Chapter 4 EHS Post Assessment

For which of the following situations would the EMT NOT be allowed to share protected health information about a​ patient?

A reporter pulls you aside to ask you questions about the people involved in a school bus accident

An EMT who turns the care of a multisystem trauma patient over to a doctor of dermatology has​ likely:

Abandoned the patient

Which of the following would MOST likely be considered evidence at a crime​ scene?

Blood spatter

A patient is suing an EMT for failing to administer oxygen for a heart attack. The patient is alleging that the EMT was negligent. This case would be considered​ a:

Civil case

EMS is called to a cardiac arrest. The family states that the patient does NOT want resuscitative efforts to be made. To withhold​ resuscitation, which of the following valid documents would the EMS crew need to have supplied to​ them?

DNR order

When an EMT takes the time to ask permission from a conscious adult to do an assessment and​ procedures, this is respecting the legal principle​ of:

Expressed consent

You are on the scene of a cardiac arrest. You have already begun resuscitation when family members arrive and present you with a valid DNR order. You​ should:

Follow your local protocols and contact medical direction if unsure how to proceed.

The person who is legally designated to make healthcare decisions for the patient if the patient is unable to do so is​ called:

Healthcare proxy

A patient appears to be in the midst of a psychotic episode and is unable to make a rational decision about consenting to emergency care. The EMT may care for the patient on the basis​ of:

Implied consent

You are at the scene of a patient with obvious signs of traumatic death. You are required by law in your state to report violent deaths. Your duty as an EMT is to​ notify:

Law enforcement

Why does the​ EMT's scope of practice vary from state to​ state?

Local legislation

As you enter a hectic possible crime​ scene, you find that a coffee table is blocking your access to the patient. Which of the following is the BEST way to manage this​ situation?

Move the table as little as​ possible, wearing​ gloves; notify police on the​ scene; and document your actions precisely in your patient care report.

At a crime​ scene, which of the following is the first priority of the​ EMT?

Patient care and transport

Which of the following could be a source of information to let the EMT know that a patient is an organ​ donor?

Patient's driver's license

A suicidal​ 14-year-old who has critically injured herself is trying to get you to withhold care. She is screaming that she wants to die and that you should not touch her or come near her. You​ should:

Provide her the care she needs

Good Samaritan laws are based​ on:

Providing care in good faith

Ethical Considerations

Relate primarily to making patient care and​ well-being a priority.

A photo of a pair of EMTs on a call shows them laughing and looking casual and relaxed a few feet away from a patient in apparent distress. This would most likely be used to​ demonstrate:

Res ipsa loquitur

Which of the following is concerned generally with what you can​ do, as opposed to what you should do and how you should do​ it?

Scope of practice

Quality improvement relates primarily​ to

Standard of care

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

The scope of practice

You explain a risky procedure to a patient. He​ says, "As long as​ it's guaranteed to​ work, you can do​ it." You​ should:

You explain a risky procedure to a patient. He​ says, "As long as​ it's guaranteed to​ work, you can do​ it." You​ should:

A patient appears to be in the midst of a psychotic episode and is unable to make a rational decision about consenting to emergency care. The EMT may care for the patient on the basis​ of:

You provide a personal injury attorney with a copy of a patient care report.

You suspect that a pediatric patient is being abused. You decide not to report this to the appropriate authorities because the parent is very upset and remorseful. This​ is:

a violation of professional ethics and possibly a crime.

Leaving a patient after initiating care and before the patient has been transferred to someone with equal or greater medical training is known​ as:

abandonment

Which of the following is likely to be inscribed on a medical identification device worn as a​ bracelet?

allergies

A patient who called 911 is now refusing transport. You​ should:

assess the​ patient, advise the patient of the risks of​ refusal, and clearly document everything in the patient care report.

EMS is on the scene of the cardiac arrest of a terminally ill cancer patient. The family states that the patient has a valid​ DNR, but they are unable to locate it. The family is upset and adamant that the patient does not want resuscitation. The EMS crew​ should:

begin resuscitation and consider establishing​ on-line medical direction.

You are on the scene with a patient who is complaining of chest​ pain, and you have administered medication. Your partner brings in the​ stretcher, and the patient tells you that she does not want to be transported to the ED. You​ should:

contact medical direction for a consult.

Which of the following would MOST likely be considered evidence at a crime​ scene?

footprints

You are transporting a patient from a​ doctor's office and see that the patient has not been well cared for. On your​ documentation, you write that the doctor seemed to be​ "a quack." This comment could be viewed​ as:

libelous

You respond to the scene of an automobile accident where a patient has an obvious fractured femur. You ask your partner to get the traction splint from the ambulance. Your partner returns and tells you there is no traction splint in the ambulance. You could be guilty​ of:

negligence

Good Samaritan laws were enacted​ to:

protect individuals who try to help people in emergencies

You are at the dinner table with your crew and mention to everyone that a coworker on the opposite shift is moving up the administration chain​ quickly, probably because​ she's sleeping with the company CEO. This comment could be​ considered:

slander

You are off duty and on your way to the grocery store when you witness a car accident in front of the store entrance. You stop to render assistance and identify yourself as an EMT to the occupants of the vehicles. The patient in the first car denies the need for​ assistance, but the second driver is complaining of neck pain. She tells you that she thinks she will be okay but would like to get checked out. You are in a​ hurry, as you have an appointment and want to get your shopping done first. You​ should:

stay with the patient until someone with an equal or higher care level of training or certification assumes care.

You have just returned to the station after completing a call in which you transported an elderly female patient to the hospital for nausea and vomiting. Upon exiting the​ ambulance, you are approached by an adult male who indicates that the patient you just transported was his mother and that he wants to know the details of the run. You​ should:

tell him that you can pass his contact information along to the privacy officer at your department.

You are caring for a patient who was stabbed. During your​ assessment, you find a small knife impaled in one of the stab wounds. You determine that removing the weapon now would be dangerous for the patient. You​ should:

treat the wound as​ usual, but notify police that you must transport the weapon with the patient.