EMT chapter 1 Vocab
11 steps of the Emergency Medical System
1. Incident Recognition 2. Access 911 3. Dispatch 4. First Responder 5. BLS 6.ALS 7. Transport Ground/Air 8. Emergency Department 9. Specialty Care 10. Patient Rehabilitation 11. prevention awareness 12. public education
paramedic training requires how many hours about
1000-1300
EMT course requires about ___ hours
150
When was the Accidental Death and Disability: The Neglected Disease of Modern Society published?
1966
when was the orange book published and by who
1971 by AAOS
when were AEMTs started
1980s to allow EMTs to be trained in ALS
Americans with Disabilities Act (ADA) was passed in
1990
Instructors and directors of ALS must have what
4 year degree
public safety access point
A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services
Automated External Defibrillator (AED)
A device that detects treatable life-threatening cardiac arrhythmia's (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.
what are standing orders
A form of off-line (indirect) medical control, involves performing certain life-saving interventions (CPR, defibrillation, bleeding control) before contacting a physician for further instructions
Mobile Integrated healthcare (MIH)
A method of delivering health care which involves providing health care within the community rather than at a physician's office or hospital
Continuous Quality Improvement (CQI)
A system of internal and external reviews and audits of all aspects of an EMS system
Emergency Medical Dispatch (EMD)
A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crews
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.
Chain of cardiac survival
Activation (phone), Early CPR, early defibrillation, early transport, early life support care
AEMT stands for
Advanced Emergency Medical Technician
AEMT is trained in
Advanced Life support (ALS) including: Intravenous (IV) therapy, Administration of a limited number of emergency medications
law that prohibits employers from failing to provide full and equal employment
Americans with Disabilities Act (ADA)
Advanced EMT (AEMT)
An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications
using your persona to project a sense of trust, professionalism, knowledge, and compassion
Appearance and hygiene
training of EMT's includes
Automated external defibrillation, Airway Adjuncts, assisting patients with certain medications
AED stands for
Automated external defibrillators
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 (felony)
EMT has training in
Basic Life Support (BLS)
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. Maintaining a professional demeanor in even the most stressful situations
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. Paramedic
Quality control in an EMS system is the ultimate responsibility of the: A. paramedic. B. lead EMT. C. medical director. D. EMS administrator.
C. medical director
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. retreat to a safe place until the police arrive
what does CAAHEP stand for
Commission on Accreditation of Allied Health Education Programs
what does CoAEMSP stand for
Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions
Most EMS training programs must adhere to national standards established by which two accrediting organizations?
Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP) and Commission on Accreditation of Allied Health Education Programs (CAAHEP)
experienced paramedics who receive advanced training to equip them to provide services within a community
Community Paramedics
Americans with Disabilities Act (ADA)
Comprehensive legislation that is designed to protect individuals with disabilities against discrimination
circular system of continuous internal and external reviews and audits of all aspects of an EMS system
Continuous Quality Improvement (CQI)
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 (size up the scene)
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 (someone must recognize an emergency before EMS can be activated)
who published the first EMT training curriculum and when
Department of Transportation in early 1970s
the _____ encourages the creation of systems to help protect the well-being of EMS providers, including the development of career ladders
EMS Agenda for the Future
____ are the backbone of the EMS system in the US
EMTs
system developed to assist dispatchers in providing callers with vital medical instructions until EMS arrival
Emergency Medical Dispatch system (EMD)
EMR stands for
Emergency Medical Responder
What created funding sources and programs to develop improved systems of prehospital emergency care
Emergency Medical Services Development Act of 1973
EMT stands for
Emergency Medical Technician
Being aware of and thoughtful toward the needs of others
Empathy
Paramedic has extensive ALS training including
Endotracheal intubation, emergency pharmacology, cardiac monitoring
Health Insurance Portability and Accountability Act (HIPAA)
Federal legislation passed in 1996. limits availability of patients' health care information and penalizes violation of patient privacy
EMS system during the Korean Conflict
Field medic and rapid helicopter evacuation
what does HIPAA stand for
Health Insurance Portability and Accountability Act
acting consistently; maintaining a firm adherence to a code of honest behavior
Integrity
Who is responsible for maintaining quality control in the EMS system
Medical Director
who looks over the EMS system at the local level
Medical director provides oversight and support (example: the meds that are carried on an ambulance or where the patients are transported)
new method delivering health care that utilizes the prehospital spectrum, evolved as result of Patient Protection and Affordable Care Act
Mobile Integrated Health Care
what does MIH stand for
Mobile integrated health care
is the senior EMS in charge of medical matters
NO
Federal Source for education standards
National Highway Traffic Safety Administration
what does NHTSA stand for
National Highway Traffic Safety Administration
Are providers required to consult medical direction before implementing standing orders
No
2 types of medical control
Off-line or Online
Mobile Integrated Health Care (MIH) evolved from what Act
Patient Protection and Affordable Care Act
Medical Control
Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program
person who authorizes EMTs to provide medical care in the field
Physician medical director
main area in which an EMS agency operates
Primary Service Area (PSA)
2 ways EMS works with public health agencies
Primary and Secondary prevention
the person usually in charge of necessary administrative tasks such as scheduling, personnel, budgets, purchasing and vehicle maintenance and the daily operations of ambulances and crews
