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EMT Study > RwJ1 > Flashcards

RwJ1 Flashcards

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1
Q

What does the National EMS Scope of Practice Model describe?

A

The National EMS Scope of Practice Model describes the four levels of EMS practice.

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2
Q

What do the National EMS Education Standards outline?

A

The National EMS Education Standards outline the knowledge and competencies that should be taught to students in each of the four levels of EMS practice.

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3
Q

Who typically conducts or regulates EMS certification exams?

A

State or military agencies, or the National Registry of EMTs (NREMT), typically conduct or regulate EMS certification exams.

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4
Q

What is the next step after education in EMS?

A

The next step is certification, which verifies that a provider meets the minimum required KSA competencies for safe and effective emergency operations and patient care.

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5
Q

What is typically the next step after successfully completing the certification process in EMS?

A

The next step is licensure, which grants the legal authority to practice in the provider’s state.

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6
Q

What term is used in this textbook to refer to the legal authority to practice in EMS?

A

Licensure (rather than certification) is used in this textbook.

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7
Q

Does obtaining licensure in a state grant an EMT an unrestricted right to practice?

A

No, licensure does not grant an unrestricted right to practice; credentialing is the next phase.

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8
Q

What is credentialing in the context of EMS?

A

Credentialing is the verification process of a healthcare provider’s qualifications, typically overseen by a physician medical director.

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9
Q

How many licensure levels are there in most states for emergency medical care providers?

A

There are four licensure levels: EMR, EMT, AEMT, and paramedic.

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10
Q

What is the primary role of an Emergency Medical Responder (EMR)?

A

EMRs focus on managing the emergency scene and initiating immediate life-saving care before the ambulance arrives.

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11
Q

What skills and responsibilities define an Advanced EMT (AEMT)?

A

An AEMT has advanced training in aspects of ALS, including IV therapy, advanced airway management, and administering certain medications. Their focus is on advanced assessment techniques and selected emergency interventions.

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12
Q

What is the primary role of a paramedic?

A

Paramedics have the most advanced training, focusing on ALS assessment, diagnostics, advanced airway management, and emergency pharmacology. They work under medical direction to collaborate with other EMS providers.

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13
Q

Who typically regulates prehospital emergency care and the EMS providers in each state?

A

Prehospital emergency care is regulated by the office of EMS, usually under the state’s department of health.

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14
Q

The Americans With Disabilities Act (ADA) of 1990 protects people who

A

have a disability from being denied access to programs and services that are provided by state or local governments and prohibits employers from failing to provide full and equal employment to the disabled.

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15
Q

How many hours are typically required for an EMR course?

A

EMR courses typically require approximately 50 to 80 hours.

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16
Q

How many hours are typically required for an EMT course?

A

EMT courses typically require approximately 150 to 200 hours to cover the essential knowledge and skills for basic emergency care.

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17
Q

What additional skills are taught in the AEMT course?

A

The AEMT course teaches skills such as IV and intraosseous (IO) therapy, the use of advanced airway adjuncts, and the knowledge and skills to administer a limited number of medications.

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18
Q

How many hours does the AEMT course typically require?

A

The AEMT course typically ranges between 200 and 400 hours.

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19
Q

How many hours does the paramedic course typically require?

A

The paramedic course ranges from 1,000 to well over 2,000 hours, divided between classroom and internship training.

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20
Q

What are the five key aspects of a people-centered EMS system according to EMS Agenda 2050?

A

Comprehensive, quality, convenient care
Evidence-based clinical care
Efficient, well-rounded care
Preventive care
Comprehensive and easily accessible patient records

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21
Q

What are the guiding principles for EMS system design in EMS Agenda 2050?

A

Inherently safe and effective
Integrated and seamless
Reliable and prepared
Socially equitable
Sustainable and efficient
Adaptable and innovative

22
Q

What is a public safety access point?

A

A public safety access point is an emergency communication center that dispatches fire, police, rescue, and EMS units.

23
Q

How does an enhanced 9-1-1 system assist in an emergency?

A

An enhanced 9-1-1 system displays the caller’s address on a screen to help dispatchers locate the caller.

24
Q

What special communication features do many emergency communication centers have for people with disabilities?

A

Special equipment allowing people with speech or hearing disabilities to communicate via keyboard and text messages.

25
Q

What role do mobile apps play in EMS?

A

Mobile apps help trained laypeople (such as those trained in CPR) be alerted to nearby cardiac arrests and connect them with the nearest public AED.

26
Q

What is emergency medical dispatch (EMD)?

A

EMD is a system that helps dispatchers provide vital instructions to callers to assist them in dealing with medical emergencies until EMS crews arrive.

