Chapter 4

You are on the scene with a 72-year-old male patient with chest pain. The patient is complaining of shortness of breath but also refuses to go to the hospital, even after multiple attempts urging him to go. Which of the following should you do next?

Fully inform the patient about his situation and the implications of refusing care.

Which of the following has specific requirements for storing, accessing, and sharing patient information?

HIPAA

Which of the following information may be important to law enforcement officers investigating a crime scene?

How you gained access to the scene

Your patient is a 40-year-old known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this patient?

Implied consent

Which of the following statements is true concerning protection by Good Samaritan laws?

The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency

Which of the following situations best illustrates the act of abandonment by the EMT?

An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff.

If the EMT is in doubt as to whether a patient in cardiac arrest should be resuscitated, which of the following is the best decision?

Begin resuscitative measures

Sharing information about a patient's medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following?

Breach of confidentiality

Your patient is a 10-year-old boy who suffered a possible fractured arm while rollerblading at a friend's house. Which of the following is the best way to obtain consent for treatment?

Call the patient's mother at work

You respond to a bus accident with multiple patients. As you arrive at the scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an EMT?

Ethical

You arrive on the scene of a 55-year-old male patient. The patient's wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do?

Provide emergency care under implied consent.

Which of the following is the EMT's primary responsibility at a secured crime scene?

Providing patient care

The administration of oxygen and the application of spinal immobilization are part of which of the following for the EMT?

Scope of Practice

Which of the following refers to the set of regulations that defines the legal actions expected of and limitations placed on the EMT?

Scope of practice

An off-duty EMT is driving down the road when she sees a major vehicle accident. There are no Emergency Medical Responders on the scene yet. There are only Good Samaritans. The EMT is late for a doctor's appointment, so she decides that she will not stop and help. The driver of the vehicle dies before help arrives. One of the Good Samaritans notices her EMT license plates and writes them down as she passes by. The Good Samaritan is angry that the EMT did not stop and help and tries to get the EMT fired for not helping. Which of the following statements is true?

The EMT is not negligent because she did not have a duty to act.

Two EMTs respond to the scene of a syncopal episode. They evaluate a 50-year-old male patient who passed out and cut his upper lip. The EMTs examine the patient and his vital signs are normal. The EMTs talk the patient out of an expensive ambulance ride and suggest he will save money by driving himself to the urgent care clinic for stitches for his lip rather than waiting all night in the emergency department as a nonemergency patient. The patient signs the EMS refusal form. The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest an hour later. Which of the following statements is true?

The EMTs are negligent because there was proximate causation.

Which of the following is not required to prove a claim of negligence against an EMT?

The patient was in fear of bodily harm at the time of the incident.

In which of the following situations should an EMT withhold resuscitative measures from a patient in cardiac arrest?

The patient's caregiver presents a DNR order signed by the patient and his physician.

In which of the following situations is it legal to share information about treatment you provided to a patient?

The triage nurse at the emergency department asks about the care you provided to the patient.

Your patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911 and refuses transport. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the care he needs?

Try to find out why the patient does not want to go to the hospital.

You are treating an elderly male patient in the back of your ambulance. En route, the patient becomes unresponsive. Upon arrival, the ED nurse asks you several questions about his condition. What should you do?

You should answer her questions because you may legally share the patient's medical condition with other pertinent health care providers.

You are providing care to a 54-year-old male patient complaining of chest pain. The patient asks to speak to you privately. He tells you he is taking Cialis for erectile dysfunction and his wife does not know he is taking it. He does not want his wife to find out. As you are putting the EMS bags back in the ambulance, the wife corners you and insists that you tell her what her husband said. What should you do?

You should not tell her. By law, your conversation with your patient is confidential

Which of the following incidents might the EMT be legally required to report to law enforcement?

Your patient has facial and head injuries and states that her husband beat her with a telephone receiver

The EMT's obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following?

duty to act

Which type of consent must be used by the EMT when seeking to treat a mentally competent adult?

expressed consent

You respond to a middle school for a 12-year-old male patient who has been hit by a car. You get consent to treat the patient from the school principal. What concept allows the principal to speak for the parents?

in loco parentis

While documenting a call, you add a false statement that was made about a local doctor. This could constitute which of the following?

libel

You respond to the report of an unconscious female patient. You can acquire important medical information about the patient through which of the following?

medical identification device

Which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation?

standard of care

While treating a patient involved in a shooting at the patient's vacation home, which of the following actions will NOT interfere with the investigation of a crime scene?

wearing gloves at the scene