Senior EMS
on the federal level what provides guidelines for EMS skills (the minimum skills each level of EMS provider should be able to perform)
The National EMS Scope of Practice Model
What is the Accidental Death and Disability: the Neglected Disease of Modern Society commonly known as
The White Paper
Primary service area (PSA)
The designated area in which the EMS agency is responsible for
true or false: EMTs may be asked to Gather insurance info, secure signatures, obtain permission from patients to bill insurance
True
What 2 arrhythmia does an AED detect
Ventricular Fibrillation and Ventricular Tachycardia
national EMS scope of practice Model
a document created by the national highway traffic safety administration (NHTSA) that outlines the skills performed by various EMS providers
what is the EMS agenda for the future and when/ who published it
a document with a plan to standardize the levels of EMS education and providers, published in the 1990s by the National Highway Traffic Safety Administration (NHTSA)
Advanced Life Support (ALS)
advanced lifesaving procedures
the EMT assumes responsibility for what 4 things when arriving on a scene
assessment, care, packaging (how to transport patients with a wide variety of illnesses and injuries), and the transport of the patient
Information Systems can help determine
average on scene time for trauma patients, need for educational sessions, national trends
BLS stand for
basic life support
Emergency medical responder (EMR)
basic training, provides care before the ambulance arrives ex: police officer, firefighters, lifeguards
paying attention to details; making sure that what is being done for the patient is done as safely as possible
careful delivery of care
______ Describes the various pieces of equipment and scope of practice for using that equipment
clinical care
understanding others and making yourself understood to others
communications
Integration of health services/ care ensures what for the patient
comprehensive continuity of care
what does CQI stand for
continuous quality improvement
What is online medical control
direct, Physician directions given over the phone or radio
Secondary Prevention
efforts to limit the effects of an injury or illness that you cannot completely prevent
Primary Prevention
efforts to prevent an injury or illness from ever occuring
EMS system provides:
emergency care and transport
Primary Job as EMT
ensure scene is as safe as possible
quality control
ensuring that all staff members who are involved in caring for patients meet appropriate medical care standards on each call
what does public health do
examines the health needs of entire populations with the goal of preventing health problems
Community Paramedicine
experienced paramedics receive advanced training to equip them to provide additional services in prehospital environment
EMS system during WWII
field care
Public health
focused on examining the health needs of entire populations with the goal of preventing health problems
Primary Prevention
focuses on strategies that will prevent the event from ever happening
Paramedic
has extensive training in ALS including endotracheal incubation, emergency pharmacology, cardiac monitoring
what is the MIH model
health care is provided within the community by teams of professors rather than in a physician's office or hospital
3 most common things treated by EMS
heart attacks, strokes, sepsis
EMS systems collaborate with hospitals to improve treatment for patients with (what 3 things)
heart attacks, trauma, stroke
4 general requirements to be an EMT
high school diploma, immunizations, background check and drug screening, and driver's license
___ focuses on the people who deliver care and their compensation and interaction with other members of medical community
human resources
what is Off-line medical control
indirect, standing orders, training, supervision
Secondary Prevention
occurs after the event has already happened. The question then is How can we decrease the effects of this event
constantly keeping the needs of the patient at the center of care
patient advocacy
In addition to patient care services a typical paramedic would provide, community paramedics also may
perform health evaluations, monitor chronic illnesses or conditions, obtain lab samples, administer immunizations, or serve as patient advocates
Educating the community on pool safety and care seat installation are examples of primary or secondary prevention
primary
Title I of the ADA
protects EMTs with disabilities who are seeking employment, may require modifying the work environment or how the job is performed
what does HIPAA do
protects confidentiality of a patients medical information
Prevention and public education are aspects of EMS where the focus is on
public health
holding others in high regard or importance; understanding that others are more important than you
respect
helmets and seat belts are examples of primary or secondary prevention
secondary
Discovering problems and solving the without someone directing you
self motivation
knowing what you know and knowing what you do not know; being able to ask for help
self-confidence
EMS system is governed by ____ laws
state
Although each EMS system, medical direction, and training program has some latitude its training, protocols, and practices must follow
state legislation, rules, regulations and guidelines
being able to work with others; knowing your place within a team; communicating while giving respect to the listener
teamwork and diplomacy
What established modern EMS as we know it
the Accidental Death and Disability: the Neglected Disease of Modern Society
After completing the course you are eligible to take either:
the National Registry of EMTs exam or the state's certification exam
Intravenous (IV) therapy
the delivery of medication directly into a vein
Medical Director
the physician who authorizes or delegates to the EMT the authority to provide medical care in the field
quality control
the responsibility of the medical director to ensure the appropriate medical care standards are met by EMTs on each call
performing or delegating multiple tasks while ensuring efficiency and safety
time management
what are Information Systems used for
to efficiently document the care that has been delivered
what is the goal of CQI
to minimize errors
Emergency Medical Technician (EMT)
trained in basic life support, including AED, definitive airway adjunct and assisting patients with certain medications
True or false: prehospital care is coordinated with hospital care
true
true/false: EMS instructors are licensed in most states
true
what was the EMS system during WWI
volunteer ambulances
Finance systems for EMS depend on what
which organization is involved
