STUDY GUIDE MOD #1 Flashcards
ITIS
INFLAMATION
OLOGIST
ONE WHO SPECIALIZES IN
ECTOMY
SURGICAL REMOVAL OF A SPECIFIED PART OF THE BODY
PERI
AROUND
PNEA
BREATHING
GYNE
PERTAINING TO WOMEN
NASO
NASAL OR NOSE
HYPO
BELOW NORMAL
HEMO
RELATING TO BLOOD
DYS
DIFFICULT OR PAINFUL
TACHY
RAPID, ABOVE NORMAL
CARDIO
HEART
PHYSIOLOGY
THE FUNCTION OF THE BODY
PERTINENT
RELEVENT OR APPLICABLE
PPE
PERSONAL PROTECTION EQUIPMENT
PMH
PAST MEDICAL HISTORY
SUPERIOR
TOWARD THE HEAD OF THE BODY
FRONTAL
RELATING TO THE FRONT PART OF THE BODY OR FOREHEAD.
LATERAL
TO THE SIDE AWAY FROM THE MIDLINE OF THE BODY
MIDLINE
AN IMAGINARY LINE DRAW DOWN THE CENTER OF THE BODY DIVIDING IT INTO RIGHT AND LEFT HALVES.
DISTAL
FARTHER AWAY FROM THE TORSO
PROXIMAL
CLOSER TO THE TORSO
PRONE
FACEDOWN
THIRD SERVICE
AMBULANCE SERVICE PROVIDED BY A LOCAL GOVERNMENT
WHAT ARE THE DIFFERENT TYPES OF PPE?
VINYL OR NONLATEX GLOVES, EYE AND FACE PROTECTION, MASKS, GOWNS.
WHEN SHOULD GLOVES BE WORN?
WHENEVER THERE IS THE POTENTIAL FOR CONTACT WITH BLOOD AND OTHER BODY FLUIDS. THIS INCLUDES DURING CONTROLLING BLEEDING, SUCTIONING, ARTIFICIAL VENTILATION AND CPR.
WHEN SHOULD EYE PROTECTION BE WORN?
WHEN SPASHING, SPATTERING OR SPRAYING FLUIDS.
WHEN SHOULD A MASK BE WORN?
IN CASES WHERE BLOOD OR FLUID SPATTER WEAR A SURGICAL MASK. IN CASES WHERE TB IS SUSPECTED, WHERE A N95 MASK.
WHEN SHOULD A GOWN BE WORN?
GOWNS SHOULD BE WORN TO PROTECT CLOTHING AND BARE SKIN FROM SPILLED OR SPLASHED FLUIDS. ARTERIAL BLEEDING AND CHILDBIRTH ARE BOTH INDICATIONS TO WEAR A GOWN.
WHY IS PPE IMPORTANT?
IT PROTECTS YOU FROM ROUTES OF CONTAMINATION OR INTRODUCTION OF DISEASE OR INFECTIOUS MATERIALS.
WHAT IS HIPAA?
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT. IT PROVIDES SECURITY PROVISIONS AND DATA PRIVACY IN ORDER TO KEEP PATIENTS MEDICAL INFORMATION SAFE.
WHAT ARE THE 4 PARTS OF NEGLIGENCE?
- THE EMT HAD A DUTY TO ACT. 2. THE EMT DID NOT PROVIDE THE STANDARD OF CARE. 3. THERE WAS PROXIMATE CAUSATION (DAMAGES TO THE PATIENT WERE THE RESULT OF ACTIONS OR INACTIONS BY THE EMT.
WHO USUALLY ISSUES EMS LICENSURE?
THE STATE
What are the ramifications of false documentation to the patient and the EMS provider?
FALSIFICATON LEADS TO POOR PATIENT CARE BECAUSE THE FACTS WERE NOT DOCUMENTED AND HOSPITAL STAFF MAY BE MISLED ABOUT THE PATIENTS CONDITION AND THE CARE HE RECEIVED.
What should be documented in a patient refusal report?
- PATEIENT IS LEGALLY ABLE TO CONSENT. 2. PATIENT IS COMPETENT AND ORIENTED. 3. PATIENT IS FULLY INFORMED OF THE RISKS AND BENEFITS OF BOTH TREATMENT AND REFUSAL OF TREATMENT. 4. ALTERNATIVES SHOULD BE DOCUMENTED–INSTRUCTIONS FOR THE PATIENT TO CALL HIS DOCTOR OR 911 IF SYMPTOMS WORSEN. 5. ANY RESOURCES SUCH AS MEDICAL CONTROL OR FAMILY MEMBERS THAT WERE CONTACTED SHOULD BE DOCUMENTED. 6. WITNESS SIGNATURES SHOULD BE INCLUDED.
