Exam 1
A distraught husband awoke to find his 26-year-old wife not breathing and cold to the touch. Since your assessment indicates that the woman has been dead for some time, you contact medical direction for authorization to withhold emergency care. The medical director agrees and the coroner is notified. At this time, your immediate responsibility is: a. Establishing the time of death b. Preparing for the next call c. Determining the cause of death d. Providing supportive care to the husband
d.
A homeless patient is sick and is refusing transport. The patient is alert and clearly has the capacity to understand her situation and make a rational decision, but the temperature tonight will be near zero. The EMT picks up the patient and puts her on the cot. The patient continues to refuse to allow treatment and transport, despite the EMT's explanation that it will be warm in the hospital and she will be fed. The patient is transported. What could the EMT be charged with? a. Assault b. Abandonment c. Negligence d. False imprisonment
d.
A patient informs you that he was recently diagnosed with the human immunodeficiency virus (HIV) infection, but has yet to develop AIDS. Given this information, which statement is true? a. Until the patient develops AIDS, he is not infectious b. Family members should not share the patient's hand towels or utensils c. The hepatitis B and C vaccines provide the EMT with limited protection from transmission of HIV d. Gloves and eye protection will be enough protection under most conditions unless body fluids are present
d.
A person whom the signer of a document names to make health care decisions for her in case the signer is unable to make such decisions for herself is called a(n) a. proxy b. designated agent c. assistant d. heir
a.
A policy set by an EMS medical director that allows EMTs to administer glucose to patients in certain circumstances without speaking to the physician is an example of a(n) a. standing order. b. QI order. c. direct order. d. on-line order.
a.
A reference tool that should be placed in every emergency vehicle for use when responding to a possible "hazmat" incident is: a. The Emergency Response Guidebook b. The Physician's Desk Reference c. The Merck Manual d. A list of chemicals processed by local industries
a.
A situation that would usually call for the use of a gown as protection would be one involving a. childbirth. b. a drug-overdose patient. c. a patient with suspected TB. d. a patient with a fractured leg.
a.
All of the following are included in the patient narrative section of a prehospital care report except a. billing information b. pertinent negatives c. chief complaint d. SAMPLE history
a.
All of the following are purposes served by patient care report documentation except a. prevention of lawsuits b. quality assurance c. continuity of care d. reimbursement
a.
An EMT operates as a designated agent of the a. medical director. b. AEMT c. ED nurse. d. shift commander.
a.
An order from an EMS system's on-duty physician given by radio or phone is an example of a. on-line medical direction. b. off-line medical control. c. a protocol. d. standing orders.
a.
Clinical and patient care aspects of an EMS system are the responsibility of the a. medical director. b. Advanced EMT. c. shift commander. d. paramedic.
a.
During a multiple-casualty incident (MCI), patient information is usually passed along by a. triage tags b. electronic clipboards c. face-to-face reports d. cellular phones
a.
EMS personnel can treat unconscious patients because the law holds that rational patients would consent to treatment if they were conscious. This principle is known as which type of consent? a. implied b. expressed c. emergency d. actual
a.
How would the Americans with Disabilities Act (ADA) be satisfied for a pregnant emergency medical dispatcher (EMD) who suffers from paralysis of both legs and requires the use of a wheelchair? a. Wheelchair accessibility to and from dispatch b. Hourly pay rate 10 percent above that of the other EMDs c. Scheduled shifts during daylight hours only d. Transport by your service to and from work
a.
If an individual is bringing a lawsuit against your EMS system for perceived improper care, which type of liability action will it probably be? a. Civil b. State c. Criminal d. Federal
a.
If you suspect the potential for violence at a scene, before entering it, you should a. call law enforcement. b. turn on all lights and sirens. c. put on body armor. d. approach on foot.
a.
In which section of a patient care report would an EMT record the time that the emergency unit left the scene? a. administrative information b. patient data c. CAD d. narrative
a.
Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training is known as a. abandonment b. assault c. false imprisonment d. proximate cause
a.
Legislative measures intended to provide legal protection for citizens and some health care personnel who administer emergency care are known as a. Good Samaritan laws b. First Responder laws c. EMS acts d. Helping Hands legislation
a.
Minors who are married or of a certain age and who are legally able to give consent for medical care are known as? a. emancipated b. released c. practiced d. responsible
a.
Most EMT courses today are based on models developed by the a. National Highway Traffic Safety Administration b. National Registry of EMTs. c. National Academy of Sciences/National Research Council. d. American Heart Association.
a.
The EMT gains the greatest protection from consent-related legal issues by: a. Documenting the patient's consent for treatment on the prehospital care report b. Notifying the emergency physician or medical direction of the patient's consent c. Having his or her partner serve as a witness to the consent d. Asking the patient twice if it is okay to assess and treat him or her
a.
The EMT may provide confidential information to all of the following except a. the patient's family b. the emergency department nurse c. a court under a subpoena d. the police in a criminal investigation
a.
The EMT practice of protecting oneself from disease transmission through exposure to blood and other body fluids is referred to as: a. Standard Precautions b. Exposure control c. Personal protective equipment d. Body Fluid Precautions
a.
The actions and care that an EMT is legally allowed to perform are referred to as a. scope of practice b. duty to act c. limits of liability d. professional practice
a.
The aspect of the EMT's job that involves protecting the patient's rights is a. advocacy. b. assessment. c. diplomacy. d. careful delivery of service.
a.
The first concern of an EMT must always be: a. personal safety. b. stocking the vehicle. c. patient care. d. bystander safety.
a.
The first priority of the EMT at an emergency scene is to a. ensure personal safety. b. manage a hostile crowd. c. secure the patient. d. provide a situation update to dispatch.
a.
The goal of the CISD is to a. assist emergency care workers in dealing with stress. b. analyze the response to the incident. c. assist patients in their recovery. d. establish a pre-incident stress management program.
a.
The level of EMS that involves provision of emergency medical care by those who are usually first on the scene of an emergency is a. Emergency Medical Responder. b. Advanced EMT. c. EMT. d. Paramedic.
a.
The paper or electronic record of an EMT's documentation of a call is known informally as a a. PCR b. QA c. QI d. TQM
a.
The primary personal threat to a person with AIDS is: a. Infection b. Organ damage c. Heart failure d. Weight loss
a.
The principle that information about a patient's history, condition, or treatment must not be shared with unauthorized parties is called a. confidentiality b. duty to withhold c. breach of duty d. disclosure
a.
The stage of grieving in which a patient seeks to postpone death, even for a short time, is a. bargaining. b. anger. c. acceptance. d. denial.
a.
The stage of the dying process that can be characterized by the question "Why me?" is a. anger. b. denial. c. acceptance. d. depression.
a.
The standardized information that should be collected on all PCRs is called the a. minimum data set b. vital signs c. checklist d. narrative
a.
The system of internal and external reviews and audits for all aspects of an emergency medical system is known as a. quality improvement. b. evidence-based medicine. c. public information and education. d. on-line medical direction.
a.
To be a medical director of an ambulance service, which requirement must the interested individual satisfy? a. licensed physician b. emergency physician with surgical experience c. physician who was a paramedic d. physician with a college degree in EMS
a.
Vehicles, structures, and storage containers holding hazardous materials should be identified by a. signs or placards. b. strobe lights. c. reflectors. d. warning flags.
a.
When a patient refuses care, he or she must sign a(n) a. release from liability b. codicil c. DNR order d. insurance rider
a.
Which of the following concepts is used by OSHA, and is based on the assumption that any patient's blood and body fluids can transmit infectious disease? a. Standard Precautions b. Universal Standards c. Preventive Controls d. Risk Management.
a.
Which of the following is least likely to be the fate of a patient care report? a. private property controlled by the patient b. evidence in a legal case c. part of the hospital's permanent records d. data in a research project
a.
