EMT Chapter 1: EMS Systems
EMS as we know it today had its origins in 1966 with the publication of:
Pg 9 Accidental Death and Disability: The Neglected Disease of Modern Society
If an EMT candidate. has been convicted of a felony or misdemeanor, he or she should:
Pg 9 Contact the state EMS office and provide its staff with the required documentation
Federal legislation concerning patient confidentiality is know as
Pg. 27 HIPPA
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:
Pg. 5 National Registry of EMTs
Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct?
Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct?
Obtaining continuing medical education is the responsibility of the:
individual EMT.
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a:
pg 6 A paramedic
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:
pg 6 Paramedic
Efforts to limit the effects of an injury or illness that you cannot completely prevent are considered ____ prevention.
secondary
Federal legislation passed in 1996. It's main effect in EMS is in limiting availability of patients' health care information and penalizing violations of patient privacy.
HIPPA (Health Insurance Portability Privacy Act)
The process whereby a state allows individuals to perform a regulated act.
Licensure
Continuing education in EMS serves to:
Maintain, update, and expand your knowledge and skills.
The physician who authorizes or delegates to the EMT the authority to provide medical care in the field.
Medical director
Describe the two basic types of medical direction that help the EMT provide care.
Online medical direction is provided through radio or telephone connections between the EMT and the medical control facility. Off-line medical direction is provided through written protocols, training, and standing orders.
The designated area in which the EMS service is responsible for the provision of prehospital emergency care and transportation to the hospital.
PSA (primary service area)
An individual who has extensive training in advanced life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.
Paramedic
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:
Pg 11 Insert a peripheral intravenous catheter
Which of the following scenarios involves the administration of ALS?
Pg 11-14 48 year old patient whose airway is secured with a supraglottic device
Which of the following skills would a layperson most likely be trained to perform before arrival of EMS
Pg 13 Bleeding control using a tourniquet
After stocking the ambulance this morning, you and your partner go out for breakfast. while entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. What level of training would allow you to perform an electrocardiogram and advanced life support on this patient?
Pg 14 Paramedic
Which of the following is NOT true of medical control
Pg 18 It is determined by the dispatcher
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the
Pg 18 Medical Director
which type of medical direction do standing orders and protocols describe?
Pg 18 Off-line
After stocking the ambulance this morning, you and your partner go out for breakfast. while entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. To treat this patient, you will follow
Pg 18-19 Off-line medical control
The continuous quality improvement (CQI) process is designed to:
Pg 20 identify areas of improvement and provide remedial training if needed
The major goal of quality improvement is to ensure that
Pg 20-21 The public receives the highest standard of care
Obtaining continuing medical education is the responsibility of the
Pg 22 Individual EMT
Continuing education in EMS serves to
Pg 22-23 Maintain, update, and expand the EMT's knowledge and skills
An appropriate demonstration of professionalism when. your patient is frightened, demanding, or unpleasant is to:
Pg 27 Continue to be nonjudgmental, compassionate, and respectful
According to the National EMS Scope of Practice Model, an EMT should be able to:
Pg 6 Assist a patient with certain prescribed medications
Match each terms:
Pg 6 EMT- EMS professional trained in BLS interventions Paramedic: EMS professional trained in ALS interventions CQI: a system of internal reviews and audits BLS: Basic lifesaving interventions, such as CPR AEMT: EMS professional trained in some ALS interventions ALS: Advanced procedures, such as drug administration
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
Pg 6 National Highway Traffic Safety Administration (NHTSA)
The criteria to be license and employed as an EMT include:
Pg 8 Proof of immunization against certain communicable diseases
Medical control
Physician instruction to EMS team
The responsibility of the medical director to ensure the that the appropriate medical care standards are met by EMT's on each call.
Quality control
Quality control
Responsibility of the medical director to ensure that appropriate care is delivered by an EMT
What role has the US Department of Transportation played in the development of EMS?
The Department of Transportation (DOT) has developed a series of guidelines, curricula, funding sources, and assessment tools designed to develop and improve EMS in the Unites States.
Describe the EMT's role in the EMS system.
The EMT is one of the four levels of prehospital care. The EMT provides basic life support, including automated external defibrillation, use of airway adjuncts, and assisting patients with certain medications.
Medical director
The physician who authorizes the EMT to perform in the field
Which of the following scenarios does NOT involve the administration of ALS?
a 64-year-old cardiac arrest patient who is defibrillated with an automated external defibrillator (AED)
Which of the following descriptions MOST accurately portrays emergency medical services (EMS)?
a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured
While you checked the patient's airway, breathing, and circulation, your partner considered the benefits of requesting a(n) ____ ambulance to assist with patient care.
a. ALS b. CQI c. PSA d. EMD
Which of the following authorizes you, as an EMT, to provide emergency care to this patient?
a. City council b. Medical control c. The medical director d. The fire chief
While you performed CPR on this patient, your partner retrieved the ____, which will deliver an appropriate electrical shock.
a. EMD b. AED c. PSA d. GPS
What level of training will allow you to perform an electrocardiogram and advanced life support on a patient?
a. EMR b. EMT c. AEMT d. Paramedic
Federal legislation concerning patient confidentiality is known as:
a. HIPPA b. NAACS c. EMTALA d. FLCPC
Which of the following is not true about medical control?
a. It is determined by the dispatcher. b. It may be written or "standing orders". c. It may require online radio or phone consultation. d. It describes the care authorized by the medical director.
