EMT Chapter 1

What is the role of the physician medical director?

Authorizes workers to go into the field

At what EMS provider level is an individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications? a. EMR b. EMT c. AEMT d. Paramedic

B

In _______, providers receive advanced training in areas including performing health evaluations and administering immunizations. a. Mobile integrated healthcare (MIH) b. Community paramedicine c. Medical director d. Public safety access points

B

The ________ course requires approximately 150 hours (more in some states) and provides the essential knowledge and skills required to provide basic emergency care in the field. a. Emergency Medical Responder b. Emergency Medical Technician c. Advanced Emergency Medical Technician d. Paramedic

B

The responsibility of the medical director to ensure that the appropriate medical care standards are met by EMTs on each call is called: a. medical control. b. quality control. c. continuous quality improvement. d. primary prevention.

B

Which of the following entities controls licensure of EMTs? a. Community health organizations b. The state in which the EMT practices c. The federal government d. The medical director

B

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

A _______ determines appropriate care by establishing a set of written standing orders and protocols. a. Mobile integrated healthcare (MIH) b. Community paramedicine c. Medical director d. Public safety access points

C

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

Quality control in an EMS system is the ultimate responsibility of the: a. paramedic. b. lead EMT. c. medical director. d. EMS administrator.

C

The length of the ________ course ranges from 200 to 400 hours; this training teaches skills such as IV therapy, the use of advanced airway adjuncts, and the knowledge and skills necessary to administer a limited number of medications. a. Emergency Medical Responder b. Emergency Medical Technician c. Advanced Emergency Medical Technician d. Paramedic

C

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

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

Which of the following statements about health care in the United States is true? a. The United States spends more money per capita on health care than most other countries, but the level of care is superior. b. The average life expectancy in the United States is the highest in the world due to advances in health technologies. c. Health care in the United States is expensive but does not necessarily provide better health outcomes. d. The United States has low health care costs as compared to other wealthy nations.

C

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

_________ can be reached by dialing 9-1-1. a. Mobile integrated healthcare (MIH) b. Community paramedicine c. Medical director d. Public safety access points

D

What organization published the first EMT curriculum?

DOT (Department of Transportation)

Who is in charge of quality control?

Medical director

True or False: ALS-level instructors and directors must hold a four-year degree.

True

True or False: Evidence-based research is the primary means to determine if changes need to be made in patient care.

True

What are the four levels of emergency workers? Describe each level.

· EMR: provide emergency care with limited equipment before ambulance arrives · EMT: trained in BLS · AEMT: EMT with training in specialized areas of ALS · Paramedic: extensive training of ALS

What is the EMS?

· Emergency Medical Services · Team of healthcare professionals who provide help and transportation for people who are sick and injured

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

In _______, an integrated team of health care professionals delivers health care services and connects patients with other resources. a. Mobile integrated healthcare (MIH) b. Community paramedicine c. Medical director d. Public safety access points

A

Public health examines the health needs of entire populations. In the United States, public health focuses on education and what else? a. Prevention b. Treatment c. Surveillance d. Evaluation

A

Which of the following is an example of secondary prevention? a. Providing cervical spine immobilization b. Administering vaccines c. Legislating the use of seatbelts d. Teaching safety in schools

A

Which organization developed and published the first curriculum that served as the guideline for EMT training? a. Department of Transportation (DOT) b. Department of Health and Human Services (DHHS) c. National Academy of Sciences d. Occupational Safety and Health Administration (OSHA)

A

_________ training provides skills necessary to initiate immediate care and focuses on providing immediate BLS and urgent care with limited equipment. a. Emergency Medical Responder b. Emergency Medical Technician c. Advanced Emergency Medical Technician d. Paramedic

A

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

The ________ completes an extensive course of training that lasts from 1,000 to more than 1,300 hours, which significantly increases knowledge and mastery of basic skills and covers a wide range of ALS skills. a. Emergency Medical Responder b. Emergency Medical Technician c. Advanced Emergency Medical Technician d. Paramedic

D

What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? a. It enables patients to travel without losing health insurance. b. It requires insurance companies to justify denying health care. c. It prevents an emergency department from refusing to care for a critically ill patient. d. It limits the availability of a patient's health care information.

D

Which of the following is the process in which a person, institution, or program is evaluated and recognized as meeting predetermined standards to provide safe and ethical care? a. Continuous quality improvement b. Medical control c. Licensure d. Certification

D

True or False: The development of airbags in vehicles is an example of primary prevention.

False

True or False: The focus of the public health arm of health care is education.

False

What is the role of the medical director?

Middleman between medical community, hospitals, and EMTs

What organization developed EMS Agenda for the Future and EMS Agenda for 2050?

NHTSA (National Highway Traffic Safety Administration)

What organization provides certification for EMTs?

NREMT

What is the main focus of public health?

Prevention

What are standing orders?

Specific orders for a designated situation that EMTs can follow without consulting medical director

Who determines licensure of healthcare workers, local, state, or federal?

State

What is a public access system?

System provides access to 9-1-1

What are the steps of Continuous Quality Improvement (CQI)? What is its goal?

· Plan: gather information · Do: implement changes · Study: observe how changes impact EMS system · Act: adjust EMS system with positive changes from the Do phase · Goal is to reduce errors in the field

What is primary and secondary prevention?

· Primary prevention: helps to prevent injuries from ever happening · Secondary prevention: helps to limit or reduce injuries if it is already going to be happening

What does the American Disabilities Act do? What title protects EMT workers?

· Protects people with disabilities from discrimination in employment and job compensation by employers · Title I protects EMT workers

What does the Mobile Integrated Health Care (MIHC) do?

· Provides health services to communities by team of professionals · Uses community paramedicine