EMT Chapter 3-4
What is the preferred number of rescuers when using a stair chair ?
3 : two carrying, one spotting.
When lifting a stretcher or backboard, which of the following is the best number of people to use:
4 people
Advance directive
A DNR order; instructions written in advance of an event.
Res ipsa loquitur
A Latin term meaning " the thing speaks for itself "
An EMT called to the scene of a multiple vehicle collision has:
A clear duty to act
The person who is legally designed to make health care decisions if the patient is unable to do so is called :
A health care proxy
Power lift
A lift from a squatting position
Extremity lift
A method of lifting and carrying a patient during which one rescuer slips hands under the patients armpits and grasps the wrist, while another rescuer grasps the patients knees.
Direct ground lift
A method of lifting and carrying a patient from ground level to a stretcher.
Direct carry
A method of transferring a patient from a bed to stretcher.
Draw-sheet method
A method of transferring a patient from bed to stretcher by grasping and pulling the loosened bottom sheet of bed.
Which of the following patients could be moved using an ambulance cot?
A responsive patient on a gymnasium floor
A device used to carry an unresponsive patient is :
A vacuum mattress
Documents signed by a patient that communicate his or her wishes regarding medical care are called :
Advance directives
The health insurance portability and accountability acts ( HIPAA) :
Allow you to discuss patient - specific information only with individuals with whom it is medically necessary to do so
Tort
An action or injury caused by negligence from which a lawsuit may arise
A legal document allowing the Health care provider to withhold resuscitation from a chronically or terminal ill patient is the known as:
An advance directive
A method of lifting and carrying a patient during which one rescuer slips hands under the patients armpits and grasps the wrist while another rescuer grasps the patient's knees is:
An extremity lift
Duty to act
An obligation to provide care to a patient
Liability
Being held legally responsible
In moving a patient on a stretcher. What is the safest level at which to do so ?
Closest to the ground
Expressed consent
Consent given by adults who are legal of age and mentally competent to make decisions
Maintaining physical health fitness is important for :
Decreasing your physical lifting limitations
A method of transferring a patient from bed to stretcher, during which two or more rescuers curl the patient to their chest the reverse the process to lower the patient to the stretcher is :
Direct carry
DNR
Do not resuscitate
An efficient way of transferring a patient between a hospital and nursing home that uses the patients bed in the transfer is the :
Draw-sheet method
For a patient without a possibility of spinal injury, which carry should be used to move him from a bed to a stretcher?
Draw-sheet method
An ideal lifting arrangement is:
EMTs of similar strength and height
You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall ?
Explain to the patient what you are doing and advise her to hold her hands together and not let you go until you are finished moving her.
When an Emt takes the time to ask permission from a conscious adult to do an assessment and procedures, this is respecting the legal principle of:
Expressed consent
Which type of consent must be used by the EMT when seeking to treat a mentally competent adult ?
Expressed consent
Which of the following should you used when you want to move a patient from a wheelchair to a stretcher?
Extremity lift
Libel
False injurious information in written form
Slander
False injurious information stated verbally.
During which type of drag should you take care not to bump the patients head ?
Foot drag
If the weight is below your waist level, what is the proper position for pushing or pulling ?
From a kneeling position
Laws that have been developed by states to minimize the risk of individuals being held liable for providing emergency care to victims of illness or injury are called :
Good Samaritan laws
Power grip
Gripping with as much hand surface as possible in contact with the object and hands at least 10inches apart.
The concept of res ipsa loquitur would be most relevant to a situation involving:
Harm to a patient in the care of EMTs
bariatric
Having to do with patients who are significantly over weight/obese.
Scope of care
How you should do it
A patient appears to be in the midst of a psychotic episode and is unable to make a rational decision about consenting to emergency care. The EMT may care for the patient on the basis of :
Implied consent
In loco parentis
In place of a parent. person who gives consent for care of child when parents aren't present or able to give consent.
In a Fowler or semi-Fowler position, it is normal and not a cause of concern if the patient :
Is in a semi-sitting position
Which of the following is true about the scope of practice ?
It is governed by many medical legal and eithical guidelines
What is an advantage of a vacuum mattress?
It naturally pads voids for the greater comfort as air is withdrawn.
