Care and Transportation of the Sick and Injured (Retest)

A critical incident stress debriefing should be conducted no longer than _____ hours following the incident. A. Six B. 72 C. 12 D. 24

72 Hours.

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

Medical Director

As an EMT, it is important to remember that the signs and symptoms of cumulative stress:

Might not be present or obvious at all times.

Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct?

A mentally competent adult can withdraw his or her consent to treat at any time

Which of the following statements regarding a patient refusal is correct

A mentally competent adult has the legal right to refuse EMS care and transport.

Why are prehospital emergency care guidelines updated on a regular basis?

Additional information and evidence indicate that the effectiveness of certain interventions has changed.

Which of the following situations require you to notify the appropriate authorities.

Attempted suicide

Which of the following skills would be late person most likely to train to perform for the arrival of EMS.

Bleeding control using a tourniquet.

After delivering your patient to the hospital, You sit down to complete the handwritten PCR. When documenting the pieces last blood pressure reading, universe in the right 120/60 instead of 130/70. To correct this mistake, you should:

Draw a single horizontal line through the air, initial it, and write the correct data next to it.

You are transporting a 54-year-old male in respiratory arrest. An EMR is driving the ambulance as you and your partner are caring for the patient. What is the most logical way of notifying the hospital?

Have the driver contact dispatch and relay the patient information to the hospital.

The_________ deals with the well-being of the EMT, career progression, and EMT compensation.

Human resources department

EMT training in nearly every state meets or exceeds the guidelines recommended by the:

National Highway Traffic Safety Administration (NHTSA)

When caring for a 65-year-old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient's condition continues to deteriorate: interval of cardiac arrest and dies at the hospital. This scenario is an example of:

Negligence

Which of the following statements regarding good Samaritan laws is correct?

Such laws will not protect the EMT in cases of gross negligence.

Which of the following statements regarding the EMS medical Director and EMT scope of practice is correct?

The EMT scope of practice may be expanded by the medical director after proper training in state approval

Which of the following is a specific example of the mobile integrated healthcare model?

The paramedic administers a patient's flu vaccination

In which of the following circumstances can the EMT legally release confidential patient information?

The patient is competent and signs a release form

You and your partner are dispatched to a residence for an ill person. When you arrive, you find out the patient, a 44-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:

Use short, simple questions and point to specific parts of the body to try and determine the source of the patient's complaint.

What is forcible restraint permitted

When the patient poses a significant threat to self or others

A patient refusal of EMS treatment and/or transport must be:

an informed refusal

As an EMT, the performance of your duties will be compared to that of:

another EMT

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:

ask the father to hold the child so you can assess him while your partner tries to calm the mother.

In which of the following manners should you act and speak with a patient?

calm and confident

Hazards that are associated with the structural fire include all the following, except:

carbon dioxide deficiency.

If it is not possible to adequately clean your ambulance at the hospital following a call, you should:

clean the ambulance at your station in a designated area that is well ventilated

Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:

complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.

While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. Your most appropriate action should be to:

continue transporting your patient and notify the dispatcher of the crash

Determination of exposure is an important component of an infection control plan because it:

defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure.

An EMT would most likely be held liable for abandonment if he or she:

did not make provisions for continued care of an injured patient

The most important consideration at the scene of a hazardous materials incident is:

ensuring your personal safety.

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

Characteristics of eustress following dispatch to a high speed motor vehicle collision may include:

increased self-image from performing well under a challenging situation

According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to: A. Apply and interpret date from a pulse oximeter B. Insert peripheral intravenous catheter C. Use an automatic transport ventilator. D. Give aspirin to a patient with chest pain.

insert a peripheral intravenous catheter

If an action or procedure that was performed on a patient is not recorded on the written report:

it was not performed in the eyes of the law.

All of the following are considered to be protected health information except:

location of the call

Calming and reassuring an anxious patient can be facilitated by

maintaining eye contact with the patient whenever possible.

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:

medical director approval.

Prescription glasses do not provide adequate eye protection because they:

offer little or no side protection.

After receiving online orders from medical control to perform a patient care intervention, you should:

repeat the order to medical control word for word.

A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should:

retreat and notify law enforcement personnel.

You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.

slander

EMR's such as firefighters, law enforcement, etc, are an integral part of the EMS system because:

they often arrive at the scene before the ambulance and EMTs.

At the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:

use the mobile radio in the ambulance to contact dispatch.

When communicating information over the radio, you should:

use the words "affirmative" and "negative" instead of "yes" or "no."

If you use a waterless handwashing substitute in the field, it is important to:

wash your hands with soap and water at the hospital.

The most effective way to preserve your own body heat when functioning in cold, wet weather is to:

wear at least three layers of clothing..

Gloves, a mask, eye protection, and a face shield should be used:

when performing endotracheal intubation

A positive TB skin test indicates that:

you have been exposed to the disease.