EMT chapter 1 Vocab

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11 steps of the Emergency Medical System

1. Incident Recognition 2. Access 911 3. Dispatch 4. First Responder 5. BLS 6.ALS 7. Transport Ground/Air 8. Emergency Department 9. Specialty Care 10. Patient Rehabilitation 11. prevention awareness 12. public education

paramedic training requires how many hours about

1000-1300

EMT course requires about ___ hours

150

When was the Accidental Death and Disability: The Neglected Disease of Modern Society published?

1966

when was the orange book published and by who

1971 by AAOS

when were AEMTs started

1980s to allow EMTs to be trained in ALS

Americans with Disabilities Act (ADA) was passed in

1990

Instructors and directors of ALS must have what

4 year degree

public safety access point

A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services

Automated External Defibrillator (AED)

A device that detects treatable life-threatening cardiac arrhythmia's (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.

what are standing orders

A form of off-line (indirect) medical control, involves performing certain life-saving interventions (CPR, defibrillation, bleeding control) before contacting a physician for further instructions

Mobile Integrated healthcare (MIH)

A method of delivering health care which involves providing health care within the community rather than at a physician's office or hospital

Continuous Quality Improvement (CQI)

A system of internal and external reviews and audits of all aspects of an EMS system

Emergency Medical Dispatch (EMD)

A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crews

All of the following are responsibilities of the EMS medical director, EXCEPT: A. evaluating patient insurance information. B. serving as a liaison to the medical community. C. ensuring that the appropriate standards are met by EMTs. D. ensuring appropriate EMT education and continuing training.

A.

Chain of cardiac survival

Activation (phone), Early CPR, early defibrillation, early transport, early life support care

AEMT stands for

Advanced Emergency Medical Technician

AEMT is trained in

Advanced Life support (ALS) including: Intravenous (IV) therapy, Administration of a limited number of emergency medications

law that prohibits employers from failing to provide full and equal employment

Americans with Disabilities Act (ADA)

Advanced EMT (AEMT)

An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications

using your persona to project a sense of trust, professionalism, knowledge, and compassion

Appearance and hygiene

training of EMT's includes

Automated external defibrillation, Airway Adjuncts, assisting patients with certain medications

AED stands for

Automated external defibrillators

Which of the following is an example of care that is provided using standing orders? A. Medical control is contacted by the EMT after a patient with chest pain refuses EMS care. B. The EMT defibrillates a patient in cardiac arrest, begins CPR, and then contacts medical control. C. A physician gives the EMT an order via radio to administer oral glucose to a diabetic patient. D. Following an overdose, the EMT contacts the medical director for permission to give activated charcoal.

B

Which of the following situations would MOST likely disqualify a person for EMS certification? A. A misdemeanor committed at age 17 B. Driving under the influence of alcohol C. Possessing a valid driver's license from another state D. A mild hearing impairment that is corrected with hearing aids

B (felony)

EMT has training in

Basic Life Support (BLS)

Which of the following is NOT a component of continuous quality improvement (CQI)? A. Periodic review of run reports B. Discussion of needs for improvement C. Negative feedback given to those who make mistakes while on a call D. Remedial training as deemed necessary by the medical director

C

Which of the following is a professional responsibility of the EMT? A. Telling the family of a dying patient that everything will be OK B. Maintaining only the skills that he or she feels uncomfortable with C. Maintaining a professional demeanor in even the most stressful situations D. Advising an emergency department nurse that patient reports are given only to a physician

C. Maintaining a professional demeanor in even the most stressful situations

A patient who requires cardiac monitoring in the field would require, at a minimum, which level of EMS provider? A. EMR B. EMT C. Paramedic D. AEMT

C. Paramedic

Quality control in an EMS system is the ultimate responsibility of the: A. paramedic. B. lead EMT. C. medical director. D. EMS administrator.

C. medical director

Upon arriving at the scene of a domestic dispute, you hear yelling and the sound of breaking glass from inside the residence. You should: A. immediately gain access to the patient. B. carefully enter the house and then call the police. C. retreat to a safe place until the police arrive. D. tell the patient to exit the residence so you can provide care.

