EHS 461 FINAL EXAM
With regard to injury prevention, effective educational techniques include all of the following, EXCEPT: -Penalties -Modeling -Behavioral feedback -Incentives
Penalties
The accuracy of your patient care report depends on all of the following factors, EXCEPT: -Including all pertinent event times -The severity of the patient's condition -The thoroughness of the narrative section -Documenting any extenuating circumstances
The severity of the patient's condition
Which of the following incident times is NOT commonly documented on the patient care report? -Time of primary assessment -Time of departure from the scene -Time of arrival at the hospital -Time of medication administer
Time of primary assessment
_______ is the process by which a non-governmental organization grants recognition to an individual who has met predetermined qualifications specified by that organization. -registration -certification -reciprocity -licensure
certification
The EMS act of 1973: -placed an emphasis on federal development of the EMS system -discovered that more people died in traffic collisions than in the Vietnam War -defined 15 required components of an EMS system -identified 10 components of an EMS system
defined 15 required components of an EMS system
Which of the following statements is LEAST descriptive when documenting the events of a cardiac arrest call on your patient care report? -"Follow ACLS protocols" -"Intubated with a 7.5 mm ET tube" -"Gave 1 mg of epinephrine at 1002" -"Inserted 18 gauge IV in right forearm"
"Follow ACLS protocols"
Which of the following statements contains objective and subjective information? -"The patient's behavior was consistent with alcohol intoxication" -"The patient's pulse was rapid and weak and he was diaphoretic" -"The patient's wife stated that he began feeling ill a few hours ago" -"The patient appeared confused and stated that he had a headache"
"The patient appeared confused and stated that he had a headache"
Which of the following statements includes a pertinent negative? -"The patient complains of nausea but denies vomiting" -"The patient rates his pain as an 8 on a scale of 0 to 10." -"The possible smell of ETOH was noted on the patient" -"The rapid head to toe exam revealed abrasions to the chest"
"The patient complains of nausea but denies vomiting"
A helicopter landing zone should be: -100 feet by 100 feet in size and on a surface that is firm, level, and free of debris -50 feet by 50 feet in size and in an area that is at least 50 feet from the ambulance -At least a quarter of a mile from the ambulance to avoid injury from flying debris -Marked with a strobe light at the front and rear of the proposed site
100 feet by 100 feet in size and on a surface that is firm, level, and free of debris
Which of the following is a subjective finding? -Pale, cool, clammy skin -Obvious respiratory distress -A complaint of chest pressure -Blood pressure of 110/60 mmHg
A complaint of chest pressure
Which of the following situations is an example of an act of commission? -The paramedic charges for his or her services. -A paramedic sutures a patient's lacerated arm. -An EMT fails to splint a possible leg fracture. -A physician transfers patient care to a paramedic.
A paramedic sutures a patient's lacerated arm.
In which of the following situation should a helicopter generally NOT be utilized? -A patient in cardiopulmonary arrest who has been unresponsive to defibrillation -Spinal injury in which the terrain over which the patient must be carried is rough -Motor vehicle crash involving a patient whose extrication will take 45 minutes -Suspected internal hemorrhage in a hypotensive patient who lives in a rural area
A patient in cardiopulmonary arrest who has been unresponsive to defibrillation
The wrongful act that gives rise to a civil suit is called: -A tort -Damage -Liability -Negligence
A tort
What document was published in 1965 that changed the face of the delivery of EMS? -Blood Runs Red on the Highway -The White House Papers -Accidental Death and Disability: The Neglected Disease of Modern Society -Accidental Death and Disability: the White Papers
Accidental Death and Disability: The Neglected Disease of Modern Society
You deliver a 61-year-old man with abdominal pain to a busy emergency department. A staff nurse instructs you to take the patient to the triage area where he will be tended to later. She further tells you that after you leave a copy of your patient care report with the clerk, you are free to leave. You should: -Do as the nurse instructs you and thoroughly document the incident to ensure you are not accused of abandonment. -Leave the patient in the triage area, give your patient care report to the clerk and tell the clerk to keep an eye on the patient. -Advise the nurse that you will remain with the patient until the nurse has taken your verbal report and properly assumed care of the patient. -Transfer the patient to a gurney in a highly visible area, advise the nurse of what you did, and give the nurse a copy of your patient care report.