Which of the following is the best way to protect yourself from exposure when caring for a patient with known or suspected active tuberculosis? a. Wear a HEPA mask. b. Wear a surgical face mask. c. Place an oxygen mask on the patient. d. Place a surgical mask on the patient.
a.
Which of the following materials is not recommended for gloves to be used when there is the potential for contact with blood and other body fluids? a. cotton b. latex c. vinyl d. synthetics
a.
Which of the following would be used as personal protective equipment to prevent infection with a bloodborne disease? a. disposable exam gloves b. a "sharps" container c. hospital-grade disinfectant d. turnout gear
a.
Which organism is classified as multi-drug resistant? a. Methicillin/oxacillin-resistant Staphylococcus aureus b. Hepatitis B virus c. Human immunodeficiency virus d. Zika virus
a.
Which type of documentation should not be found in a well-written narrative section of a PCR? a. radio codes b. pertinent negatives c. scene information d. standardized abbreviations
a.
You have responded to a "man down" call one winter morning. Upon arrival, you find an elderly male patient lying parallel to the sidewalk, in a bank of shoveled snow. It appears as if the man was walking and either tripped or fell into the snowbank. The patient is in cardiac arrest. In this scenario, which finding would NOT be considered a presumptive sign of death? a. Closed eyes b. No pupillary response c. Low body temperature d. Absent reflexes
c.
You have been dispatched for a 15-year-old female with a headache. On scene, you find the patient holding her 6-month-old son in her arms. This young mother states that she has had a migraine headache for two days and would like to be transported to the hospital for further evaluation. As an EMT, you should: a. Obtain a parent's consent to treat the patient, given her age b. Refuse transport since the patient does not have a true emergency c. Assess and transport the patient as she desires d. Treat the patient under the doctrine of implied consent
c.
You have just transferred care of a patient to an emergency department nurse. There is no blood, fluid, or dirt on your gloves. After taking them off, your best action would be to: a. Use an alcohol-based hand sanitizer b. Disinfect the stretcher and equipment c. Wash your hands with soap and water d. Complete the prehospital care report
c.
A local politician has been involved in a motor vehicle collision. Witnesses state that they saw this man leave a bar, and repeatedly stumbled until he got to his vehicle. Then, just two miles down the road, he struck a utility pole head on. On scene and throughout transport, the patient is confused and combative. When you are leaving the hospital, a reporter asks you what happened. You state that it looks as though the politician may be drunk, but you are not sure. Your statement is printed in the newspaper. Later, it is determined that the man was not drunk, but rather has diabetes and had low blood sugar at the time of the accident. Which charge could the politician levy against you? a. Slander b. Assault c. Battery d. Litigation
a.
A patient tells you that he has been feeling "very weak" for the past three days. Using the SOAP charting format, this information would be included under which heading? a. S: Subjective b. O: Objective c. A: Assessment d. P: Plan
a.
A patient who has the capacity to understand and make an informed decision and accepts care from an EMS crew is said to give which type of consent if the patient nodded "yes" when asked by the EMT if care can be rendered? a. expressed b. guardian c. partial d. implied
a.
A 22-year-old female has been sexually assaulted and taken to the emergency department. With regard to the release of confidential medical information, which individual would most likely be allowed to receive information related to the patient's injuries without her consent? a. State police b. Patient's mother c. Patient's boyfriend d. Crisis counselor
a.
A 46-year-old man who is conscious and has the capacity to make a rational decision is refusing treatment despite crushing chest pain and shortness of breath. He states that the hospital will not do anything for him and he does not want you to treat or transport him. The EMT should recognize that the: a. Patient has a right to refuse treatment and transport b. Police will need to be called so the patient can be transported in custody c. Patient will need to be transported against his will d. Patient's family can give consent to transport the patient
a.
A living will is one example of a(n) a. advanced directive b. Good Samaritan law c. warrant d. confidentiality agreement
a.
