EMR Chapter 1

True or false? In order to ensure that optimal care is rendered, EMRs should discuss the patient's medical information with their family

False

True or false? This textbook may be used in isolation to provide EMT training

False

professional behaviors of the EMR include all of the following except: • A courteous and caring tone of voice • Respect for patient privacy • A neat and clean appearance • A focus on what you need to do and explain to the patient later

A focus on what you need to do and explain to the patient later

Problems that occur in the prehospital phase of the EMS operation are most often related to:

A lack of control and coordination of resources and personnel

A basic life support (BLS) ambulance is most accurately defined as:

A properly equipped vehicle that is staffed by EMT personnel

When documenting the events of an emergency call, the EMR should include the:

Treatment provided before EMS arrival

Skills commonly performed by the EMR include all of the following, except: • Treating shock • Splinting fractures • Controlling hemorrhage • Administering intravenous therapy

Administering intravenous therapy

EMR training may include all of the following except: • Advance airway management • How to adapt to regional variations in climate • Additional skills and equipment required to meet local needs • Knowledge and skills required to address problems in both urban and rural settings

Advance airway management

Which of the following would be the EMR's most important initial responsibility when arriving at the scene of a multiple-patient incident? • Advising the dispatcher that additional resources will be needed • Protecting bystanders from any hazards that may exist at the scene • Quickly gaining access to all patients and begin immediate treatment • Assessing the environment to detect possible threats to his or her safety

Assessing the environment to detect possible threats to his or her safety

Which of the following interventions would the EMR most likely perform at the scene of a cardiac arrest? • CPR and defibrillation • Insertion of an endotracheal tube • Administration of certain medications • Initiation of an intravenous line

CPR and defibrillation

True or false? The emergency medical responder (EMR) is the first trained or untrained person to arrive on the scene of an emergency.

False

The US Department of Transportation's responsibility is to:

Develop the national education standards for the EMR

A patient requires rapid transport to the hospital when:

EMS personnel are unable to give the patient adequate life-saving care in the field

Quality improvement is a process used by medical care systems to:

Evaluate the effectiveness and safety of current treatments and procedures

All of the following are terms applied to transportation to an appropriate medical facility except: • Rapid transport • Prompt transport • Expedited transport • Transport

Expedited transport

True of false? EMS personnel should work independently to establish transportation protocols that ensure that patients are transported to the closest medical facility capable of providing adequate care.

False

True of false? The emergency medical responder must at least have equivalent training to that of an emergency medical technician (EMT).

False

True or False? EMR training relies on the use of specialized equipment and techniques

False

True or false? As an EMR, you will be judged only on the medical care that you administer.

False

True or false? EMRs operate in a very narrow and specific circumstance

False

True or false? Patient positioning is a key factor in their comfort and patients should always be repositioned appropriately.

False

True or false? Problems found in urban settings do not tend to vary from those found in rural settings.

False

You are at the scene of a shooting. The patient, who is being cared for by paramedics, is unresponsive and has severe bleeding from his injury. In this case, the EMR's most important function is to:

Help the paramedics prepare for rapid transport

The goals of EMR training include all of the following except: • How to improvise • What the EMR should not do • How to use the EMR Life Support Kit • How to work as an individual

How to work as an individual

All of the following are true of EMR training except: • It will teach you to examine patients and use basic emergency medical skills • It will teach knowledge and skills that could prevent minor situations from becoming serious • it will provide the foundation for the entire EMS system • It will provide instruction in a variety of basic and advanced kills and procedures

It will provide instruction in a variety of basic and advanced skills and procedures

Which of the following pieces of equipment should be included in the EMR's life support kit? • Manual defibrillator • Endotracheal tubes • Mechanical suction device • Mouth-to-mask ventilation device

Mouth-to-mask ventilation device

Once certified, the EMR must do all of the following except: • Nothing, no further actions are required as certification is open-ended • Follow national and state standards for the EMR level of practice • Comply with additional requirements set by the employer for conduct and practice • meet continuing education requirements and keep skills up

Nothing, no further actions are required as certification is open-ended

Firefighters or law enforcement personnel are likely to be the first EMRs to arrive at a scene because:

Of their location or speed in responding to the call

In an EMS system, the medical director is responsible for all of the following except: • Quality management • Help set medical policies and procedures • Patient care record and chart audits • Direct training courses

Patient care record and chart audits

Fire units are often a crucial part of the EMS system because they:

Provide specialized rescue such as patient extrication

Which of the following functions would the EMS medical director be the least likely to perform? • Responding to the scene of an emergency • Providing medical direction via two-way radio • Establishing medical policies and procedures • Providing direction during an EMR's initial training

Responding to the scene of an emergency

Components of the quality improvement process, as identified by the Institute of Medicine, include all of the following, except: • Safety • Timeliness • Teamwork • Efficiency

Teamwork

The EMS system can be considered a component of public health because:

The services it provides are available to all people in a community

The key survival factor for people in cardiac arrest is:

The time to when manual cardiopulmonary resuscitation (CPR) starts

All of the following are true of the emergency medical responder (EMR) except: • they are often the first to arrive on the scene of an emergency • They require no specific training • The care that they provide could mean the difference between life and death • Their care is usually followed up by EMTs, paramedics, nurses, and physicians

They require no specific training

True or false? Direct or on-line medical control involves direct contact via two-way radio to providers on scene

True

True or false? EMS research is an important part of the quality improvement process

True

True or false? Many advances in civilian EMS follow progress initially established in the military medical system.

True

True or false? The lead agency for the state may invoke penalties if the EMR does not keep their certification current

True

True or false? law enforcement officers often act as EMRs

True