Advise the nurse that you will remain with the patient until the nurse has taken your verbal report and properly assumed care of the patient.
Airbags installed in an automobile are more likely to reduce injuries that educating people to wear their seatbelts because: -Automobile manufacturers are required to install airbags -Airbags are more effective than seat belts during a crash -Failure to wear a seat belt is not punishable by law -Airbags do not require conscious effort on a person's part
Airbags do not require conscious effort on a person's part
Which of the following statements regarding emergency vehicle laws is correct? -The Star of Life insignia permits an ambulance to run a red light or stop sign if it is safe. -All state statutes require emergency vehicles to be operated in a safe and prudent manner. -An ambulance must use its lights and siren when transporting any acutely ill or injured patient. -Most states allow an emergency vehicle to exceed the speed limit by 20 mph if it is safe to do so.
All state statutes require emergency vehicles to be operated in a safe and prudent manner.
The MOST significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is: -Insurance denial -A potential lawsuit -An error in patient care -Confusion at the hospital
An error in patient care
In contrast to rotary-wing air ambulances, fixed-wing air ambulances: -Are the preferred transport methods for acutely injured patients -Cannot fly safely when inclement weather is within 30 miles -Can get the patient to a definitive care trauma center faster -Are mainly used to transport patients over long distances
Are mainly used to transport patients over long distances
A 39-year-old man with severe dehydration requires IV fluid therapy to treat his condition. The patient is conscious, alert, and oriented to person, place, time, and event. You should: -Ask him if you can start an IV and explain the reason for the IV as well as the potential risks of IV therapy. -Tell the patients that you are going to start an IV on him in order to replenish his body with lost fluid and electrolytes. -Start the IV to quickly restore his body fluid balance and then explain to the patient why you started the IV line. -Establish the IV line based on the law of implied consent, because his condition has impaired his decision-making capacity.
Ask him if you can start an IV and explain the reason for the IV as well as the potential risks of IV therapy.
You arrive at the scene of a motor vehicle versus pedestrian accident. The patient is a 12-year-old girl who was struck by a car while riding her bike. She is conscious but combative. She has a large hematoma on her leg and several hematomas to her forehead. As a police officer attempts to contact the child's parents, you should: -Provide supportive care only but do not transport the child until parents arrive and give consent. -Closely monitor the child's condition and begin emergency treatment after obtaining consent from both parents. -Assume that her parents would consent to emergency treatment and initiate the appropriate care for the child. -Withhold all emergency care until you have obtained consent from at least one of her parents via telephone.
Assume that her parents would consent to emergency treatment and initiate the appropriate care for the child.
When assisting with a helicopter landing at night, you should: - Leave your headlights on to signify your location -Refrain from parking the ambulance under overhead wires -Avoid shining a spotlight up at the descending aircraft -Place a single strobe light in the center of the landing zone
Avoid shining a spotlight up at the descending aircraft
You arrive at the scene of a shooting. The patient, a 19-year-old woman, has a gunshot wound to the side of her head with a large amount of exposed brain matter. Further assessment reveals that the patient is apneic and pulseless. Law enforcement personnel advise you that the person who shot the patient is in their custody. You should: -Begin resuscitative measures at once and contact the patient's family to determine if she is an organ donor. -Begin CPR immediately, cover the wound with a bulky dressing, and prepare to transport the patient. -Avoid unnecessary contact with the patient and document the findings of your visual assessment of the patient and scene. -Place plastic bags over the patient's hands, apply a cardiac monitor to confirm asystole, and notify the coroner's office.
Avoid unnecessary contact with the patient and document the findings of your visual assessment of the patient and scene.
