalities of the heart. What prefix is used to describe this?
Tetra-3
A patient has bilateral femur fractures. This means that:
Both femurs are fractured
A patient has kidney disease that is causing him severe pain. What condition does he have and what would be administered for his pain?
Nephropathy; analgesic
A patient lacerated the dorsal aspect of his hand. This means that the injury is:
On the back of the hand
A proximal humeral fracture is one that is located:
At the upper part of the humerus
A trauma patient has a gunshot wound to the left side of the chest, away from the nipple line. How should the injury location be described?
Anterolateral
A woman amputated the tip of her finger. Which directional term should br used to describe her injury location?
Distal