While off duty, an EMT happens upon the scene of a motor vehicle collision in which a car rolled over the side of an embankment. A young man has been seriously injured; he appears unresponsive, and is bleeding from the head and face. The EMT is alone with his infant baby daughter in the car and cannot leave her to provide help. Therefore, the EMT alerts 911 of the emergency and remains in his car with his daughter until EMS arrives. Later in the week, he finds out that the patient died. Which statement is true regarding this incident? a. The EMT had no duty to act and cannot be held liable for the man's death b. The EMT had a legal obligation to help and can be held liable for the death c. The EMT violated the state standard of care by not providing some form of care d. The EMT must go to court and explain that he did not help because of his daughter
a.
While transferring a patient from her house to the ambulance on the wheeled cot, one of the EMTs slips on a patch of ice and falls. The stretcher overturns, and the patient suffers a broken wrist as a result. She files a lawsuit in civil court alleging negligence. For the patient, what will be the most difficult component of negligence to prove? a. Proximate cause b. Duty to act c. Damage d. Implied consent
a.
You are involved in a lawsuit over a stabbing that occurred six months ago. Since you work in a busy EMS system and some time has passed, your recollection of the incident in spotty. In this situation, your best means of remembering what occurred would be to: a. Review the prehospital care report b. Meet and discuss the incident with other witnesses c. Confer with your partner at the time d. Obtain and review the police report
a.
You are transporting a 58-year-old female with terminal breast cancer. While in the ambulance, she becomes tearful yet agitated, and repeatedly asks, "Why me?" As a knowledgeable EMT, you recognize that she is in which stage of grieving? a. Anger b. Denial c. Bargaining d. Depression
a.
You have arrived at the scene of a medical emergency and find a woman lying on the floor of a grocery store. As you approach her, you know that your first priority as an EMT is: a. personal safety b. patient care c. public safety d. patient advocacy
a.
You have been called for a 2-year-old female with an arm injury. The child presents with deformity and bruising to her left forearm. When asked, the mother states that the child fell from the bed, but the father states that his daughter fell down the stairs. Given the inconsistent stories, you are suspicious of child abuse. Which narrative would be most appropriate when documenting this situation? a. "Patient fell off of bed injuring left arm-per mother; patient fell down stairs injuring left arm-per father." b. "Mother and father cannot agree on how their daughter got the bruise and deformity to the arm." c. "Patient has injuries consistent with child abuse; the mother and father cannot determine how the patient was injured." d. "Patient appears to be abused; the police will be called and the physician in the ED will be notified."
a.
You have worked with the same partner for several years and know him well. Over the past three months, the two of you have had four horrific pediatric calls with death as the outcome of each. Which observation would make you the most suspicious that your partner is experiencing a possible stress reaction that might encumber his ability to work as an EMT? a. Excessive and uncharacteristic irritability b. Request to be scheduled for night shifts c. Interest in going back to school to study accounting d. Statement that he intends to drop to part-time status
a.
A patient care report reads: "PMH includes ESRF and (+) DNR; (+) ASA pta of EMS." Regarding this description, which interpretation is most accurate? a. The patient is alert and oriented b. The patient has kidney disease c. The patient desires resuscitation d. EMS administered aspirin to the patient
b.
An alert and oriented male patient with chest discomfort refuses treatment and transport to the hospital. He is angry with his family for calling 911 and refuses to sign the refusal of care form despite several requests. Which of these is your next best action? a. Contact the police to place the patient into protective custody b. Have a family member sign as a witness to the father's refusal c. Call dispatch on a recorded telephone line and notify the dispatcher of the situation prior to departing the scene d. Carefully restrain the patient and place him on the stretcher for transport
b.
At a bare minimum, which type of personal protective equipment should be worn by EMS providers at any emergency scene involving a shooting? a. face mask b. gloves c. gown d. goggles
b.
Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of the: a. rescuers b. patient c. family d. bystanders
b.