C. retreat to a safe place until the police arrive

what does CAAHEP stand for

Commission on Accreditation of Allied Health Education Programs

what does CoAEMSP stand for

Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions

Most EMS training programs must adhere to national standards established by which two accrediting organizations?

Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP) and Commission on Accreditation of Allied Health Education Programs (CAAHEP)

experienced paramedics who receive advanced training to equip them to provide services within a community

Community Paramedics

Americans with Disabilities Act (ADA)

Comprehensive legislation that is designed to protect individuals with disabilities against discrimination

circular system of continuous internal and external reviews and audits of all aspects of an EMS system

Continuous Quality Improvement (CQI)

Which of the following should be the EMT's highest priority? A. Controlling severe bleeding B. Maintaining a patient's airway C. Ensuring patient safety D. Ensuring personal safety

D (size up the scene)

Emergency patient care occurs in progressive phases. What occurs first? A. Activation of EMS B. Initial prehospital care C. The patient receives definitive care D. Incident recognition

D (someone must recognize an emergency before EMS can be activated)

who published the first EMT training curriculum and when

Department of Transportation in early 1970s

the _____ encourages the creation of systems to help protect the well-being of EMS providers, including the development of career ladders

EMS Agenda for the Future

____ are the backbone of the EMS system in the US

EMTs

system developed to assist dispatchers in providing callers with vital medical instructions until EMS arrival

Emergency Medical Dispatch system (EMD)

EMR stands for

Emergency Medical Responder

What created funding sources and programs to develop improved systems of prehospital emergency care

Emergency Medical Services Development Act of 1973

EMT stands for

Emergency Medical Technician

Being aware of and thoughtful toward the needs of others

Empathy

Paramedic has extensive ALS training including

Endotracheal intubation, emergency pharmacology, cardiac monitoring

Health Insurance Portability and Accountability Act (HIPAA)

Federal legislation passed in 1996. limits availability of patients' health care information and penalizes violation of patient privacy

EMS system during the Korean Conflict

Field medic and rapid helicopter evacuation

what does HIPAA stand for

Health Insurance Portability and Accountability Act

acting consistently; maintaining a firm adherence to a code of honest behavior

Integrity

Who is responsible for maintaining quality control in the EMS system

Medical Director

who looks over the EMS system at the local level

Medical director provides oversight and support (example: the meds that are carried on an ambulance or where the patients are transported)

new method delivering health care that utilizes the prehospital spectrum, evolved as result of Patient Protection and Affordable Care Act

Mobile Integrated Health Care

what does MIH stand for

Mobile integrated health care

is the senior EMS in charge of medical matters

NO

Federal Source for education standards

National Highway Traffic Safety Administration

what does NHTSA stand for

National Highway Traffic Safety Administration

Are providers required to consult medical direction before implementing standing orders

No

2 types of medical control

Off-line or Online

Mobile Integrated Health Care (MIH) evolved from what Act

Patient Protection and Affordable Care Act

Medical Control

Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program

person who authorizes EMTs to provide medical care in the field

Physician medical director

main area in which an EMS agency operates

Primary Service Area (PSA)

2 ways EMS works with public health agencies

Primary and Secondary prevention

the person usually in charge of necessary administrative tasks such as scheduling, personnel, budgets, purchasing and vehicle maintenance and the daily operations of ambulances and crews

Senior EMS

on the federal level what provides guidelines for EMS skills (the minimum skills each level of EMS provider should be able to perform)

The National EMS Scope of Practice Model

What is the Accidental Death and Disability: the Neglected Disease of Modern Society commonly known as

The White Paper

Primary service area (PSA)

The designated area in which the EMS agency is responsible for

true or false: EMTs may be asked to Gather insurance info, secure signatures, obtain permission from patients to bill insurance

True

What 2 arrhythmia does an AED detect

Ventricular Fibrillation and Ventricular Tachycardia

national EMS scope of practice Model

a document created by the national highway traffic safety administration (NHTSA) that outlines the skills performed by various EMS providers

what is the EMS agenda for the future and when/ who published it

a document with a plan to standardize the levels of EMS education and providers, published in the 1990s by the National Highway Traffic Safety Administration (NHTSA)

Advanced Life Support (ALS)

advanced lifesaving procedures

the EMT assumes responsibility for what 4 things when arriving on a scene

assessment, care, packaging (how to transport patients with a wide variety of illnesses and injuries), and the transport of the patient

