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CY Study Materials 2018 > SOPs 400 > Flashcards

SOPs 400 Flashcards

1
Q

400.02 It shall be the responsibility of the ___ _____ ____ to plan, coordinate, and oversee the Mesa Fire Department Emergency Medical Services program

A

EMS Deputy Chief

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2
Q

400.02 Under general direction from the Human and Medical Services Assistant Chief, the ___ _____ _____ shall serve as the Department’s EMS Coordinator

A

EMS Deputy Chief

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3
Q

400.02 The Administrative ______ ______ shall report to the EMS Deputy Chief

A

Medical Director

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4
Q

401.04 The _____ ______ ______ ______ _______ of 1996 (HIPAA) established “Privacy Rule” regulations covering the use and disclosure of Protected Health Information (PHI) by medical service providers.

A

Health Insurance Portability and Accountability Act

*This policy is to identify mandates relating to patient confidentiality contained within HIPAA….Arizona Administrative code (ACC) works hand in hand with this policy

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5
Q

401.04 HIPAA rules also provide healthcare consumers with control over their

A

Health information
Boundaries on medical record use and release
Security of personal health information Establish accountability for medical record use and release.

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6
Q

401.04 Mesa Fire and Medical Department prohibits the release of any patient information to anyone outside the organization unless required for …

A

Purposes of treatment

Payment

Healthcare operations and discussions of Protected Health Information (PHI) within the organization should be limited

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7
Q

401.04 If a member knowingly or inadvertently breaches patient confidentiality policies and procedures at any time, the member must immediately notify the ____ _____ _____ of Mesa Fire and Medical Department

A

EMS Privacy Officer

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8
Q

401.04 The Mesa Fire Department EMS Deputy Chief and Administrative Medical Director provide oversight of the Department’s privacy compliance issues and delegate the duties of MFD …

A

Privacy Officer

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9
Q

401.05 The Privacy officer shall

be appointed by the …

A

EMS Division Chief

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10
Q

401.05 In accordance with the HIPAA

Privacy Rule… Training shall be scheduled by the …

A

Privacy Officer

*Training is usually in form of self study programs

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11
Q

401.05 The department _____ _____ shall keep records of training, testing, and copies of the signed Confidentiality Policy for each department member available for federal or state review

A

Privacy Officer

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12
Q

401.06 The letters PHI stand for…

A

Protected Health Information

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13
Q

401.06 HIPAA allows for disclosure of PHI to “____ ____ ___ _____ ____ and ____ ____ ____” which might include; blood relatives, spouses, roommates, boyfriends and girlfriends, domestic partners, neighbors, and colleagues

A

Persons involved in patient care and other contact persons

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14
Q

401.06 Incidental disclosures will typically occur ….

A

in radio or face-to-face conversation between healthcare providers, or when patient care information in written or computer form is left out in the open for others to access or see

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15
Q

401.06 Disclosures of PHI, whether intentional or unintentional, can incur serious federal and state penalties to both the agency and/or the offending individual/s. Possible Federal Civil and Criminal Penalties include:

A

Violators that unintentionally disclose PHI will be subject to penalties of $100 per violation, up to $25,000 per person, per year

Up to $50,000 and one year in prison for obtaining or disclosing protected health information

Up to $100,000 and up to five years in prison for obtaining protected health information under “false pretenses”.

Up to $250,000 and up to 10 years in prison for obtaining or disclosing protected health information with the intent to sell, transfer or use it for commercial advantage, personal gain, or malicious harm

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16
Q

401.06 Member who becomes aware of a violation or potential violation to the security of PHI must report the incident by means of a ______________ forwarded to the Mesa Fire and Medical Department Privacy Officer

A

Pre-Hospital Quality Management form

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17
Q

401.07 Definition of service animal (ADA)…

A

Dog or miniature horse that is individually trained to do work or perform tasks for people with disabilities

*Americans w/disability act

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18
Q

401.07 Per ADA, ______ horses range in height from 24 inches to 34 inches measured to the shoulders and generally weigh 70 – 100 pounds

A

Miniature

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19
Q

401.07 Definition of service animal (ARS)

A

Any dog or miniature horse that is individually trained to do work or perform tasks for the benefit of an individual with a disability, -OR- a qualifying animal being trained for such purposes

*Arizona Revised Statues

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20
Q

401.07 In an attempt to determine the validity of a proclaimed Service Animal, both the ADA and ARS make it clear that requesting documentation of such constitutes ….

A

Discrimination

*Can not ask for documentation, demonstration of task, person’s disability

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21
Q

401.07 the ADA allows only the two following questions to be asked:

A

• Is the service animal required because of
a disability?

• What work or task has the dog been
trained to perform?

