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Vol. 1: Ch. 1-7
Wiz: Paramedic Care Vol. 1: Ch 1-7
| Question | Answer |
|---|---|
| What is the highest cert level recognized nationally for the pre hosp. provider? | EMT-Paramedic |
| The primary role for the EMT-Paramedic is ___? | admin. care to injured or sick PTs |
| What best describes the relationship between the paramedic & med. direction? | Med. direction must be in place for the paramedic to practice |
| The paramedic must provide care: | without regard to the PT's ability to pay or insurance status |
| Name a quality that is most important to the Paramedic? | ability to make critical decisions under pressure |
| Name a health care environment in which the paramedic would be least likely to gain employment. | rehabilitation medicine |
| What component of EMS has helped to increase the professionalism of the paramedic? | development of a standardized national curriculum for the EMT-P |
| The responsibility to ensure your PT is receiving the best care possible is often referred to as PT ___. | advocacy |
| During your practice as a paramedic, your greatest responsibility lies with ___. | the PT |
| Why is the notion of lifelong learning important to the paramedic, & emergency services as a whole? | medicine & interventions change rapidly, & the paramedic must be ready |
| Name a component that helps to insure proper nutrition for the paramedic. | reading nutrition labels of foods |
| Isotonic exercise refers to: | working muscles through their range of motion |
| What is not one of the major food groups? | oils & fats |
| What nutrition plan is an example of a good diet? | 40% carbs, 40% proteins, 20% fat |
| In regards to proper lifting and moving of a PT, name a technique MOST DANGEROUS to the paramedic. | If given a choice, pull rather than push the wheeled cot. |
| What are the microorganisms that are capable of producing diseases in humans known as? | infections |
| What should be considered a potentially pathogenic fluid? | All fluids such as blood, saliva, CSF etc. |
| What is the single best strategy the paramedic can take in order to prevent accidental contamination from a PT? | wash hands following each PT encounter |
| Following exposure to blood through a dirty needle stick, the paramedic should immed.: | wash the affected area with soap & water |
| What stage of the stress response does the paramedic most commonly experience? | Stage 2: resistence |
| An example of online med control: | speaking directly with the physician |
| An example of offline med. control: | using protocol books or standing orders |
| The inception of reducing the time from injury to surgery - a concept of EMS that holds true today - can be traced back to what era of time? | Napoleonic Wars |
| A paramedic calls the emergency physician on the HEAR radio to request permission to admin. morphine to a PT. This is an example of: | online med. direction |
| If this link of the emergency services fails, it may render the whole EMS system ineffective: | public access |
| What is the greatest benefit of having EMS dispatchers certified in Emergency Medical Dispatching (EMD)? | they can provide prearrival instructions to the PT and/or family till EMS arrives |
| What is the purpose of professional EMS associations such as NAEMT? | they provide continuing education & updated info to subscribers |
| What level of prehosp. care provider is primarily responsible for initiating care, since they commonly are able to arrive @ the PT's side first? | First Responders |
| What agency is responsible for preparing & admin. the only nationally accepted standardized test for EMS providers? | National Registry of EMTs |
| Under what emergency situation may it be advantageous to bypass the closest hospital for one that is a farther distance away from your location? | when the farther hospital can provide more specialized care for the PT's emergency |
| Why should the paramedic stay engaged with research? | all the above - so they can stay abreast of current interventions & their usefulness; b/c system funding may be based on research into the EMS system's call vol.; to be a participatory member in the shaping of future paramedic practice |
| What are the reimbursement patterns that EMS agencies are most dependent upon? | third-party payers |
| Ensuring that you are familiar with your EMS protocols, know your local geography, & are familiar with what other emergency services are available in your jurisdiction are all part of which primary responsibility of the paramedic? | preparation |
| If you are assessing a PT who complains of arm pain after falling down some steps, the nature in which this injury occurred is referred to as: | mechanism of injury (MOI) |
| You have a PT who has sustained multisystem trauma & is critically unstable. Assuming you practice in a large metropolitan area with multiple hospitals, which hospital would best serve this PT's needs? | Level I trauma center |
| If a paramedic crew provided specific care for a minor emergency & then transported the PT to a general practicioner physician of the PT's choice, this would be an example of? | primary care |
| You are treating a PT suspected of having a stroke, & fortunately, there is a designated stroke facility in your jurisdiction. The PT, however, wants to be taken to another hospital, which isn't quite as busy. You should: | consult with online med. control for the best decision regarding PT transport |
| What is the greatest benefit of using lay people in the public sector on various EMS service advisory boards? | often times they can provide an objective, unbiased view of the decision at hand |