Information Systems can help determine

average on scene time for trauma patients, need for educational sessions, national trends

BLS stand for

basic life support

Emergency medical responder (EMR)

basic training, provides care before the ambulance arrives ex: police officer, firefighters, lifeguards

paying attention to details; making sure that what is being done for the patient is done as safely as possible

careful delivery of care

______ Describes the various pieces of equipment and scope of practice for using that equipment

clinical care

understanding others and making yourself understood to others

communications

Integration of health services/ care ensures what for the patient

comprehensive continuity of care

what does CQI stand for

continuous quality improvement

What is online medical control

direct, Physician directions given over the phone or radio

Secondary Prevention

efforts to limit the effects of an injury or illness that you cannot completely prevent

Primary Prevention

efforts to prevent an injury or illness from ever occuring

EMS system provides:

emergency care and transport

Primary Job as EMT

ensure scene is as safe as possible

quality control

ensuring that all staff members who are involved in caring for patients meet appropriate medical care standards on each call

what does public health do

examines the health needs of entire populations with the goal of preventing health problems

Community Paramedicine

experienced paramedics receive advanced training to equip them to provide additional services in prehospital environment

EMS system during WWII

field care

Public health

focused on examining the health needs of entire populations with the goal of preventing health problems

Primary Prevention

focuses on strategies that will prevent the event from ever happening

Paramedic

has extensive training in ALS including endotracheal incubation, emergency pharmacology, cardiac monitoring

what is the MIH model

health care is provided within the community by teams of professors rather than in a physician's office or hospital

3 most common things treated by EMS

heart attacks, strokes, sepsis

EMS systems collaborate with hospitals to improve treatment for patients with (what 3 things)

heart attacks, trauma, stroke

4 general requirements to be an EMT

high school diploma, immunizations, background check and drug screening, and driver's license

___ focuses on the people who deliver care and their compensation and interaction with other members of medical community

human resources

what is Off-line medical control

indirect, standing orders, training, supervision

Secondary Prevention

occurs after the event has already happened. The question then is How can we decrease the effects of this event

constantly keeping the needs of the patient at the center of care

patient advocacy

In addition to patient care services a typical paramedic would provide, community paramedics also may

perform health evaluations, monitor chronic illnesses or conditions, obtain lab samples, administer immunizations, or serve as patient advocates

Educating the community on pool safety and care seat installation are examples of primary or secondary prevention

primary

Title I of the ADA

protects EMTs with disabilities who are seeking employment, may require modifying the work environment or how the job is performed

what does HIPAA do

protects confidentiality of a patients medical information

Prevention and public education are aspects of EMS where the focus is on

public health

holding others in high regard or importance; understanding that others are more important than you

respect

helmets and seat belts are examples of primary or secondary prevention

secondary

Discovering problems and solving the without someone directing you

self motivation

knowing what you know and knowing what you do not know; being able to ask for help

self-confidence

EMS system is governed by ____ laws

state

Although each EMS system, medical direction, and training program has some latitude its training, protocols, and practices must follow

state legislation, rules, regulations and guidelines

being able to work with others; knowing your place within a team; communicating while giving respect to the listener

teamwork and diplomacy

What established modern EMS as we know it

the Accidental Death and Disability: the Neglected Disease of Modern Society

After completing the course you are eligible to take either:

the National Registry of EMTs exam or the state's certification exam

Intravenous (IV) therapy

the delivery of medication directly into a vein

Medical Director

the physician who authorizes or delegates to the EMT the authority to provide medical care in the field

quality control

the responsibility of the medical director to ensure the appropriate medical care standards are met by EMTs on each call

performing or delegating multiple tasks while ensuring efficiency and safety

time management

what are Information Systems used for

to efficiently document the care that has been delivered

what is the goal of CQI

to minimize errors

Emergency Medical Technician (EMT)

trained in basic life support, including AED, definitive airway adjunct and assisting patients with certain medications

True or false: prehospital care is coordinated with hospital care

true

true/false: EMS instructors are licensed in most states

true

what was the EMS system during WWI

volunteer ambulances

Finance systems for EMS depend on what

which organization is involved


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