What is an open-ended question?
AN OPEN ENDED QUESTION CAN NOT BE ANSWERED WITH A YES OR NO. IT REQUIRES SOME TIME OF THOUGHT WITH THE RESPONSE.
What is a closed-ended question?
A CLOSED ENDED QUESTION CAN BE ANSWERED WITH A SIMPLE YES OR NO ANSWER.
What is Subjective information in an EMS report?
PERSONAL OPINIONS, BELIEFS OR ASSUMPTONS EXAMPLE: MY STOMACH HURTS.
What is Objective Information in an EMS report?
Objective is quantifiable or something that can be measured such as the patients vital signs and temperature.
What is pertinent information in a run report?
PATIENTS AGE & SEX, CHIEF COMPLAINT, PATIENTS HISTORY OF PRESENT ILLNESS, PATIENTS PAST MEDICAL HISTORY, PHYSICAL EXAM FINDINGS &; VITAL SIGNS, CARE GIVEN AND RESPONSE TO SAID CARE.
What information is documented in a formal EMS run report?
CHIEF COMPLAINT, MENTAL STATUS, VITAL SIGNS, SKIN PERFUSION, SKIN COLOR, PULSE RATE, RESPIRATORY RATE, TIME OF INCIDENT REPORT, TIME UNIT NOTIFIED, TIME OF ARRIVAL OF PATIENT, TIME UNIT LEFT SCENE, TIME OF ARRIVAL AT DESTINATION, TIME OF TRANSFER OF CARE.
What information Is NOT documented?
AVOID SUBJECTIVE STATEMENTS AND OPINIONS CONCERNING DIAGNOSIS.
WHAT IS THE BEST WAY TO COMMUNICATE WITH PATIENTS THAT ARE DEAF?
IN WRITING
WHAT IS THE BEST WAY TO COMMUNICATE WITH PATIENTS THAT SPEAK ANOTHER LANGUAGE?
USE AN INTERPRETER
WHAT IS IMPLIED CONSENT?
ASSUMES THAT AN UNCONSCIOUS PATIENT WOULD CONSENT TO TREATMENT IF THEY WERE CONSCIOUS.
WHAT IS EXPRESSED CONSENT?
CONSENT GIVEN BY A PERSON IS OF LEGAL AGE AND SOUND MIND.
WHAT IS INFORMED CONSENT?
THE PERSON UNDERSTANDS THE RISKS AND BENEFITS OF TREATMENT AND REFUSAL OF TREATMTMENT.
WHAT IS PATIENT ABANDONMENT?
LEAVING A PATIENT WITHOUT INSURING PATIENT CARE HAS BEEN TURNED OVER TO A PERSON WITH EQUAL OR GREATER TRAINING.
WHERE DOES PATIENT ABANDONMENT MOST FREQUENTLY OCCUR?
AT THE HOSPITAL OR TRANSFER OF CARE FACILITY.
WHEN SHOULD EMS CREWS UTILIZE DEBRIEFING SESSIONS?
FOLLOWING MASS CASUALTY ACCIDENTS OR EVENTS
WHAT IS AN EMS SYSTEM AND WHAT DOES IT DO?
THE PUBLIC ACTIVATES THE EMS SYSTEM THROUGH THE 911 SYSTEM WHICH ACTIVATES AND DISPATCHES MEDICAL ASSISTANCE, POLICE AND FIRE.
WHAT IS A VALID DNR?
A LEGAL DOCUMENT SIGNED BY THE PATIENT AND HIS OR HER DESIGNEE AND THE PATIENTS PHYSICIAN THAT STATES THE PATIENT DOES NOT DESIRE RESUSCITATION EFFORTS.
What do you do if a patient does not have a valid DNR during cardiac arrest?
BEGIN AND CONTINUE FULL RESUSCITATION EFFORTS.
Why do we have written protocols?
PROTOCOLS ARE A LIST OF STEPS AND INTERVENTIONS DEVELOPED BY THE MEDICAL DIRECTOR TO BE TAKEN IN DIFFERENT SITUATIONS.
DESCRIBE SCOPE OF PRACTICE
A SET OF REGULATIONS AND ETHICAL CONSIDERATIONS THAT DEFINE THE SCOPE OR EXTENT AND LIMITS OF THE EMT’S JOB .
Drastically deviating from a protocol requires permission from who before proceeding?
MEDICAL DIRECTOR
Who approves and overseas an agency’s protocols?
