EMS Chapter: 2

PPE

Personal protective equipment: Examples: gloves, gowns, and face shields

Physiologic manifestations of stress include:

Perspiration, increased blood glucose levels, and dilated pupils

You or your partner may develop ________________, after experiencing a particularly stressful call.

Posttraumatic stress

OSHA

Regulatory compliance agency

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 longer to get there. You should:

Retreat and notify law enforcement personnel

Which of the following statements regarding HIV is correct?

There is no vaccine against HIV infection

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 ventillated

Which of the following would provide the EMT with the best cover in a situation involving active gunfire?

concrete barricade

Exposure

contact with blood, body fluids, tissues, airborne particles

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

when performing endotracheal intubation

A 12 year old boy told his grandmother to collect the day's mail, located on the opposite side of the street, for her. As he was returning with the mail, he was struck by vehicle and was found lifeless in the middle of the street. Which of the following would be appropriate to say to the grandmother?

"we're placing him on a backboard to protect his back, and we'll take him to the hospital. Do you know who his doctor is?

Components of the CISM system include:

- preincident stress education - defusings - spouse and family support

sexual harassment is defined as:

- sexual advance -unwelcome requests for sexual favors unwelcome verbal or physical conduct of a sexual nature

If you find that you are the target of the patient's anger, make sure that you:

-are safe -do not anger or insults personally - are tolerant and do not become defensive

A critical incident stress debriefing should be conducted no more than _______________ hours following the incident.

72 hours

The Best way to reduce your risk of contracting a work related disease following exposure is to:

Activate your departments infection control plan as soon as possible

a 15 year old was killed when he was struck by a care and disfigured. The parents demand to see him. You should:

Advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like to contact first

General Adaptation Syndrome is characterized by which of the following phases?

Alarm response, reaction and resistance, and recovery

Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?

An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed

It is especially important for EMS personnel to develop non-adversarial relationship with their coworkers because they:

Depend on one another for their safety

Which of the following is an effective stress management strategy?

Develop a social network outside of EMS

The quickest source of energy is___________

Glucose

While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. Which route of transmission does this scenario describe?

Indirect contact

at the scene of an automobile crash a utility pole has been broken and power lines are lying across the car. The patients inside the care are conscious. You should:

Mark off a danger zone around the downed lines

Prescription glasses do not provide adequate eye protection because they:

Offer little or no side protection

The most serious consequence of drug or alcohol abuse among EMS personnel is:

Substandard or inappropriate patient care

Which of the following statement regarding the different stages of the grieving process is correct

The stages of the grieving process may occur simultaneously

The simplest, yet most effective method of preventing the spread of an infectious disease is to:

Wash your hands in between patient contacts

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

Wash your hands with soap and water at the hospital

Critical incident stress management (CISM) can occur at an ongoing scene in all the following circumstances, Except:

When patients are actively being assessed or treated

Common questions asked by patients with a serious illness or injury include all of the following, Except:

Which hospital am I going to

You are transporting an elderly woman who has possibly experienced a stroke. She is obviously scared but is unable to talk and cannot move the entire right side of her body. In addition to providing the medical care that she needs, you should:

acknowledge that she is scared and tell her that you will take good care of her

When decontaminating the back of your ambulance after a call, you should:

allow surfaces to air dry unless otherwise indicated in the product directions

Vector-borne transmission of an infectious organism occurs via:

animals or insects

____________________is response to the anticipation of danger

anxiety

Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, except.

assessment by the EMT

Carbon monoxide blocks the ability of the blood to oxygenate the body because it

binds with the hemoglobin in red blood cells

Hazards that are associated with a structural fire include all of the following, EXCEPT:

carbon dioxide deficiency

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

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

The struggle to remain calm in the face of horrible circumstances contributes to the ___________ of the job

emotional stress

what is the simplest, yet most effective wat to control disease transmission.

hand washing

Vaccination against the hepatitis A virus is unnecessary if you:

have been infected with hepatitis in the past

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

may not be obvious or present all the time

According to Occupational Safety and Health Administration, an employer must:

offer a workplace environment that reduces the risk of exposure

The EMT's first priority is_________.

personal safety

Infectioncontrol

procedures to reduce transmission of infection among patients and health care

General adaption syndrome

process of alarm, reaction, and recovery

Upon arriving at the scene of a motor vehicle crash, you note that two small cars collided. after parking ambulance at a safe distance you and your partner should:

put on high visibility safety vests

After assessing a patients blood glucose level, you accidentally stick yourself with the contaminated lancet. You should

report the incident to your supervisor after the call

Quid pro quo, a type of sexual harassment, occurs when the harasser:

requests sexual favors in exchange for something else

Patients who become dependent upon EMS personnel or other health care providers often feel:

shamed

When acknowledging the death of a child, reactions vary, but ______________is common.

shock, disbelief, denial,

According to the Centers for Disease Control and Prevention (CDC) recommended immunizations and tests include a:

tetanus/diptheria/petrussis booster every 10 years

A positive TB skin test indicates that:

you have been exposed to TB