Chapter 1-6 HW Questions

The comprehensive term for the responsibilities of the EMS system's medical director is

medical oversight.

Of the four nationally recognized levels of EMS training, which one has the least number of skills taught?

Emergency Medical Responder

A patient suffering from a behavioral health emergency should be transported to which one of the following facilities?

Psychiatric center

The FIRST priority regarding scene safety is to ensure the safety of which individual(s)?

Yourself

During his EMS shifts, between calls, Tom has been reading over the state's local traffic laws and ordinances as they pertain to EMS vehicle rules. Doing this on his own demonstrates what expectation?

Professional development

Offline medical direction may be provided through:

standing orders.

Which of these cleaning methods kills all microorganisms on the surface of an object?

Sterilization

You are transporting a patient who has just been diagnosed with a terminal condition. The patient appears distant and sad. Which stage of grief is this patient most likely experiencing?

Depression

"Okay, I am not afraid." This statement reflects which stage of grief?

Acceptance

You are on the scene of a patient who is near death from liver cancer. The impending death is known by the patient and family. They summoned EMS only out of fear that it was about to happen. While you are on scene caring for this dying patient, it is important to:

be honest about the situation and allow the family access to the patient.

You and your partner are resuscitating an elderly male patient in cardiac arrest. The family who is waiting in the next room keeps walking in, asking if they can be close "should he die." What would be an appropriate response of the EMS crew?

Allow them to stay so long as they do not interfere with the resuscitation.

What is a very real fear your family members might have about you when you enter the field of emergency medical services?

You are always in danger and may be harmed.

If a fellow coworker is starting to experience more stress, what should you suggest to him to help him manage this stress?

Try to exercise more at home and between calls at work.

How long after a critical incident should defusing take place?

1 to 4 hours

Which one of these situations requires the emergency medical technician (EMT) to use a gown?

Childbirth

In which one of the following situations is it MOST important for the emergency medical technician (EMT) to call for law enforcement assistance?

A patient is involved in a domestic dispute.

What is the legal term that is used to describe the obligation the EMT has to provide emergency care to a patient?

Duty to act

Transporting a patient against her will, who has the capacity to make rational decisions, can result in the charges of:

false imprisonment.

An emergency medical technician (EMT) initiated intravenous access in a patient. This skill is not authorized for the EMT's level of licensure. This EMT has exceeded the:

scope of practice.

The actions that an EMT are legally allowed to perform while caring for an injured or ill patient are known as:

scope of practice.

An emergency medical technician (EMT) is off duty and comes upon a motor vehicle collision. In which of these situations does the EMT create a duty to act?

Stops and provides help to the injured

You arrive at the scene of a cardiac arrest and find that the battery on your automated external defibrillator (AED) is not charged, rendering the AED useless. As an EMT, you can be charged with:

negligence.

Which of these situations generally apply to Good Samaritan laws?

Personnel responding to an emergency while off duty

You are working for a private EMS company and are responding to a call. Your partner is driving extremely fast and NOT operating the ambulance in a safe manner. During the response, you strike another vehicle that was driving the wrong way down a one-way street. The driver of the vehicle cannot sue the ambulance for striking them because of:

contributory negligence.

The EMT is on the scene treating a patient, and the patient's physician is on scene ordering the EMT to transport the patient to somewhere other than the closest appropriate facility. The BEST person the EMT could contact for clarification would be:

medical direction.

An EMT maintaining skills mastery, reviewing performances critically, and reporting with honesty are considered:

ethical responsibilities.

Which one of these would be a violation of ethical responsibilities?

Lacking skill mastery

At a minimum, if the patient is awake and responsive, what kind of consent is needed before you provide care?

Expressed

Consent for treatment that is assumed from an unconscious patient is called:

implied.

EMS is on the scene of a full cardiac arrest of a terminally ill cancer patient in a home hospital-style bed. The family states that the patient has a valid DNR, but they are unable to locate it right now. The family is upset and very adamant that the patient does NOT want resuscitation. The EMS crew should:

begin resuscitation.

Which of these is 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 resuscitative efforts such as cardiac compressions and artificial airway management?

Do not resuscitate order

You have responded to a 45-year-old male complaining of chest pain. He claims that he is fine and refuses care. Of the options listed, the EMT should

encourage the patient to seek care if the pain returns.

If one individual is being put on trial for a crime against society, that individual may be tried in what type of lawsuit?

Criminal

What type of lawsuit will begin if an individual has been wronged by another individual?

Civil

You have been sued for negligence. What happens if the plaintiff is only able to prove three of the four elements of negligence?

No damages will be awarded.

Releasing information to the public in either a written or spoken format that is construed to be damaging to a person's character or reputation or standing within the community is called:

defamation.

If you stop providing care to a patient without ensuring that equivalent or better care would be provided, you could be legally liable for:

abandonment.

Your EMT squad was called to a small community hospital to pick up a burn patient and transport her 2 hours to the regional burn center. When you arrive, you find that the patient is intubated and on a ventilator. What should you do before transporting the patient?

Have the supervisor find an ALS provider to be on the transport team.

Administrative information in the U.S. Department of Transportation's (USDOT's) minimum data set includes the time the:

incident was reported.

You are interviewing a patient about his car crash. You ask him if he passed out after striking the windshield and he says no. You are careful to document this conversation on your PCR. What is this referred to as?

A pertinent negative

Which one of the following situations would MOST likely require a special report?

Gunshot wounds

When utilizing the CHART mnemonic for documentation, where is the treatment provided to the patient documented?

R

What does CHART stand for

C- Chief complain

H- History

A-Assessment

R-Rx (Treatment)

T- Transport

Which of these is an example of a closed-ended question?

"Are you having chest pain?"

While en route to a scene, you would likely advise dispatch of which one of the following?

Estimated time of arrival

The recommended method by which you can organize the information that you are providing the receiving EMS system or ED is called:

SBAR.

What does SBAR stand for

S- Situation

B- Background

A- Assessment

R- Recommendation

When receiving directions from the dispatcher or orders from the physician, you should:

immediately repeat each statement to confirm accurate reception and understanding.

What should your first step be when transferring the care of a patient to another EMS provider in the field?

Identify yourself.

For radio communications, many emergency medical service (EMS) systems prefer the use of

plain English.

What is the greatest disadvantage of relying too heavily on closed-ended questions?

If you do not ask the right question, you may not get the answer you need.

Patients who are capable of providing their own informed consent:

are entitled to make their own decisions.

While you work in an EMS system as an EMT, at what point during your daily tasks would you find it necessary to contact medical direction?

When you find the need to deviate from written protocol