Chapter 1 -- EMS Systems

The _____________________ course ranges between 200 and 400 hours and 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

According to the National EMS Scope of Practice, which of the following airway adjuncts is the highest level of airway management an AEMT can use?

AEMTs can use supraglottic airways.

At what level is an individual who has training in specific aspects of advanced life support, such as intravenous therapy and the administration of certain emergency medications?

An AEMT has training in specific aspects of advanced life support, such as intravenous therapy and the administration of certain emergency medications.

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?

Certification is the process in which a person, institution, or program is evaluated and recognized as meeting predetermined standards to provide safe and ethical care.

Which organization developed and published the first curriculum that served as the guideline for EMT training?

DOT developed and published the first curriculum that served as the guideline for EMT training in the early 1970s.

Even with an EMS certification, your ability to function as an AEMT is governed locally by the: A. State health department. B. County health department. C. EMS system's medical director. D. EMS system's chief paramedic

EMS system's medical director

Authorization to use an automatic transport ventilator when transporting a patient requires which minimum level of EMS provider? A. EMR B. EMT C. AEMT D. Paramedic

EMT

Which of the following is an example of a secondary prevention strategy? educating the public regarding the use of helmets and seatbelts advocating childhood vaccinations following CDC guidelines constructing a guardrail to prevent an accident from occurring placing childproof locks on cabinets that contain harmful chemicals

Educating the public regarding the use of helmets and seat belts.

True of False? The development of airbags in vehicles is an example of primary prevention.

False

True or False? The focus of the public health arm of health care is education.

False

What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)?

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

Which of the following entities controls licensure of AEMTs? Community health organizations The medical director The federal government The state in which the AEMT practices

Licensure is controlled by the state in which the AEMT practices.

Which of the following has evolved as a result of the Patient Protection and Affordable Care Act? Online medical control Offline medical control Continuous quality improvement Mobile Integrated Healthcare

Mobile Integrated Healthcare

AEMT training follows National EMS Standards, as recommended by the: A. National Association of EMTs B. State EMS office or EMS regulatory agency. C. National Highway Traffic Safety Administration.

National Highway Traffic Safety Administration

The responsibility of the medical director to ensure the appropriate medical care standards are met by EMTs on each call is called what?

The responsibility of the medical director to ensure the appropriate medical care standards are met by EMTs on each call is called quality control.

An AEMT is trained and generally authorized to perform all of the following interventions EXCEPT: A. intravenous therapy. B. insertion of multilumen airways. C. pediatric intraosseous insertion. D. interpretation of cardiac rhythms.

interpretation of cardiac rhythms

An AEMT administers the wrong medication to a patient. This is an example of: A. a rules-based error. B. a skills-based error. C. a knowledge-based error. D. an administrative error.

knowledge-based error

When managing any patient, the AEMT should: A. focus exclusively on the patient's medical needs. B. reassure the patient that everything will be alright. C. maintain a nonjudgmental and compassionate attitude. D. function beyond his or her scope of practice in critical situations.

maintain a nonjudgmental and compassionate attitude.

Functions of the community paramedic would most likely include monitoring of chronic illnesses definitively diagnosing a patient emergent transport to the hospital pronouncement of a patient's death

monitoring of chronic illness

Continuous quality improvement (CQI) involves all of the following components except: negative feedback to those who makes mistakes on a call periodic review of run reports discussion of needs for improvement remedial training as deemed necessary by the medical director

negative feedback to those who make mistakes while on a call

A physician authorizes you, via two-way radio, to help a patient administer prescribed nitroglycerin. What type of medical direction is this? A. Standing order B. Off-line medical control C. Online medical control D. Indirect medical control

online medical control

As an AEMT, you may have to function as an advocate for your patient. This involves:

protecting the best interests of your patient.

All of the following are roles and responsibilities of the AEMT except: performing an accurate patient assessment correcting immediately life-threatening problems forming a clinical impression and initiating care providing definitive care for the patient's condition

providing definitive care for the patient's condition

The recognition by one state of another state's EMS licensure is called

reciprocity

You arrive at the scene of a domestic dispute. You can hear yelling and the sound of breaking glass from inside the residence. You should: retreat to a safe place until the scene has been secured carefully enter the house and call law enforcement tell the patient to come outside so you can provide care immediately gain access to the patient

retreat to a safe place until the scene has been secured

To become a licensed AEMT, a candidate must: A. be capable of lifting and carrying at least 150 pounds. B. successfully complete a healthcare provider CPR course. C. have been a licensed EMT for a period of at least 3 years. D. obtain permission from the state in which he or she will function.

successfully complete a healthcare provider CPR course

In an enhanced 9-1-1 system: A. the dispatcher is able to provide the caller with emergency instructions. B. there is a single person whose sole responsibility is to dispatch EMS. C. a call made from a cellular phone can be tracked within a 10-mile area. D. the phone number from which the call is made is displayed on a screen.

the phone number from which the call is made is displayed on a screen.

Emergency medical responders (EMRs), such as police officers are necessary because:

the presence of person trained and able to provide BLS cannot be ensured

An EMS system's primary service area (PSA) is the area where: A. all initial and continuing EMS education must be offered. B. the system is responsible for the provision of emergency care. C. the medical director allows personnel to exceed their scope of practice. D. communication via two-way radios or cellular phones operate optimally

the system is responsible for the provision of emergency care.

Which of the following conditions or injuries would most likely require transfer to a specialty facility? open fracture severe headache thermal burns abdominal pain

thermal burns

Which of the following is an example of secondary prevention? Providing cervical spine immobilization Teaching safety in schools Administering vaccines Adding iodine to salt

Cervical spine immobilization is an example of secondary prevention because secondary prevention attempts to limit the effects of an injury or illness that cannot be prevented.

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

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

Which of the following interventions should be able to be performed by all EMS providers, regardless of their level of certification? Hemorrhage control Needle chest compression Manual defibrillation Intravenous therapy

Hemorrhage control

Public health examines the health needs of entire populations. In the United States, public health focuses on education and what else?

In the United States, public health focuses on education and prevention.

Who regulates the standards under which AEMTs provide emergency care? US Department of Transportation National Association of EMTs The state EMS office or agency National Registry of EMTs

The state EMS office or agency

True or False? ALS-level instructors and directors must hold a four-year degree.

True

True or False? Evidence-based research is the primary means to determine if changes need to be made in patient care.

True

The function of the National Registry of EMTs is to:

assess competence through a valid testing process

Which of the following is not a standard licensure requirement for AEMTs? proof of immunization against communicable diseases completion of an NREMT-developed AEMT course possession of a valid and current driver's license successful completion of a state-approved AEMT exam

completion of an NREMT-developed AEMT course

An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:

continue to be nonjudgemental, compassionate, and respectful

A circular system of ongoing internal and external reviews is known as:

continuous quality improvement

After successfully completing a state-approved AEMT course, you are:

eligible to take your state's AEMT certification exam.

Being aware and thoughtful about the needs of your patient describes the attribute of: A. empathy. B. integrity. C. sympathy. D. patient advocacy.

empathy

In most states, a person may be denied certification as an AEMT if he or she: is older than 45 years of age. is not a certified firefighter is certified in another state has been convicted of a felony

has been convicted of a felony

Roles and responsibilities of the AEMT include: providing definitive care for the patient's condition diagnosing a patient's condition based on assessment performing rapid assessments on all patients identifying patients who are critically ill or injured

identifying patients who are critically ill or injured

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

integrated mobile healthcare