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22
Q

401.07 A _____ ______ is not required to wear an identifying vest, ID tag or any specific harness

A

service animal

*if validity is unclear, assume animal is valid and provide patient care

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23
Q

401.07 If arrangements to reunite the owner and animal cannot be made after the exhaustion of due diligence, it becomes the responsibility of …

A

MFMD to notify the owner of the location in which the animal will be sheltered

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24
Q

401.07 Transportation of the animal is not required if the following conditions are present:

A 
• The animal alters the nature of the 
   services or activities provided 
• The animal poses an undue burden 
• The animal poses a direct threat to the 
   health or safety of others

*Allergies or a general fear of the service animal are specifically not acceptable reasoning for excluding the presence of the service animal

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25
Q

401.07 Service animals must be ____, ____, or _______. Otherwise the owner must be able to adequately control the animal by virtue of voice, signal or other effective means

A

harnessed, leashed or tethered

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26
Q

401.07 The following includes criteria that can result in a service animal being excluded from the ADA provision and ARS requirements:

A 
• An animal that is not housebroken 
• Failure to maintain control of the animal, 
  or failure to regain control in a 
  reasonable time 
• Repeated allowance of the animal to 
   wander
• Continued disruptive barking
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27
Q

402.01 Types of approved physical restraints…

A

Handcuffs
Soft restraints
Use of linens

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28
Q

402.02 To obtain BP on Latex allergy pt with no latex free kit…

A

Cover the patient’s upper arm with gauze or cling prior to placing BP cuff on patient. Wrap BP cuff tubing also to avoid contact with patient.

*Do not use tourniquet when starting an IV. Use BP cuff as described

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29
Q

402.05 Mesa Fire and Medical Department utilizes a contractor for the disposal of biohazard waste. A ___ _____ waste container is located at Fire Resource for biohazards that are not transported with patients

A

(40) forty-gallon

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30
Q

403.01 Mesa Fire ALS providers are required to contact Banner Desert Medical center (or BBMC if unable to contact BDMC) for on-line medical control in the following situations:

A
  • Field terminations
  • Test patches
  • Inability to contact the appropriate receiving facility
31
Q

403.01 Minors at ems scenes require online medical direction to refuse, except for the following type of minors:

A

Emancipated minor
Minor who is in lawful marriage
Any minor previously married
Any homeless minor

32
Q

403.02 Members of the MFMD may transfer medical authority to or receive medical direction from a non-base station physician only by the approval and order of a physician from

A

the Banner Desert Base Station.

33
Q

403.03 In addition, any errors made by MFMD Paramedics or witnessed on-scene will also warrant a patient care _____ to ensure continuity of care and documentation/notification of error

A

ride-in

34
Q

403.03 Medication errors by one of our own members or a contract ambulance member will be reported to the ___ ____ as soon as the error is discovered

A

EMS office

*EMS Deputy chief and medical director will review and evaluate

35
Q

403.04A RxFOB’s for the drug box will be issued through the ___ Division under the supervision/delegation of the EMS Deputy Chief

A

EMS

36
Q

403.04A Immediately upon realization that an RxFOB in unaccounted for the member must notify the EMS Division by email to MFMDEMS@mesaaz.gov and contact the EMS Phone @ 480-682-7103

A

FYI

*EMS will replace the FOB during normal business hours for EMS

37
Q

403.04A If the EMS Division is not available _______ will be contacted to issue the member a temporary RxFOB

A

Car 209

*Car 209 will be issued three (3) temporary RxFOB’s and shall email MFMDEMS@mesaaz.gov immediately upon issuing a temporary RxFOB

38
Q

403.04 It will be the paramedic’s responsibility to notify the ____ _____ if the inventory of a drug box does not match the Medication Accountability Checklist

A

Company Officer

*CO will notify their BC

39
Q

403.04 Controlled substances will be checked on a daily basis by ____ALS providers that are on-coming for a shift and will be done in conjunction with the off-going ALS providers

A

BOTH

40
Q

403.04 When medications are found to be missing, expired, or tampered with, those members who ________________________ the Medication Accountability Check sheet will be held accountable

A

last signed or who failed to sign

41
Q

403.04 On the last day of each Month all medications will be reviewed for expiration dates and any medication expiring within ___ days will be noted

A

60

42
Q

404.01 If cell phone is lost, contact MPD to make a report, complete a _____ _____ ____, and contact Tech Services to arrange deactivation of the phone

A

prehospital incident report

43
Q

404.02B Responsibility for the disposition of personal property on an emergency scene is the responsibility of the ____ ____, but the task may be delegated to the appropriate fire personnel or police officer

A

company officer

44
Q

404.02B When turning over a patient’s belongings to either ambulance, helicopter, hospital, or police personnel, _____, _____, _____ should be documented on the PCR

A

the name
the agency
unit number of the crew

45
Q

404.02C An emancipated minor is…

A

AZ resident at least 16y/o with AZ id containing words “emancipate minor”

out of state resident with convincing evidence of emancipation.

46
Q

404.02C In the absence of a parent or legal representative, emergency treatment and/or transport of a minor may be initiated without consent is known as..

A

Implied consent

47
Q

404.03 Altered Protocol for ambulances will be activated when deemed necessary by the contracted ground ambulance transport agency or by …

A

the Alarm Room Captain (ARC).