To treat a patient, you will follow:
a. off-line medical control b. online medical control c. protocols d. all of the above
Control of external bleeding, oxygen administration, and CPR are included in the "scope of practice" of the:
a. paramedic b. EMT c. AEMT d. EMR
All of the following are components of continuous quality improvement EXCEPT:
a. periodic run reviews b. remedial training c. internal reviews and audits d. public seminars and meetings
The major goal of quality improvement is to ensure that:
a. quarterly audits of the EMS system are performed. b. EMT's have received BLS/CPR training c. the public receives the highest standard of care d. the proper information is received in the billing department
List five roles and/or responsibilities of being an EMT.
-Keep vehicles and equipment ready for an emergency -Ensure the safety of yourself, your partner, the patient, and the bystanders -Emergency vehicle operation -Be an on-scene leader -Perform an evaluation in the scene -Call for additional resources as needed -Gain patient access -Perform a patient assessment -Give emergency medical care to the patient while awaiting the arrival of additional medical resources. -Only move patients when absolutely necessary to preserve life. -Give emotional support to the patient, the patient's family, and other responders. -Maintain continuity of care by working with other medical professionals. -Resolve emergency incidents. -Uphold medical and legal standards. -Ensure and protect patient privacy. -Give administrative support. -Constantly continue your professional development. -Cultivate and sustain community relations. -Give back to the profession.
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):
. paramedic. Correct
CQI (continuous quality improvement)
A system of internal reviews and audits
EMS (emergency medical services)
A system to provide prehospital care to the sick and injured
Which of the following skills or interventions is included at every level of prehospital emergency training?
AED
A device that detects treatable life-threatening cardiac arrhythmias (eg, ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.
AED (automated external defibrillator)
An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications.
AEMT (Advanced EMT)
Advanced lifesaving procedures
ALS (advanced life support)
Why are prehospital emergency care guidelines updated on a regular basis?
Additional information and evidence indicate that the effectiveness of certain interventions has changed.
ALS (advanced life support)
Advanced procedures, such as drug administration
Comprehensive legislation that is designed to protect individuals with disabilities against discrimination.
Americans with Disabilities Act (ADA)
Which of the following errors is an example of a knowledge-based failure?
An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.
Which one of the following errors is an example of a knowledge-based failure?
An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.
A system of internal and external reviews and audits of all aspects of an EMS system.
CQI (continuous quality improvement)
A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care.
Certification
The primary __ area is the main area in which an EMS agency operates
Ch 1, pg 17 Service
___ is a circular system of continuous internal and external reviews and audits of all aspects of an EMS system
Ch 1, pg 20 Continuous quality improvement
Primary service area (PSA)
Designated area in which the EMS service is responsible for providing prehospital care
A system that assists dispatchers in selecting the appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crews.
EMD (emergency medical dispatch)
The first trained individual, such as a police officer, fire fighter, lifeguard, or other rescuer, to arrive at the scene of an emergency to provide initial medical assistance.
EMR (emergency medical responder)
A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.
EMS (emergency medical services)
EMT (emergency medical technician)
EMS professional trained in BLS interventions
AEMT (advanced EMT)
EMS professional trained in some ALS interventions
The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on:
EMS research.
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
you local EMS protocols
According to the National EMS Scope of Practice Model, an EMT should be able to:
assist a patient with certain prescribed medications.
According to the National EMS Scope of Practice Model, an EMT should be able to:
assist a patient with certain prescribed medications. Correct
One of the most dramatic recent developments in the prehospital emergency care is the use of a(n) ____ ____ defibrillator.
automated external
Which of the following is an example of a primary prevention strategy?
community awareness programs that emphasize the dangers of drinking and driving
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should
contact the state EMS office and provide them with the required documentation.
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
contact the state EMS office and provide them with the required documentation.
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:
continue to be nonjudgmental, compassionate, and respectful.
The ____________ deals with the well-being of the EMT, career progression, and EMT compensation.
human resources department
The continuous quality improvement (CQI) process is designed to:
identify areas of improvement and provide remedial training if needed. Correct
Obtaining continuing medical education is the responsibility of the:
individual EMT
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:
medical director.
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):
paramedic.
Cardiac monitoring, pharmacological interventions, and other advanced treatment skills are functions of the:
paramedic.
According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office in order to:
perform blood glucose monitoring.
Efforts to prevent an injury or illness from ever occurring are known as ____ prevention.
primary
The criteria to be licensed and employed as an EMT include:
proof of immunization against certain communicable diseases
The criteria to be licensed and employed as an EMT include:
proof of immunization against certain communicable diseases.
Continuing education
A requirement amount of training to maintain skills
BLS (basic life support)
Basic lifesaving interventions, such as CPR
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
Contact the state EMS office and provide them with the required documentation.
_____ _____ _____ is a circular system of continuous internal and external reviews and audits of all aspects of an EMS system.
Continuous quality improvement
Paramedic
EMS professional trained in ALS interventions
An individual who has specific training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications.
EMT (emergency medical technician)
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
National Highway Traffic Safety Administration (NHTSA).
Americans with Disabilities Act (ADA)
Protects disabled individuals from discrimination
Focused on examining the health needs of entire populations with the goal of preventing health problems.
Public health
Continuing education in EMS serves to:
maintain, update, and expand your knowledge and skills
Each EMS system has a physician ____ ____ who authorizes the EMT's in the service to provide medical care in the field.
medical director
What type of medical direction do standing orders and protocols describe?
off-line.
Which of the following is a unique function of the emergency medical dispatcher (EMD)?
providing callers with life-saving instructions
EMRs such as fire fighters, law enforcement officers, and park rangers, are an integral part of the EMS system because:
the presence of a person trained to initiate basic life support (BLS) care cannot be ensured
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should:
recognize that this does not mean it will save more lives.