Chapter 3 Quiz/Notes
The EMT's scope of practice within his or her local response area is defined by the:
the medical director
What is implied consent?
-derived from surrounding circumstances - does not require patient's verbal or written consent
Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
Driver's license
Types of consent
Expressed, Implied, Involuntary, informed
In which of the following circumstances can the EMT legally release confidential patient information? A. A police officer requests a copy to place on file B. The patient is competent and signs a release form C. A media representative inquires about the patient D. The family requests a copy for insurance purposes
The patient is competent and signs a release form
What is involuntary consent?
When a patient does not wish to be transported, but is AMS (altered mental status). -An incarcerated patient, or a mentally ill patient.
When is forcible restraint permitted?
When the patient poses a significant threat to self or others
In which of the following situations does a legal duty to act clearly exist? A. A bystander encounters a victim who is not breathing. B. The EMT witnesses a vehicle crash while off duty. C. A call is received 15 minutes prior to shift change. D. The EMT hears of a cardiac arrest after his or her shift ends.
A call is received 15 minutes prior to shift change
To help protect patients, EMS agencies are required to have _______.
A privacy officer to answer questions
Which of the following general statements regarding consent is correct? A. A patient can consent to transport but can legally refuse to be treated. B. Patients who are intoxicated are generally allowed to refuse treatment. C. All patients older than 18 years can legally refuse treatment or transport. D. Expressed consent is valid only if given in writing by a family member.
A. A patient can consent to transport but can legally refuse to be treated
Which of the following statements about the patient care report is correct? A. It is difficult to prove actions were performed if they are not included on the report. B. EMTs are not liable for any actions that are accurately documented. C. Incomplete reports are common and accepted in EMS. D. Patient care cannot be discredited based on poor documentation.
A. It is difficult to prove actions were performed if they are not included on the report
During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:
Are in violation of HIPAA because you did not remove the PHI from PCR beforehand
Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel? A. Ensuring access to insurance B. Preventing insurance fraud C. Protecting patient privacy D. Controlling insurance costs
C. protecting patient privacy
You are called to attend to an elderly patient with an extensive medical history who is now in cardiac arrest. The patient's family tells you that the patient has a DNR order. There is no paperwork available but the patient does have a MedicAlert bracelet indicating Do Not Resuscitate. You should:
Confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet
Which of the following components are needed to prove negligence? A. Abandonment, breach of duty, damages, and causation B. Duty to act, abandonment, breach of duty, and causation C. Breach of duty, injury/damages, abandonment, and causation D. Duty to act, breach of duty, injury/damages, and causation
D. Duty to act, breach of duty, injury/damages, and causation
As an EMT, the standards of emergency care are often partially based on:
It is difficult to prove actions were performed it they are not included on the report
You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?
Transport the child immediately and have the parents meet you at the hospital
You respond to the home of a 59-year-old man who is unconscious; has slow, shallow breathing; and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR (do not resuscitate) order for this patient, but they are unable to locate it. You should:
begin treatment and contact medical control as needed
Putrefaction is defined as?
decomposition of the body's tissues.
When performing his or her duties, the EMT is generally expected to:
exercise reasonable care and act prudently
Which type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?
expressed
You and your partner arrive at the scene of a major motor vehicle crash. The driver, a young male, is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, is not breathing, and does not have a palpable carotid pulse. You should:
have your partner check for a pulse to confirm that the patient is deceased
Maintaining the chain of evidence at the scene of a crime should include:
not cutting through holes in clothing that were caused by weapons.