THE MEDICAL DIRECTOR
Who issues the privilege or permission to operate all EMS equipment?
THE MEDICAL DIRECTOR
Why do we do research in the field?
IT MAY BE ABLE TO IMPROVE PATIENT OUTCOMES THROUGH EVIDENCE BASED TECHNIQUES
Why do we do Quality Improvement Reviews and what are the benefits to the public?
THIS ALLOWS US TO IDENTIFY AND CORRECT ASPECTS OF THE SYSTM THAT REQUIRE IMPROVEMENT. THIS ALLOWS THE PUBIC TO RECEIVE THE HIGHEST QUALITY PREHOSPITAL CARE POSSIBLE.
Review radio communication. How, when and in what format?
RADIO COMMUNICATION SHOULD INCLUDE UNIT ID AND LEVEL OF PROVIDER. ETA, PATIENTS AGE AND SEX. CHIEF COMPLAINT, BRIEF PERSONAL HISTORY AND PRESENT ILLNESS. MAJOR PAST ILLNESSES. MENTAL STATUS. VITAL SIGNS. PERTINENT FINDINGS DURING PHYSICAL EXAM. EMERGENCY MEDICAL CARE GIVEN. PATIENTS RESPONSE TO EMERGENCY MEDICAL CARE. CONTACT MEDICAL DIRECTION IF REQUIRED OR IF YOU HAVE QUESTIONS.
What types of radios are used in EMS?
BASE STATION RADIO. TWO WAY HANDHELD RADIO. MOBILE RADIO ATTACHED TO AMBULANCE. CELL PHONE.
What is prohibited by the FCC when using radio communication?
PROFANITIES AND OFFENSIVE LANGUATE
What can an EMD (emergency medical dispatcher) do?
THEY OBTAIN APPROPRIATE INFORMATION FROM CALLERS AND MEDICAL INSTRUCTIONS FOR EMERGENCY MEDICAL CARE.
What is Enhanced 911?
HAS THE CAPABILITY OF IDENTIFYING THE CALLERS PHONE NUMBER AND LOCATION.
What is Online Medical Control?
STANDING ORDERS FOR CERTAIN MEDICATIONS OR PROCEDURES.
When and why would we call Online Medical Control?
ORDERS GIVEN DIRECTLY TO THE EMT CARING FOR THE PATIENT FROM THE PHYSICIANS RADIO OR TELEPHONE.
What is the Suffix of a word?
THE END OF OF A WORD
What is the recovery position?
LYING ON YOUR SIDE
Signs and symptoms of Delayed Stress Reaction.
THIS CAN BE TRIGGERED BY A SPECIFIC INCIDENT BUT THE SIGNS AND SYMPTOMS MAY NOT BECOME EVIDENT FOR DAYS, MONTHS OR YEARS LATER.
Signs and symptoms of Cumulative Stress Reaction.
BETTER KNOW AS BURNOUT. THIS IS NOT TRIGGERED BY A SPECIFIC INCIDENT RATHER FROM SUSTAINED LOW LEVEL STRESSORS AND CAN DEVELOP OVER A PERIOD OF TIME OR YEAR.
What is the best way to reduce or alleviate stress?
THROUGH MORE HEALTHFUL AND POSITIVE DIETARY HABITS, EXERCISE AND DEVOTING MORE TIME TO RELAXING.
When do we call for police? What situations would we not call police?
WHEN A CRIME HAS BEEN COMMITTED. IF YOU OBSERVE OR SUSPECT DANGER. WE WOULD NOT CALL FOR POLICE DURING A ROUTINE EMERGENCY MEDICAL CALL.
Why do we give Verbal Report at the hospital?
AS YOU TRANSFER PATIENT CARE.
What should and shouldn’t be included in the Verbal Report at the hospital?
PATIENTS CHIEF COMPLAINT. ANY HISTORY THAT WAS NOT GIVEN PREVIOUSLY. ANY ADDITIONAL TREATMENT GIVEN ENROUTE. ADDITIONAL VITAL SIGNS GIVEN ENROUTE.
Review Organ Donation.
CONTACT MEDICAL DIRECTION. MEDICAL DIRECTION MIGHT ORDER CPR WHEN YOU YOU MIGHT NORMALLY NOT RESUSCITATE DUE TO FATAL INJURIES. HOWEVER, OXYGEN DELIVERED TO BODY CELLS BY CPR WILL HELP PRESERVE THE ORGANS UNTIL THEY CAN BE HARVESTED FOR IMPLANTATION IN ANOTHER PERSON.