The medical director states that it seems as if the number of patients suffering from shortness of breath with a history of congestive heart failure (CHF) has increased. She adds that she is thinking about modifying the protocols, but first must know the number of patients seen with this condition over the past year. To best determine the number of patients treated for this condition, you would: a. Question the emergency department physicians and nurses b. Review the previous prehospital care reports c. Have employees complete a form anytime they treat a patient with CHF d. Have all employees complete a survey regarding the increase
b.
Two days after a call, you realize that you forgot to document that you checked a patient's blood glucose prior to him refusing transport and signing the refusal form. At that time, you did contact medical direction and provide this information to the doctor, prior to him authorizing the patient to refuse. What is now your best course of action? a. Complete a new refusal form and return to the patient's residence to have him sign this form b. Add an addendum to the report with the correct information, the current date, and the EMT's initials c. Report the error to the State Department of Emergency Medical Services d. Disregard the mistake since the patient was not transported to the hospital and medical direction was aware of the blood glucose reading
b.
What action best indicates that informed consent has been obtained? a. The EMT administers oxygen because the patient is having chest pain and appears short of breath b. The patient agrees to oxygen therapy after being told it may help decrease his chest pain but may dry his nose, causing discomfort c. The EMT tells the patient that he will need oxygen because he is having chest pain, which could be a sign of a heart attack d. The patient is given oxygen because he is having chest pain and was the one who placed the 911 call for help
b.
What is the primary difference between ethics and morals? a. Ethics are what the EMT should do, whereas morals are what the EMT will do b. Ethics is a branch of philosophy that studies morality, whereas morals are concepts of "right and wrong" c. Morals are what the EMT should do, whereas ethics are what the EMT will do d. Morals define the expectations for professional occupations, whereas ethics are regulations written into state law defining what those expectations are
b.
Which statement made by an EMT demonstrates that he has an accurate understanding of hepatitis C? a. "It is important to get the hepatitis C vaccine to decrease my chance of contracting the disease if exposed to the virus." b. "Wearing gloves and washing hands are the best means by which to prevent the transmission of hepatitis C to health care workers." c. "Since hepatitis C is primarily transmitted in the spring and summer, more precautions are needed during that time." d. "Respiratory droplets are the primary means by which hepatitis C is transmitted, making a mask necessary when caring for patients with this disease."
b.
You are by the side of a confused patient who has diabetes and a low blood sugar level. You know that the patient needs orally administered sugar, so following your service's guidelines, you call the physician on duty at the hospital emergency department and request permission to administer it. This request is an example of: a. standing orders b. on-line medical direction c. medical cooperation d. off-line medical direction
b.
You are reviewing a prehospital care report (PCR) and note the following entry: "Pt. took PCN TID PO for 5 days." You would interpret this as the patient took: a. Penicillin injections for five days in a row, three injections a day b. Penicillin was taken orally three times a day for five days straight c. Three penicillin pills were taken every other day for five days d. Antibiotic injections three times a day for five days
b.
You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical Responders (EMRs) are on scene. In your community, all EMS practitioners are trained according to the National EMS Scope of Practice Model. Given this, which type of care do you expect the EMRs to be providing? a. Emergency medication administration b. Automated external defibrillation c. Intravenous therapy d. Reading an electrocardiogram
b.
You have been told that you must get your purified protein derivative (PPD) test for tuberculosis (TB). As a knowledgeable EMT, you recognize that the PPD test will: a. Provide continued immunity to tuberculosis b. Need to be repeated annually c. Reveal whether you need a TB immunization d. Determine the effectiveness of treatment for TB
b.
Your partner states that he is the "world's worst speller" and has great difficulty using medical terms. How would you respond to this statement? a. "Ask the emergency physician or nurse how to spell the words of which you are unsure." b. "Use everyday language if you are unsure of how to apply or spell a medical term." c. "Consider abbreviating medical terms that you are unsure how to spell." d. "Do not document information that requires medical terms you are unsure of."
b.