When pushing or pulling, you should :
Keep the line of pull through the center of your body
To use your legs instead of your back to lift, you must :
Keep the weight close to your body
General guidelines for lifting include
Keeping your feet shoulder-width apart.
If the weight being pulled is bellow the level of the EMTs waist. He should be in a (n ) :
Kneeling position
If an EMT were to release information about how intoxicated a patient was onto social networking site this could be considered :
Libel
You document on your run sheet that your patient with altered mental status is " just another drunk" this would be likely be considered:
Libel
Why does the emt scope of practice vary from state to state ?
Local legislation
To minimize or prevent aggravation of spinal injury an emergency move, the EMT should move the patient in the direction of the :
Long axis of the body
Which of the following is used to immobilize a patient with a suspected spinal injury ?
Long backboard
Of the two types of spine boards, the one used for the transport of patients in the supine position is the :
Long spine board
You observe what appears to be elder abuse in a call to a nursing home. You have a clear:
Moral obligation to report the abuse
Ethics
Moral or standards governing actions
Which of the following best describes an urgent move ?
Moving a patient from a car directly to a long spine board
An important key to preventing injury while lifting or moving is :
Not compensating when lifting with one hand
Consent
Permission from the patient for care or other action by EMT
POLST
Physician Order for Life-Sustaining Treatment.
Which of the following is NOT correct when performing a log roll?
Place both feet flat on the ground
You and your partner decide to use a short background to immobilize a patient. This patient is :
Possibly Injured in the neck or spine
What following techniques is used by power weight lifters ?
Power lift
You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. What would be the best position for transporting the patient ?
Recovery position
Ethical considerations:
Relate primarily to making patient care and well- being priority
The actions and care that are legally allowed for the EMT are called the:
Scope of practice
The administration of oxygen and the application of spinal immobilization are part of which of the following for the EMT ?
Scope of practice
What is a set of regulations and ethical considerations that define the extent and limits of the EMTS job?
Scope of practice
Which of the following refers to the set of regulations that defines the legal actions expected of and limitations placed on the EMT ?
Scope of practice
Negligence
Something that should have been done, was not done, or was done incorrectly
What is the contraindication for the use of a scoop or orthopedic stretcher?
Spinal injury
Quality improvement relates primarily to :
Standard of care
The care that would be expected to eve provided to the same patient under the same circumstances by another EMT who had received the same training is called the :
Standard of care
When executing a power lift, to keep the weight as close to your body as possible:
Straddle it if posible
HIPAA
The Health Insurance Portability and Accountability Act.
When a stretcher with a patient secured to it is elevated, what occurs?
The center of the gravity is raised and this causes a tip hazard.
Body mechanics
The proper use of the body to facilitate lifting and moving & prevent injury
The actions that an EMT is legally allowed to perform while caring for an injured ill patient are known as :
The scope of practice
Even if the Good Samaritan laws in a particular state cover the actions of EMTS as rescuers they can still be held liable and are not protected by these laws if :
Their actions demonstrate gross negligence
If emergency care providers discover that a seriously injured patient is an organ donor, they should:
Treat the patient as a non-donor
During a cradle carry, one arm is across the patients back and the other:
Under the knees
A living will :
Usually pertains to situations occurring in a hospital
You are called to the scene of a patient who fell approximately 10ft off a stepladder to the floor of a third-story attic of a very old building. He is complaining of severe neck and back pain and he has an obvious fractured ankle. You cannot get your stretcher past the first- floor stairs and your long spine board is not practical with the winding spiral staircase & the small attic access. What is the best device to safely get the patient where he can be properly immobilized?
Vest- type extrication device
A flexible device that is used to help immobilize the spine of an adult patient in confined spaces, such as a bucket seat of car is a :
Vest-type extrication device
Scope of practice
What you should do
You want to move a responsive patient with no spine injuries in a semi- sitting position. For this you should use a :
Wheeled stretcher
A stair chair should be used in which of the following circumstances?
When traversing narrow corridors and doorways.
Which of the following is most clearly a HIPAA violation:
You provide a personal injury attorney with a copy of a patient care report
Implied consent
occurs through the actions or conduct of the patient rather than direct communication through words. Such as unconscious patient or a parent who cannot be contacted when care is needed.
