Ch 1 - EMS Systems

Which organization developed and published the first curriculum that served as the guideline for EMT training? A. Department of Transportation (DOT) B. Department of Health and Human Services (DHHS) C. National Academy of Sciences D. Occupational Safety and Health Administration (OSHA)

A. Department of Transportation (DOT)

Public health examines the health needs of entire populations. In the United States, public health focuses on education and what else? A. Prevention B. Treatment C. Surveillance D. Evaluation

A. Prevention

Which of the following is an example of secondary prevention? A. Providing cervical spine immobilization B. Administering vaccines C. Legislating the use of seatbelts D. Teaching safety in schools

A. Providing cervical spine immobilization

The length of the _________ course ranges from 200 to 400 hours; this training teaches skills such as IV therapy, the use of advanced airway adjuncts, and the knowledge and skills necessary to administer a limited number of medications.

AEMT

EMS as we know it today had its origins in 1966 with the publication of: A. the Department of Transportation's White Paper: Death and Dying B. Accidental Death and Disability: the Neglected Disease of Modern Society C. the Emergency Medical Services Act D. Emergency Care and Transportation of the Sick and Injured

B. Accidental Death and Disability: the Neglected Disease of Modern Society

At what EMS provider level is an individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications? A. EMR B. EMT C. AEMT D. Paramedic

B. EMT

Which of the following errors is an example of a knowledge-based failure? A. an EMT administers the wrong drug to a pt bc she did not know the pertinent info about the drug B. due to an improperly applied cervical collar, a pt's spinal injury is aggravated and he is permanently disabled C. a pt is given nitroglycerin by an EMT who did not obtain proper authorization from medical control first D. an EMT gives the correct drug to a pt, although his protocols clearly state that he is not authorized to do so

A. an EMT administers the wrong drug to a pt bc she did not know the pertinent info about the drug

The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma pt is based mostly on: A. regional trauma guidelines B. EMS research C. the lead EMT's decision D. local protocols

B. EMS research

Which of the following entities controls licensure of EMTs? A. Community health organizations B. The state in which the EMT practices C. The federal government D. The medical director

B. The state in which the EMT practices

Which of the following descriptions most accurately portrays emergency medical services (EMS)? A. a system composed exclusively of EMRs and EMTs who are responsible for providing care to sick and injured pt B. a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured C. a team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured pts D. a vast network of ALS providers who provide definitive emergency care in the prehospital setting

B. a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

According to the National EMS Scope of Practice Model, and EMT should be able to: A. administer epinephrine via the subcutaneous route B. assist a pt with certain prescribed medications C. insert a peripheral IV line and infuse fluids D. interpret a basic (ECG) rhythm and treat accordingly

B. assist a pt with certain prescribed medications

Which of the following skills or interventions is included at every level of prehospital emergency training? A. oral glucose for hypoglycemia B. automated external defibrillation C. intranasal medication administration D. use of a manually triggered ventilator

B. automated external defibrillation

Which type of medical direction do standing orders and protocols describe? A. direct B. off-line C. online D. radio

B. off-line

The responsibility of the medical director to ensure that the appropriate medical care standards are met by EMTs on each call is called: A. medical control. B. quality control. C. continuous quality improvement. D. primary prevention.

B. quality control.

If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should: A. purchase the device based solely on the manufacturer's claim B. recognize that this does not mean the device will save more lives C. avoid purchasing the device because this claim is unrealistic D. determine which device the AHA recommends

B. recognize that this does not mean the device will save more lives

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the : A. regional trauma center B. state office of EMS C. National Registry of EMTs D. AHA

B. state office of EMS

Which of the following statements about health care in the United States is true? A. The United States spends more money per capita on health care than most other countries, but the level of care is superior. B. The average life expectancy in the United States is the highest in the world due to advances in health technologies. C. Health care in the United States is expensive but does not necessarily provide better health outcomes. D. The United States has low health care costs as compared to other wealthy nations.

C. Health care in the United States is expensive but does not necessarily provide better health outcomes.

Which of the following is an example of a primary prevention strategy? A. protecting a pt's spine from further injury after a fall from a significant height B. the construction of a guardrail on a dangerous curve following a fatal motor vehicle crash C. community awareness programs that emphasize the dangers of drinking and driving D. teaching a group of new parents how to perform one- and two-rescuer infant CPR

C. community awareness programs that emphasize the dangers of drinking and driving

Obtaining continuing medical education is the responsibility of the: A. State Bureau of EMS B. EMS medical director C. individual EMT D. EMS training officer

C. individual EMT

Which of the following statements regarding the NREMT is correct? A. the NREMT regulates EMS training standards B. the NREMT is the exclusive certifying body for EMTs C. the NREMT provides a national standard for EMS testing D. the NREMT is a governmental agency that certifies EMTs

C. the NREMT provides a national standard for EMS testing

Which of the following is the process in which a person, institution, or program is evaluated and recognized as meeting predetermined standards to provide safe and ethical care? A. Continuous quality improvement B. Medical control C. Licensure D. Certification

D. Certification

What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? A. It enables patients to travel without losing health insurance. B. It requires insurance companies to justify denying health care. C. It prevents an emergency department from refusing to care for a critically ill patient. D. It limits the availability of a patient's health care information.

D. It limits the availability of a patient's health care information.

An appropriate demonstration of professionalism when your pt is frightened, demanding, or unpleasant is to: A. reassure the pt that everything will be all right, even if it will not be B. ignore the pt's feelings and focus on his or her medical complaint C. demand that the pt remain quiet and cooperative during transport D. continue to be nonjudgemental, compassionate, and respectful

D. continue to be nonjudgemental, compassionate, and respectful

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the : A. EMT B. AEMT C. EMR D. paramedic

D. paramedic

_________ training provides skills necessary to initiate immediate care and focuses on providing immediate BLS and urgent care with limited equipment.

EMR

The _________ course requires approximately 150 hours (more in some states) and provides the essential knowledge and skills required to provide basic emergency care in the field.

EMT

In ________ ________ ________ ___, an integrated team of health care professionals delivers health care services and connects patients with other resources.

Mobile Integrated Healthcare (MIH)

In ________ ________, providers receive advanced training in areas including performing health evaluations and administering immunizations.

community paramedicine

T/F The development of airbags in vehicles is an example of primary prevention.

false

T/F The focus of the public health arm of health care is education.

false

A ________ ________ determines appropriate care by establishing a set of written standing orders and protocols.

medical director

The _________ completes an extensive course of training that lasts from 1,000 to more than 1,300 hours, which significantly increases knowledge and mastery of basic skills and covers a wide range of ALS skills.

paramedic

________ ________ ________ ________ can be reached by dialing 9-1-1.

public safety access points

T/F ALS-level instructors and directors must hold a four-year degree.

true

T/F Evidence-based research is the primary means to determine if changes need to be made in patient care.

true