Abandonment occurs when: -A patient is released and did not require further medical care. -An emergency nurse takes a verbal report from a paramedic. -Care of a patient was terminated without his or her consent. -A patient refuses care and subsequently dies of his condition.
Care of a patient was terminated without his or her consent.
A 77-year-old man with end-stage COPD and renal failure is found unresponsive by his daughter. Your assessment reveals that the patient is apneic and pulseless. The daughter presents you with an out-of-hospital DNR order; however, the document expired 3 months ago. You should: -Begin CPR only and contact medical control for further guidance -Realize that the patient cannot be resuscitated and notify the coroner -Begin full resuscitative efforts because the DNR order is no longer valid -Confirm that the order has expired before initiating any patient treatment
Begin CPR only and contact medical control for further guidance
Which of the following general statements regarding violent patients is correct? -You must rule out hypoglycemia before restraining a violent patient -Ideally, violent patients should be restrained in a -Benzodiazepines are acceptable to use as a means of chemical restraint -Most patients become violent because of a severe psychiatric condition
Benzodiazepines are acceptable to use as a means of chemical restraint
Generally, the paramedic is not at liberty to disregard a physician's order unless: -The physician is not the paramedic's medical director. -The physician is not a licensed emergency physician. -It is documented why the order was not carried out. -Carrying out the order will cause harm to the patient.
Carrying out the order will cause harm to the patient.
Air ambulances are advantageous for all of the following reason, EXCEPT: -The ability to access remote areas -The availability of specialized equipment -Faster transport to definitive care -Can respond in inclement weather
Can respond in inclement weather
If a conflict arises between a paramedic and a physician bystander in the field, the paramedic should: -Become subordinate to the physician. -Involve law enforcement in the incident. -Contact medical control to seek resolution. -Politely ask the physician to leave the scene.
Contact medical control to seek resolution.
The potential roles that the community paramedic may play in regards to dealing with high-use patients include all of the following EXCEPT: Contacting local law enforcement to have the patient arrested for abusing the system Helping to determine if the patient has a support structure Helping to determine the underlying cause, or causes, of the frequent utilization Possibly referring the patient to adult protective services or the local office of the aging
Contacting local law enforcement to have the patient arrested for abusing the system
An effective injury prevention program should focus on all of the following date , EXCEPT: -The mean age of the patient -Current EMS call volumes -Common injury locations -Typical injury mechanisms
Current EMS call volumes
The role of the Community paramedic is: -Determined by gaps found in the local healthcare system -To perform follow-up assessments on patients recently discharged from the hospital -To keep frequent flyers from going to the hospital -To replace the costly visiting nurse association
Determined by gaps found in the local healthcare system
When a competent adult patient refuses medical care, it is MOST important for the paramedic to: -Ensure that the patient is well informed about the situation at hand -Contact medical control and request permission to transport the patient -Perform a detailed physical exam before allowing the patient to refuse -Obtained a signed refusal from the patient as well as a witness signature
Ensure that the patient is well informed about the situation at hand
Before asking a patient to sign a refusal form, the paramedic must: -Ask an impartial observer to sign the refusal form first. -Tell the patient that he or she will die without treatment. -Ensure the patient is aware of the risk of his or her refusal. -Ask a police officer to determine if the patient is competent.
Ensure the patient is aware of the risk of his or her refusal.
Which of the following is NOT a critical point addressed by the "White Paper" written in 1966 that was entitled "Accidental Death and Disability: The Neglected Disease of Modern Society"? -Participating in community-based prevention efforts -Developing and pursuing a national EMS research agenda -Allocating adequate resources for medical direction -Ensuring that paramedics respond to every call
Ensuring that paramedics respond to every call
One of the major difference between laws and ethics is that laws: -Allow a person to determine right from wrong -Are usually broken because of an unethical act -Have sanctions for violation that are enforceable -Are reflective of a parson's moral responsibilities
Have sanctions for violation that are enforceable
Patients with decision making capacity: -Cannot refuse EMS treatment and transport after they have given consent for it. -Have the right to refuse all or part of the emergency medical care offered to them. -Must agree to EMS transport if they give consent for emergency medical treatment. -Cannot withdraw consent unless their conditions are deemed to be non-life threatening.
