Chapter 1 Emergency care 14th edition work book

A system for telephone access to report emergencies

911 system

A process of continuous self review of all aspects of an EMS system for the purpose of identifying and correcting aspects of the system that require improvement

Quality improvement

Oversight of the patient-care aspects of an EMS system by the Medical Director

Medical Directions

A physician who assumes ultimate responsibility for the patient-care aspects of the EMS system

Medical Director

Standing orders issued by the Medical Director that allow EMTs to give certain medications or preform certain procedures without speaking to the Medical Director or another physician at that moment

Off-Line medical direction

Lists of steps, such as assessments and interventions, to be taken in different situtations

Protocols

Policies or protocols issued by a medical director that authorize EMTS and others to perform particular skills in certain situations

Standing orders

Orders from the on-duty physician given directly to an EMT in the field by radio or telephone

On-line medical directions

Submitted to a professional journal and reviewed by several of the researcher's peers

Peer reviewed

The long-term survival of pateints

Patient outcomes

Techniques or practices that are supported by scientific evidence of their safety and efficacy, rather than merely supposition and tradition

Evidence-based techniques

The earliest documented Emergency Medical Service was in:

A. England in the 1890s

B. France in the 1790s

C. Seattle in the 1970s

D. Miami in the 1960s

B. France in the 1790s

In 1996 ____________________ charged the United States ____________ with developing EMS standards and helping the states to upgrade the quality of their prehospital emergency care.

A. Uniform Traffic Act; Department of Transportation

B. President; Fire Academy

C. National Highway Safety Act; Department of Transportation

D. American Medical Association; Department of Health and Human Services

C. National Highway Safety Act; Department of Transportation

Which of the following is NOT a major component of the National Highway Traffic Safety Administration's EMS system assessment standards?

A. Transportation

B. Computerization

C. Communications

D. Evaluation

B. Computerization

An example of a specialty hospital in the EMS system is a(n):

A. emergency department

B. correctional facility

C. trauma center

D. primary care center

C. trauma center

The national Registry of Emergency Medical Technicians (NREMT) provides certification based on successful completion of examination of EMS training in all the following except

A. advanced first aid

B. emergency medical responder

C. advanced EMT

D. paramedic

A. advanced first aid

The major emphasis of EMT education deals with ___________ of the ill or injured patient in he prehospital setting

A. treatment but not transport

B. interpretation of electrocardiograms

C. Basic-level assessment and care

D. techniques of advanced airway care

C. Basic-level assessment and care

Patient care provided by the EMT should be:

A. delayed until transportation

B. based on assessment findings

C. guided by the service's attorney

D. based on the patient's diagnosis

B. based on assessment findings

An example of ensuring continuity during the transfer of care of the patient would be:

A. providing pertinent patient information to the hospital staff

B. performing more hospital procedures in the field

C. giving a report only directly to a physician

D. staying to assist the hospital staff in their managment

A. providing pertinent patient information to the hospital staff

Patient advocacy is:

A. assessing your patient

B. abandoning your patient

C. executing your primary responsibilities as an EMT

D. speaking up for your patient

D. speaking up for your patient

Good personality traits are very important to the EMT. You should be:

A. cooperative and resourceful

B. respectful and condescending

C. cunning and inventive

D. emotionally stable and shy

A. cooperative and resourceful

and EMT not in control of personal habits might:

A. be disrespectful and condescending

B. make inappropriate decisions

C. render improper care

D. all of the above

D. all of the above

To prevent violating patient confidentiality, the EMT should:

A. communicate with medical direction

B. perform an accurate interview

C. avoid inappropriate conversation about the patient

D. develop the ability to listen to others

C. avoid inappropriate conversation about the patient

An EMT may maintain up-to-date knowledge and skills through continuing education such as:

A. rereading the EMT textbook

B. repeating the EMT course

C. attending EMT confrences

D. riding many shifts each week

C. attending EMT confrences

A process of continuous self-review of all aspects of an EMS system for the purpose of identifying and correcting aspects of the system that require change is called:

A. off-line medical direction

B. patient advocacy

C. quality improvement

D. continuing education

C. quality improvement

In some states, the role of the EMTs has been expanded to assist local public Health Departments with:

A. cancer screening exams

B. seasonal flu vaccinations

C. water quality testing

D. rodent control

B. seasonal flu vaccinations

Participation in continuing education and keeping carefully written documentation are examples of the EMT's role in:

A. patient advocacy

B. medical direction

C. quality improvement

D. transfer of care

C. quality improvement

Every EMS service or agency will have a:

A. minimum of three EMTs on each vehicle

B. call review on a monthly basis

C. contract with the local hospital

D. Medical Director

D. Medical director

It is important that each EMT knows his or her Medical Director. An EMT is operating as the Medical Director's:

A. employee

B. replacement

C. eyes and ears in the field

D. peer

C. eyes and ears in the feild

The difference between on-line and off-line medical direction is that:

A. off-line medical direction does not need protocols

B. off-line orders are given by the on-duty physician, usually over the radio or phone

C. on-line medical direction uses standing orders

D. on-line orders are given by the on-duty physician, usually over the radio or phone

D. on-line orders are given by the on-duty physician, usually over the radio or phone

An example of a pharmaceutical carried by EMTs that may require a physician consultation to administer is:

A. lidocaine

B. pain relivers

C. oxygen

D. aspirin

D. aspirin

As a new EMT, you will witness many changes in the EMS system and patient care, moving from practices that have been based on _________ to those that are based on _________

A. in-hospital care; prehospital care

B. tradition; research

C. instinct; traditions

D. research; tradition

B. tradition; research

The EMT has many jobs to do. It is the reasonability of the EMT to treat patients:

A. as quickly as possible

B. in their community or district

C. in a nonjudgmental and fair manner

D. if they are insured or injured at work

C. in a nonjudgmental and fair manner

Your medical Director has stated the EMS is moving closer to science-based guidelines. A general procedure involved in making evidence-based patient care decisions is:

A. reviewing the literature

B. evaluation of evidence

C. forming a hypothesis

D. all of these

D. all of these

Your service has been seeing an increase in injuries to the aging population, and your leadership is planning a program to do something about it. Injury prevention for geriatric patients and campaigns are examples of:

A. hospital responsibilities

B. an EMT;s role in public health

C. the nursing domain

D. off-line medical direction

B. EMT's role in public health

Which of the following is Not a challenge when EMT's conduct research in the field?

A. an unstable work environment

B. obtaining consent from patients

C. lengthy patient encounters

D. disjointed data collection

C. lengthy patient encounters

list at least six of the categories and standards of the EMS system established by the National Highway Traffic Administration

- regulation and policy

- resource management

- human resources and training

- transportation

- facilities

- communications

- public education and information

- medical direction

-trauma systems

-evaluation

List five types of specialty hospitals

- trauma centers

- cardiac centers

- burn center

- stroke centers

- pediatric centers

list the four levels of EMS certification

- EMR

- EMT

- AEMT

- Paramedic

list at least six responsibilities of an EMT

- personal safety

- safety of the crew, patient, and bystanders

- working with other public safety professionals

- patient assessment

- patient care

- lifting and moving

- transport

- transfer of care

- patient advocacy