EMT Chapter 4

What may interfere with an​ EMT's ability to care for a patient at a crime​ scene?

The police want to interview the patient.

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

The position in which the patient is found

Which of the following is MOST clearly a HIPAA violation?

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

Good Samaritan laws are based on:

providing care in good faith

Ethical considerations:

relate primarily to making patient care and well-being a priority

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

the patient's driver's license

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

Even if the Good Samaritan laws in a particular state cover the actions of EMTs as​ rescuers, they can still be held liable and are NOT protected by these laws​ if:

their actions demonstrate gross negligence

If emergency care providers discover that a seriously injured patient is an organ donor, they should:

treat the patient the same as a non-donor

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

Allergies

What is the term for placing a person in fear of bodily harm?

Assault

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

Blood splatter

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

Fingerprints

Laws that have been developed by states to minimize the risk of individuals being held liable for providing emergency care to victims of illness or injury are​ called:

Good Samaritan laws

In a​ kindergarten, the teachers can give consent for EMT care of their students. Which form of consent applies​ here?

In loco parentis

What is an EMT's primary ethical consideration?

Making patient care and the patient's well-being a priority

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 is a set of regulations and ethical considerations that define the extent and limits of the EMT's job?

Scope of practice

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

a health care proxy

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.

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

abandoned the patient

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

Wheeling a non-emergency patient into the hospital emergency​ department, placing him in a​ bed, and leaving without transferring care directly to ED staff​ constitutes:

abandonment

Documents signed by a patient that communicate his or her wishes regarding medical care are​ called:

advance directives

The Health Insurance Portability and Accountability Act (HIPAA):

allows you to discuss patient-specific information only with individuals with whom it is medically necessary to do so

A legal document allowing the health care provider to withhold resuscitation from a chronically or terminally ill patient is the known as:

an advance directive

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.

A 13-year-old patient involved in a collision who appears to be under the influence of drugs refuses care. Regarding the issue of providing care to this patient, you must consider that this patient:

can't legally refuse care

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

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

explain that a risky procedure is not guaranteed

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 and your partner have arrived on the scene of a person injured as a result of a gunshot wound during a burglary. When police later arrive and secure the scene, one of the police tells you to file a complete report describing what you saw when you arrived on scene, as required by law in your area. You should:

file the report and leave out no details

You are on the scene of a cardiac arrest. You have begun resuscitation as 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 concept of res ipsa loquitur would be MOST relevant to a situation​ involving:

harm to patient in the care of EMTs

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 on the scene of a motor vehicle collision where a​ patient's car struck a utility pole. Witnesses reported to you that the patient was unconscious after the impact.​ However, the patient is now​ conscious, alert and​ oriented, and refusing care and transport. You​ should:

inform the patient of your concern and try to persuade her to go to the ED and receive treatment.

You proceed to treat a patient who has consented to​ care, but you have NOT explained the risks and benefits of what you are going to do. This is MOST likely a violation​ of:

informed 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

A patient is injured but refuses to be transported by ambulance. He is competent to make decisions, and you have exhausted all avenues to convince him to be transported, so you the him sign a refusal of treatment form. This form is intended to release you from:

liability for not providing care

If an EMT were to release information about how intoxicated a patient was onto a social networking​ site, this could be​ considered:

libel

You document on your run sheet that your patient with altered mental status is​ "just another​ drunk." This would likely be​ considered:

libel

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 observe what appears to be elder abuse in a call to a nursing home. You have a​ clear:

moral obligation to report the abuse

An EMT fails to properly care for a patient despite having a duty to act. The EMT is most likely guilty​ of:

negligence

While providing patient care at a secured crime scene, you should:

not cut through holes in clothing that might have been caused by bullets or stabbing

You have just arrived at the station to start your​ shift, and you notice that your partner is asleep in a chair. You proceed to check out your ambulance. Your partner comes in drinking a cup of​ coffee, and you notice that she has a strong alcohol smell on her breath. Your duty as an EMT is​ to:

notify dispatch that you are out of service and have your supervisor come to meet you.

You are transporting a victim from a motor vehicle collision, and the patient's condition is deteriorating rapidly. From your experience, you do not think this patient will survive transport. You noticed on the patient's driver's license that the patient is an organ donor. You can help to facilitate the patient's wishes by:

notifying medical direction of the patient's organ donor status

Good Samaritan laws were enacted to:

protect individuals who try to help people in emergencies

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 the care she needs

A 42-year-wold patient who is mentally competent has refused care but appears to be experiencing respiratory difficulty. He demands you get into your ambulance and go. You should:

remain on the scene and try to persuade the patient to consent to care

The actions and care that are legally allowed for the EMT are called the:

scope of practice

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

Quality improvement related primarily to:

standard of care

The care that would be expected to be provided to the same patient under the same circumstances by another EMT who had received the same training is called​ the:

standard of care

You have been under a lot of family stress​ lately, and you have not been sleeping well. When you got to work this​ morning, you realized that you had forgotten to place your badge on your uniform shirt. You tell your partner that you cannot seem to think clearly. Your partner tells you that he is concerned about your​ well-being. After hearing​ this, you know that your duty as an EMT is​ to:

take off work until you can straighten out your family problem and make sure that you are mentally prepared to work.

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 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.

You have not breached a​ patient's confidentiality​ if:

you only share information specific to that patient when medically necessary