Have the right to refuse all or part of the emergency medical care offered to them.
Is a paramedic is on duty and received a 9-1-1 call in his or her jurisdiction: -He or she is not covered by the Good Samaritan law. -The Good Samaritan law will provide limited immunity. -State law requires that he or she respond within 5 minutes. -He or she cannot be held liable if a fee is not charged to the patient.
He or she is not covered by the Good Samaritan law.
A Class ________ recommendation is recommended and has been found to be beneficial to the patient. Its benefits >>> the risks. -I -IIb -IIa -III
I
A Class ____ recommendation shows weak evidence supporting it and where it's usefulness and effectiveness is unknown or unclear and the benefits >= the risk. -IIb -III -I -IIa
IIb
If a paramedic receives an order from a physician that he or she feels is detrimental to the patient's best interests, the paramedic should: -Carry out the order, but factually and carefully document the event. -Not carry out the order and discuss the issue with the physician later. -Tell the patient that the physician's order is appropriate for him or her. -Immediately discuss with the physician why the paramedic feels that way.
Immediately discuss with the physician why the paramedic feels that way.
Because a lawsuit may not begin until several years after the paramedic cares for a patient: -The paramedic should place an attorney on retainer. -All paramedics should carry malpractice insurance. -The paramedic should follow up with the patient regularly. -It is essential to maintain good documentation on any call.
It is essential to maintain good documentation on any call.
In contrast to secondary prevention, primary prevention focuses on: -Reducing the effects of an injury that has already occurred -Keeping an injury from occurring in the first place -Rapid transport to an appropriate medical facility -Rehabilitating a person who has survived an injury
Keeping an injury from occurring in the first place
If the paramedic is unable to complete his or her patient care report before departing the emergency department, he or she should: -Leave, at a minimum, the patient's name and age, but recognize that the physician will perform his or her own exam. -Leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible. -Obtain the emergency department fax number and transmit the completed patient care report within 12 hours after delivering the patient. -Advise the receiving provider that he or she will return to the emergency department with the completed patient care report within 24 hours.
Leave an abbreviated form with pertinent data with the receiving provider and complete the patient care report as soon as possible.
Documenting a false statement that injures a person's good name or reputation constitutes: -Libel and defamation. -Assault and battery -Slander and defamation -Gross negligence
Libel and defamation.
For purposes of refusing medical care a patient's mental status may be considered impaired if he or she: -Is notably frightened -Makes a derogatory comment -Is not sure of the exact time -Makes nonsensical statements
Makes nonsensical statements
In which of the following situations would the documentation on a patient care report MOST likely be limited? -Cardiac arrest -Physical abuse -Mass-casualty incident -Injury to a paramedic
Mass-casualty incident
Additions or notations added to a completed patient care report by someone other than the original author: -May raise questions about the confidentiality practices of the EMS agency -Are generally acceptable, provided the additions are made by a paramedic -Are not legal and may result in criminal action against the original author -Must be initialed by the original author or the patient care report will be deemed null and void
May raise questions about the confidentiality practices of the EMS agency
A poorly written patient care report: -Often indicated that the paramedic was too busy providing patient care -Generally results in a lawsuit, even if the patient outcome was favorable -May raise questions by others as to the paramedic's quality of patient care -Is unavoidable during a mass-casualty incident and is generally acceptable
May raise questions by others as to the paramedic's quality of patient care
Another term associated with community paramedic is: -Mobile intensive healthcare -Mobile intensive homecare -Community provider -Integrated healthcare