A 14-year-old boy has fallen through a plate glass window and is bleeding heavily from a laceration to his arm. His panicked mother has called 911 for help. Since the 911 operators are also emergency medical dispatchers, what sort of assistance will they be able to provide? a. simultaneous notification of the hospital b. whether the EMS response is covered by medical insurance c. instructions on how to control the bleeding d. the names of the EMTs who are responding
c.
A coworker is suffering from posttraumatic stress. Which statement made by you would be the most appropriate and beneficial to the coworker? a. "It would be best to take a few weeks off from work." b. "Maybe you can get the medical director to write a prescription for some medication." c. "I think that it would be best if you saw a mental health professional." d. "How about taking a Benadryl before bed to promote restful sleep?"
c.
A patient care report reads: "c/o fall with (R) hip pain; FROM to (R) low. ext." Based on this, you should recognize that the patient's: a. Right hip appears broken b. Right hip is dislocated, but not fractured c. Right leg can be moved normally d. Right leg is not broken, but cannot be moved freely
c.
A patient states that he has suffered from chronic neck pain ever since an accident. Further, he states that he is filing a lawsuit against the EMTs since they failed to put a cervical collar on him at the time; in his eyes, this is the reason he has daily neck and back pain. The EMT can remember the incident well and remembers putting a collar on the patient. As such, his best defense would be: a. Presentation of the emergency department chart in court b. Testimony from the supervisor stating that the EMTs always place a cervical collar c. Written documentation of collar placement on the PCR d. Presentation of the standard of care showing that a cervical collar is indicated
c.
Administrative information on a PCR is often referred to as a. CHART b. SOAP c. run data d. the minimum data set
c.
As defined by the National EMS Scope of Practice Model, the four levels of EMS practitioners include: a. ambulance drivers b. EMS medical director c. paramedics d. emergency medical dispatchers
c.
The functions of a state EMS agency include: a. determination of the number of EMRs, EMTs, AEMTs, and paramedics allowed in the state b. review of patient care reports (PCRs) to ensure proper care c. planning and coordination of statewide EMS system d. encouraging fair wages for the different levels of EMS providers
c.
The hospital staff has just returned the long spine board that you used to immobilize a patient from a minor motor vehicle collision. There is no blood on the board, but your service policy states that all equipment is to be disinfected anytime that it is used. To properly disinfect the long spine board, which type of product should you use? a. Soap and water b. Sterilizing solution c. Germicidal solution d. Superheated steam
c.
There has been a very serious motor vehicle collision involving a high-profile judge seeking reelection. The judge's car was traveling at a high rate of speed and crossed the center line, striking and killing a motorcyclist. Newspaper reporters are on location, asking you to describe what happened. Which statement is most appropriate? a. "The judge was involved, but I cannot tell you anything that happened." b. "The judge was in the car that hit and killed the motorcyclist." c. "There has been a serious accident in which a person was killed." d. "The accident was not bad, so please leave the scene."
c.
To ensure your own safety and the safety of your crew, you should: a. Request police assistance on all calls b. Search each and every patient for weapons c. Evaluate every scene for danger before entering d. Ensure the availability of a paramedic for most medical calls
c.
Which statement about emergency medical services in the US is true? a. the EMS system is controlled and governed by the National Highway Transport and Safety Administration (NHTSA) b. the federal government oversees all aspects of EMS in the US c. each state has governmental control of its own EMS system, independent of the federal government d. the US Department of Health and Human Services establishes curricula for all levels of EMS education
c.
Which statement shows an accurate understanding of the legal aspects of the prehospital care report (PCR)? a. "The PCR is considered a legal document only when it describes a crime or act of violence." b. "A PCR can be used in a lawsuit only if that lawsuit is filed within six months." c. "The PCR may be subpoenaed even if the lawsuit centers on alleged negligence that occurred in the emergency department." d. "A copy of the PCR should be forwarded to the police anytime law enforcement is involved in the call."
c.