48
Q

404.03 When operating under altered transportation protocol, MRDC will only provide automatic EMS transportation unit dispatch on calls that meet the automatic code three-transport unit requirement. These calls include

A 
Codes
Drownings
Childbirth
Stroke
MMVA - limits of one ambo
49
Q

404.03 ______ is the current Internet based management system approved by Arizona Department of Health Services, AEMS, and the Arizona Hospital Association for real time monitoring and reporting of facility status

A

EMSystem

*All Valley hospitals participate and status monitoring is accomplished through the Valley 911 centers.

50
Q

404.03 _______ _______ will have the responsibility for maintaining current facility status on the EMSystem

A

Emergency departments

*updated every 24 hours…when mass casualty incident occurs, updates shall occur every 15 minutes

51
Q

404.04 Citizen assist call type number…Any citizen who requires assistance in lifting or moving a patient, medical alarms, or similar request

A

30

*. If any of the following is present, the call cannot be designated as FT 30: injury, illness, chief complaint, or history of a mechanism of injury (falls, etc

52
Q

404.04 Vehicle lock in/lock out…category is exclusively for patients who are locked inside a vehicle

A

35

53
Q

404.04 Patient not encountered … category is used when no patient contact is made

A

39

*. If a responding unit is cancelled prior to arrival, by alarm or the police department, the call may be classified as a FT 39

54
Q

404.04 The final type reporting system is based on the …

A

National Fire Incident Reporting System (NFIRS)

55
Q

405.01A Any individual shall automatically be excluded from the INI disposition if they were involved in any incident with significant mechanism that would potentially mask or delay the signs or symptoms of an injury

A

FYI

56
Q

405.01 ALS provider may delegate charting duty to a BLS provider, but the ALS provider must review documentation for accuracy and…

A

co-sign the form

*Complete all EPCR entries by end of shift

57
Q

405.01 For open and incomplete calls after ___ working shift an e-mail will be sent to the primary unit Captain and CC to the Battalion Chief

A

one

*After 2 working shifts, a second e-mail is sent to the Battalion Chief

58
Q

405.03 Upon witnessing or knowledge of a pre-hospital incident that occurs on scene, during transport or any time a patient is in the care of MFMD personnel, an individual must complete and submit a ….

A

MFMD Quality Improvement Pre-Hospital Report form

59
Q

406.01 Although the ______ ______ _____ ______ is intended for use by people who are terminally ill, any individual who wishes not to be resuscitated by pre-hospital EMS personnel can utilize the directive

A

Pre hospital medical care directive

*Orange in color

60
Q

406.01 Patient wishes for not being resuscitated will be honored by Mesa Fire Department personnel when a properly completed PMCD document is readily available or located within ….

A

a “reasonable amount of time” 1-2 minutes (as defined by Arizona State Statute).

61
Q

406.01 TRUE OR FALSE….If at any time the patient or the patient’s surrogate wishes to reverse the PMCD order, they may do so by verbally telling the emergency provider

A

TRUE

62
Q

406.01 PMDC document will contain …

A

include biographical information/signature about the patient and signatures of a licensed health care provider and a witness. A photograph is not required but may be attached.

63
Q

406.01 The PMCD bracelet will be on an orange background and will state in bold lettering “Do Not Resuscitate” and will contain

A

patient name
physician name

*bracelet serves to inform that a PMCD exists but is not a substitute for the actual PMCD document

64
Q

406.01 In the event that documents other than the PMCD are presented (Living Will or Medical Power of Attorney), resuscitative efforts and advanced life support must be initiated until

A

Online medical control is consulted

65
Q

406.02 The release of all students under the responsibility of a school, at the time of the incident, who do not require transportation to a medical facility, must be physically transferred to…

A

a school official

*This transfer does not require the signature of the School Official

66
Q

408.01 Acceptable uses of digital recording for patient care…

A

Photo of MVA scene for trauma center

Photo of EMS scene for physician

Recording high risk refusal

Med lists, DNR, etc

67
Q

408.02 When a complete or partial supply of emergency issue equipment is needed the company officer shall notify…

A

BSO for assigned battalion

68
Q

408.02 When it is anticipated that Emergency Issue Equipment will be logged out for a significant period of time (______ _____ _____) the BSO shall contact the EMS coordinator to arrange for replacement equipment

A

(more than 3 shifts)

69
Q

409.06 TEMS Medic (Swat) Current certification as a State of Arizona Certified Emergency Paramedic, with _____ years of uninterrupted service with the Mesa Fire and Medical Department as a non-probationary Paramedic.

A

two (2)

70
Q

409.06 TEMS Medic program will be administered through the ________ Division of the Mesa Fire and Medical Department

A

Operations

*Personnel Section may oversee the eligibility and qualifications of interested suppression Paramedics

71
Q

409.06 TEMS Medics will serve as the “_____ _____” of the team

A

Medical Officers

72
Q

410.01 ______ _______ is the sum of all activities undertaken to assess and improve the products and services provided throughout the entire Emergency Medical Services (EMS) system

A

Quality Management (QM)

73
Q

410.01 _____ _____ _____ _____data is essential to an effective QM program

A

Electronic Patient care report (EPCR)

74
Q

410.02 It will be the responsibility of the responding crew to make the EMS Division aware of the civilian use of an AED. All reporting will be handled through the …..

A

AZ SHARE AED Registry

CY Study Materials 2018 (6 decks)

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