Mobile intensive healthcare
This document provides overarching guidelines as to what skills each level of EMS provider should be able to accomplish. -EMS Agenda for the Future -EMS Educational Agenda for the Future -National EMS Scope of Practice Model -Paramedic Instructional Guidelines
National EMS Scope of Practice Model
Which of the following was NOT a required component identified by the Emergency Medical Services System Act of 1973? -National EMS certification -Integration of health services -Mutual aid agreements -EMS research
National EMS certification
After a helicopter lands and continues to keep its rotor blades active, you should: -Post a firefighter near the tail rotor to keep bystanders away -Slowly approach the left side of the aircraft while keeping your head down -Approach the aircraft from the front and keep the pilot in view at all times -Not approach the aircraft until the pilot or a crew member signals you to do so
Not approach the aircraft until the pilot or a crew member signals you to do so
A paramedic who was trained and certified to perform a surgical cricothyrotomy successfully performs the procedure on a patient in the field. However, because the EMS system's medical director does not permit paramedics to perform a needle cricothyrotomy, the paramedic: -Performed outside his or her scope of practice -Had committed an act of gross negligence -Will likely be sued by the medical director -Did not follow the national standard of care
Performed outside his or her scope of practice
You are called to a community center for a 40-year-old woman who is "acting strange." Upon your arrival, you assess the patient and determine that she is conscious, alert, and oriented to person, place, time, and event. She does not appear to be mentally impaired. Her oxygen saturation is 99% on room air and her blood glucose level is 112 mg/dL. The patient's husband tells you that his wife has bipolar disorder and takes medication for it. The patient tells you that she is fine and does not want to go to the hospital. You should: -Contact online medical control and request permission to transport the patient against her will because of her bipolar disorder. -Recognize that this patient has decision-making capacity at the present time and that you cannot force her to go to the hospital. -Transport the patient against her will, but only if it can be established that she has been noncompliant with her bipolar medication. -Advise the patient that, because of her history of bipolar disorder, she does not have the legal capacity to refuse EMS treatment and transport.
Recognize that this patient has decision-making capacity at the present time and that you cannot force her to go to the hospital.
If a patient makes a decision regarding his or her own health care and the paramedic does not agree with that decision, the paramedic should: -Ensure that the EMS medical director agrees with the patient's decision. -Accept the patient's decision, but advise him or her that you do not agree. -Try to convince the patient that the decision is not in his or her best interest. -Respect the patient's wishes, assuming he or she has decision-making capacity.
Respect the patient's wishes, assuming he or she has decision-making capacity.
Which of the following is NOT a typical function of the EMS medical director? -Participating in the hiring process of new EMS personnel -Responding to an emergency scene with the paramedics -Developing protocols in cooperation with other EMS experts -Interfacing between EMS systems and other agencies
Responding to an emergency scene with the paramedics
The concept of consent refers to all of the following, EXCEPT the: -Patient's age -Patient's mental capacity -Severity of the patient's injury -Patient's ability to make rational decisions
Severity of the patient's injury
An accurate patient care report: -Should be complete to the point where anyone who reads it understands exactly what transpired on the call. -Is not possible on every call, especially if there is more than one patient or the patient is critically ill or injured. -Is a relatively reliable predictor of the quality of care that the paramedic provided to the patient during the call. -Provides immunity to the paramedic id the patient decides to pursue legal action against the paramedic.
Should be complete to the point where anyone who reads it understands exactly what transpired on the call.