27
Q

What is the role of the physician medical director in an EMS system?

A

The physician medical director authorizes EMTs to provide medical care in the field and determines the appropriate care for injuries, conditions, or illnesses through written standing orders and protocols.

28
Q

What are standing orders in an EMS system?

A

Standing orders are part of protocols that designate what the EMT is required to do for a specific complaint or condition. EMTs are not required to consult medical direction before implementing standing orders.

29
Q

How does the medical director act as a liaison in the EMS system?

A

The medical director serves as the ongoing liaison between the medical community, hospitals, and the EMTs in the service, handling treatment problems and deciding on necessary procedures.

30
Q

What is the medical director’s role in EMT training?

A

The medical director determines and approves the continuing education and training required for each EMT in the service to ensure proper training standards are met.

31
Q

What are the two types of medical control provided by the medical director?

A

Online (direct) medical control – direction given directly by phone or radio from the medical director or a designated physician.

Off-line (indirect) medical control – consists of standing orders, training, and supervision authorized by the medical director.

32
Q

What is the difference between online and offline medical control?

A

Online medical control involves direct communication with a physician, while off-line medical control includes standing orders and other indirect methods such as training and supervision.

33
Q

What happens after the ambulance crew gives a radio report during a call?

A

The online medical control physician may confirm or modify the treatment plan, or prescribe additional special orders for the EMTs to follow.

34
Q

What is the role of the state EMS office?

A

The state EMS office is responsible for authorizing, auditing, and regulating EMS services, training institutions, courses, instructors, and providers within the state.

35
Q

What is a primary service area for an EMS system?

A

A primary service area is a designated region in which an EMS system is responsible for providing prehospital emergency care and transporting the sick and injured to the hospital.

36
Q

What is Mobile Integrated Health Care (MIH)?

A

MIH is a method of delivering health care using prehospital care resources, with the goal of improving access to affordable health care within the community, rather than in a physician’s office or hospital.

37
Q

Who provides health care services in the MIH model?

A

An integrated team of health care professionals, including EMS providers, delivers services within the community and connects patients with resources like social services.

38
Q

What is an advantage of the MIH model?

A

MIH offers access to care for patients in communities with limited medical resources and provides better service for homebound or disabled patients.

39
Q

What is community paramedicine?

A

Community paramedicine involves experienced paramedics who receive advanced education and training to provide services within the community, including health evaluations, chronic illness monitoring, and patient advocacy.

40
Q

What services might community paramedics provide?

A

Community paramedics may perform health evaluations, monitor chronic conditions, obtain laboratory samples, administer immunizations, and serve as patient advocates.

41
Q

Why is information technology important in EMS?

A

Information technology, especially computerized medical records, allows EMS providers to efficiently document care and improve patient outcomes.

42
Q

What can EMS information systems help answer?

A

EMS information systems can answer questions like how many times a department has seen patients with chest pain, average on-scene times for trauma patients, and the number of AED runs.

43
Q

What is NEMSIS and why is it important?

A

The National Emergency Medical Services Information System (NEMSIS) collects EMS data across the country to provide a national snapshot of EMS activities, helping to plan for the future needs of EMS systems.

44
Q

What is the role of the medical director in maintaining quality in EMS?

A

The medical director is responsible for maintaining quality control and ensuring that all staff members meet appropriate medical care standards on each call.

45
Q

What is the “Just Culture” approach in EMS quality management?

A

Just Culture is a strategy that promotes a learning environment, holds employees accountable for their behavioral choices, and balances fairness with accountability, while focusing on identifying and mitigating risks.

46
Q

What does it mean for an organization to be a High Reliability Organization (HRO)?

A

It means the organization is committed to teamwork, a culture of safety, and Continuous Quality Improvement (CQI) to prevent errors.

47
Q

What is the goal of Continuous Quality Improvement (CQI)?

A

The goal is to gather information about processes, performance, and outcomes, then use that data to improve performance and efficiency.

48
Q

What is the plan-do-study-act cycle in CQI?

A

Plan: Information is gathered and analyzed to generate ideas for improvement.
Do: These ideas are implemented.
Study: The results of the changes are evaluated.
Act: If the change is successful, it is adopted more widely.

49
Q

What is primary prevention

A

Focuses on strategies that will prevent the event from ever happening

50
Q

What is secondary prevention

A

In a secondary prevention strategy, the event has already happened. So you create strategies that decrease the effects of the event

51
Q

What is evidence based medicine

A

An approach to medicine where decisions are based on well-conducted research, classifying recommendations based on the strength of the scientific evidence; also called science-based medicine.

52
Q

The national ems scope of practice model was created by

A

National highway traffic safety administration (nhtsa)

EMT Study (23 decks)

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