Which statement shows that the EMT has a good understanding of her role and responsibilities related to being an EMT? a. "The patient's needs come before anyone else's needs." b. "At the scene of an emergency, my responsibility is to get to the patient no matter what." c. "My safety comes first, and then the patient's safety." d. "As an EMT, I recognize that the public's safety comes before the safety of me or my partner."
c.
As a supervisor with an emergency ambulance service, which situation regarding a potential employee would you recognize as falling under the Americans with Disabilities Act (ADA), and as case in which you would make reasonable accommodations? a. an EMT who has requested help with a drug and alcohol problem b. applicant who cannot pass the EMT certification exam because he is dyslexic c. a blind patient who wants to become an EMT, but has not taken a class yet d. a dispatcher with a prosthetic leg who requires parking next to the building entrance
d.
Consider the following narrative from a patient care report: "pt. restrained passenger involved in 2 car MVC; c/o left lower leg pain rated 2/10; LOC A/O to person, place, time, and event; BBS clear; abd. Soft with tenderness LLQ; hx of NIDDM with am glucose level of 133 mg/dL." Which of these interpretations is most accurate? a. The patient's abdomen appears uninjured b. The patient is being tested for diabetes c. The patient is confused following the accident d. The patient's lungs sounds are clear and equal bilaterally
d.
What would be the best reason for a policy that requires all crew members to synchronize their watches with dispatch at the beginning of each shift? a. Ensures that all EMS staff are on time and ready for the shift b. Allows the supervisor to make sure that all EMTs have a watch c. Provides the best opportunity for the EMT to end the shift on time d. Promotes accurate system-wide time record keeping throughout the shift
d.
Which statement best summarizes the underlying benefit of using evidence-based medicine? a. formulates emergency care guidelines that have been reviewed by the legal community b. improves patient care while simultaneously reducing the costs associated with EMS c. provides for legal representation in the quality improvement process d. allows the use of research and evidence in determining which care is effective
d.
You are accidentally stuck with a needle used to administer a medication to a patient with a known history of hepatitis B. You have already completed your hepatitis B vaccine series. In this case, which statement is true? a. You have complete protection from hepatitis B and no further action is needed b. You have two weeks from the time of exposure to start medical care for a potential infection c. You will have to get another series of three vaccines to give you protection in the future d. You need to report the needle stick to your supervisor as soon as possible
d.
You have been asked to review a legal case in which a patient intentionally overdosed on heroin and then died after EMS responders arrived. Those responders did not have a bag-valve mask to ventilate the nonbreathing patient, so the patient was not ventilated until a second EMS unit arrived. The evidence indicates that the EMT and paramedics both signed their morning equipment check indicating that they had inspected the ambulance and had all the necessary equipment to do their job. In this case, you would realize: a. The EMT and paramedics can seek protection under the Good Samaritan law b. The EMT and paramedics will most likely be charged with contributory negligence c. The EMT and paramedics are not responsible because the patient intentionally overdosed d. The EMT and paramedics were negligent in caring for the patient
d.
You have been called to transfer a trauma patient from a rural hospital emergency department to the emergency department of a large urban medical center. Which action will best decrease your chance of becoming involved in an EMTALA violation? a. Obtaining a copy of the patient's insurance and billing information b. Taking vital signs every 5 minutes during transport c. Determining the exact location to which the patient is to be transported d. Assessing the patient for stability prior to transfer
d.
You have placed a 67-year-old female patient on low-concentration oxygen with a nasal cannula. Under which section of the prehospital care report (PCR) would you document this information? a. Administrative b. Patient data c. Patient narrative d. Treatment
d.
Your service's medical director would like to explore the idea of EMTs using special transport ventilators when caring for patients who require assistance with their breathing. When using an evidence-based medicine approach, what should you do first? a. Go to a local hospital to see which kind of ventilators it uses b. Contact vendors that sell ventilators and ask for price quotations c. Select specific EMTs to conduct a field trial of particular ventilators d. Search the medical literature for research related to this topic
d.