From an injury prevention standpoint, the term "intervention" is defined as: -Participating in a mortality/morbidity review following a series of major motor vehicle crashes -Specific prevention measures or activities designed to increase positive health and safety outcomes -On-the-spot education of an injured person regarding how his or her injury could have been prevented -Any activity or measure that is performed following an injury and that is designed to decrease mortality
Specific prevention measures or activities designed to increase positive health and safety outcomes
A reasonable paramedic should follow the same ____ that another paramedic is a similar situation would. -Scope of practice -Standard of care -Wishes of the family -Medical practice act
Standard of care
Every decision regarding patient care that a paramedic makes should be based on the: -Standards of good medical care -Patient's perception of the problem -Patient's family's personal requests -Possible legal ramifications involved
Standards of good medical care
Which of the following is a significant benefit of electronic documentation? -The ability of the date to be shared between health care facilities -The elimination of the need to complete a narrative section -The use of drop-down boxes, which minimizes the possibility for errors -The ease with which it can be applied during mass-casualty incidents
The ability of the date to be shared between health care facilities
Which of the following disadvantages of using an air ambulance should concern you the LEAST wen utilizing it for a critically injured patient? -Current weather conditions -The presence of uneven terrain -Aircraft cabin size -The cost that will be incurred
The cost that will be incurred
Prior to submitting a patient care report to the receiving hospital, it is MOST important for: -Your EMT partner to review the report to ensure accuracy of your medications -The EMS medical director to review the report briefly -The paramedic who authored the report to review it carefully -The quality assurance team to review the report for accuracy
The paramedic who authored the report to review it carefully
Which of the following is NOT a required element needed to prove negligence? The paramedic committed a breach of duty. The patient's condition was life-threatening. The paramedic or EMS system had a duty to act. An act of omission was the cause of the patient's injury.
The patient's condition was life-threatening.
The most important factor to consider when determining if the transport of a trauma patient via helicopter is appropriate is: -The need for definitive airway management -The patient's hemodynamic status -Delays in ground transport due to traffic -The injury mechanism that was involved
The patient's hemodynamic status
According to the American Public Health Association, public health is defined as: -The provision of clinical services to those who do not have adequate health insurance -The practice of providing preventative care to specific geographic regions -The practice of preventing disease and promoting good health within groups of people -The provision of healthcare to individuals who are not eligible for insurance
The practice of preventing disease and promoting good health within groups of people
All of the following are examples as to how a Community Paramedic might be beneficial to the healthcare system EXCEPT: -Refer patients to appropriate resources -Perform home safety assessments to reduce fall risks -To replace a home health aide with someone more knowledgeable -Work with primary physicians to meet with patients who are unable to drive to their office
To replace a home health aide with someone more knowledgeable
All of the following are subjective findings, EXCEPT: -Visible blood in the ear canal -A feeling of impending doom -A persistent dull headache -Acute and severe nausea
Visible blood in the ear canal
When approaching a helicopter that is running, you should consider wearing all of the following except: -Wearing a structural firefighting helmet -Wearing hearing protection -Wearing eye protection -Wearing appropriate footwear
Wearing a structural firefighting helmet
Which of the following disadvantages of using an air ambulance should concern you the LEAST wen utilizing it for a critically injured patient? -Current weather conditions -The presence of uneven terrain -Aircraft cabin size -The cost that will be incurred
Wearing a structural firefighting helmet
A paramedic's actions are considered to be grossly negligent if he or she: Does not consult with online medical control first. Only provides basic life support to a critical patient. Makes a simple mistake that causes harm to the patient. Willfully or wantonly deviates from the standard of care.
Willfully or wantonly deviates from the standard of care.
Components of a thorough patient refusal document include: -Assurance by the paramedic that the patient's ability to pay is of no concern -Notification of the patient's physician to apprise his or her of the situation -Documentation of a complete assessment, even if the patient refused assessment -Willingness of EMS to return to the scene if the patient changes his or her mind
Willingness of EMS to return to the scene if the patient changes his or her mind
A Medical Order for Life-Sustaining Treatment (MOLST) would MOST likely apply to a patient: -Who is in respiratory failure but has decision-making capacity -Who has been in cardiac arrest for less than 10 minutes -With a terminal illness whose cardiac arrest was witnessed -With impending pulmonary failure but who is not in cardiac arrest
With impending pulmonary failure but who is not in cardiac arrest
Implied consent is based on the premise that a patient: -Would consent to care because of the seriousness of his or her injury -Will die unless emergency medical treatment is provided immediately -Is of legal age and is able to make rational decisions regarding his or her car -Would refuse any emergency medical care if he or she were unconscious
Would consent to care because of the seriousness of his or her injury
An advanced directive is MOST accurately defined as a: -Written document that expresses the wants, needs, and desires of a patient in reference to his or her future medical care. -Legal document that describes which life-sustaining procedures are to be performed if the patient's condition acutely deteriorates -Notarized document that is executed by a terminally ill patient's family when the patient develops cardiopulmonary arrest -General guideline provided to the paramedic by the medical director that stipulates the level of care provided to terminally ill patients.
Written document that expresses the wants, needs, and desires of a patient in reference to his or her future medical care.
A DNR order is MOST accurately defined as a: -Written order designed to tell health care providers when resuscitation is or is not appropriate. -Legal document that is executed by the patient while she or he still has decision-making capacity -Written or oral directive that stipulates the care that a patient would receive at the end of his or her life -Legal document signed by at least two physicians that prohibits resuscitative efforts in terminally ill patients
Written order designed to tell health care providers when resuscitation is or is not appropriate.
When caring for any patient, it is important to remember that: -Your moral standards should affect the way you treat the patient. -The patient's wishes and your moral standards are often the same. -Your moral standards may conflict with the patient's best interests.
Your moral standards may conflict with the patient's best interests.
Being empathetic towards the patient means that you: -acknowledge the patient's feelings -reassure the patient of your competence -feel a sense of sorrow for the patient -know exactly how your patient feels
acknowledge the patient's feelings
The following are examples of responsibilities that you will have as a paramedic with the exception of: -billing management -scene management -patient assessment and care -preparation
billing management
Peter Safar is known for: -developing cardiopulmonary resuscitation -developing the first portable defibrillator -discovering the concept of shock -starting the first paramedic program in Miami, Florida
developing cardiopulmonary resuscitation
The first step of developing a research project is to: -identify a problem -obtain funding -establish parameters -perform a literature search
identify a problem
You inadvertently administer a medication to a patient at a rate that is too fast and their blood pressure drops. This is an example of: -non-feasance -skills-based failure -knowledge-based failure -rules-based failure
knowledge-based failure
_______ is the state's grant of legal authority, pursuant to the state's police powers, to practice a profession within a designated scope of practice. Under the ___________ system, states define, by statute, the tasks and function or scope of practice of a profession and provide that these tasks may be legally performed. -reciprocity -registration -certification -licensure
licensure
Your protocols are an example of: -off line medical direction -quality management -quality assurance -on line medical direction
off line medical direction
Speaking with your medical director via a cellphone about the care plan of the patient that you are caring for is an example of: -quality management -off line medical direction -quality assurance -on line medical direction
on line medical direction
Possible stress points in the day-today operations of the EMS system that would likely be identified by a comprehensive CQI program include all of the following, EXCEPT: -receiving facility issues -education and training issues -medical direction issues -personal finance issues
personal finance issues
The purpose of crew resource management is to: -promote situational awareness to prevent medication errors. -assure all team members understand how to work in the incident management system. -prevent errors by determining who is at fault from previous events -promote safety while enhancing the efficiency of crew performance
promote safety while enhancing the efficiency of crew performance
Research that focuses on questions within surrounding events and concurrent processes and attempts to build a more complete, hollistic picture while taking into account real-world factors that may have influenced the study is known as: -quantitative research -retrospective research -cross-sectional design -qualitative research
qualitative research
Research that gathers data in a numerical form which can be put into categories, or in rank order, or measured in units of measurement is known as: -qualitative research -retrospective research -quantitative research -cross-sectional design
quantitative research
________ addresses training that occurred in a place other than where a paramedic wants to practice. -registration -licensure -reciprocity -certification
reciprocity
___________ means that records of a paramedic's education, state or local licensure, and recertification will be held by a recognized board. -reciprocity -registration -licensure -certification
registration
Specific functions that the paramedic should perform prior to contacting medical control are called: -online protocols -predefined standards -standing orders -physician directives
standing orders
When reading a research article, you should evaluate the evidence by looking at all of these things with the exception of: -effectiveness of the treatments -methodological flaws -symptom severity -consistency of the results
symptom severity
Which of the following is not one of the core principles of crew resource management? -scene safety -decision making -communication -task management
task management