| The paramedic's decision to always err on behalf of the PT is an example of? | ethical standard |
| Taking advantage of learning opportunities when they are present & demonstrating a commitment to continuous quality improvement are examples of what aspect of professionalism? | self-motivation |
| You are caring for a beligerent PT who is heavily intoxicated & calling you vulgar names. You continue to respond to him with patience & empathy. Your reaction speaks to what component of professionalism? | respect |
| The best way to continuously provide optimum PT care is to: | participate in continuing education programs |
| Level II Trauma Center | a trauma center that typically lacks either specialty pediatrics or a neurosurgeon on site |
| Level III Trauma Center | a trauma center that generally does not have immediate surgical facilities available |
| If you respond to a call, & the PT complains of a medical problem (not an injury), this complaint is considered: | a Nature of Illness (NOI) |
| Type of care which includes movement of the paramedic into more traditional health care roles in such places as emergency departments, out PT clinics, physicians' offices, urgent cre centers, & PT's homes: | Primary Care |
| A paramedic participates in a hospital program that teaches young children the importance of wearing a helmet when riding a bike. This is an example of what type of injury prevention? | primary |
| Primary prevention | type of prevention when the paramedic engages in some project or presentation in order to prevent an injury from ever occurring, such as in community or hospital projects |
| Secondary prevention | type of prevention when an initiative that helps to prevent further injury or problem from occurring after the initial injury or ilness |
| Tertiarty prevention | type of prevention in which the rehab that occurs following the illness or injury |
| You have 2 PTs: a 45 y/o PT and a 60 y/o PT. Which PT would have the greatest # of years of productive life lost secondary to dying in a traumatic automobile collision? | the 45 y/o PT |
| How do you calculate the years of productive life lost of a PT? | subtract the PT's age at death, from 65 yrs. Example: 45 y/o PT would be: 65-45=20 years of productive life lost |
| What is the paramedic's best defense against sustaining a back injury while on the job? | follow good lifting techniques with every episode of lifting |
| You arrive on the scene of a remote bridge that spans a rapidly moving river beneath. A car has run off the bridge & plunged into the water below. What should be your initial response? | After BSI, try to ascertain if there is anyone trapped in the vehicle |
| In what areas of prevention can the paramedic assist in community efforts to educate the public? | the paramedic can be utilized in bringing messages to the public on reducing motor vehicle collisions, unintentional trauma to infants & children, & risk factors for trauma in work (industrial) & recreational activites |
| What largely preventable episode accounts for the greatest # of injuries to the geriatric pop.? | unintentional falls |
| Epidemology refers to? | the study of factors that contribute to injury or illness in a pop. |
| Just as fire depts. engage in public service activities to reduce the frequency of fires, EMS providers should engage in public service activities designed to reduce: | topics such as: uintentional trauma, acute medical crisis, acute alcoholism |
| What organization is charged with developing guidelines that employers & employees should follow in order to limit the exposure to health risks from blood & other bodily fluids? | Occupational Safety and Health Administration (OSHA) - they are the agency most involved with BSI precautions to be followed in the workplace |
| Who is ultimately responsible for the safe practice of paramedics? | the individual paramedic |
| A paramedic administers a wrong drug that directly results in the PT's death. This failure to perform the job appropriately may result in a finding of: | liability |
| The branch or category of law that would most likely hear cases concerning malpractice for EMS providers is known as? | civil law |
| Civil Law | a category of law which deals with noncriminal issues, such as personal injury, contract disputes, & matrimonial issues |
| Criminal Law | category of law which deals with crime & punishment |
| Tort Law | a brach of civil law; division of the legal system that deals with civil wrongs committed by one individual against another |
| A PT is attempting to sue a medic for what he considers a wrongful act that resulted in harm to the PT. During the prep. for the trial, the paramedic involved answers questions under oath with a court stenographer present. This is known as performing: | a deposition |
| During the discovery stages of a trial, a deposition is? | a time when a paramedic may have to under oath, answer questions regarding the case & the info learned can be shared wth both the defense & prosecution lawyers, allowing both sides to gain info needed to formulate strategies |
| The range of duties & skills that a paramedic is allowed to perform in a given state is known legally as: | scope of practice |
| Name events which mandate reports are to be made with law enforcement? | spouse abuse, child abuse & neglect, elder abuse, sexual assault, gunshot & stab wounds, animal bites, communicable diseases |
| The legal premise that is defined as a "deviation from accepted standards of care recofnized by law for the protection of others against the unreasonable risk of harm" is kown as? | negligence |
| A medic treats an ETOH PT who fell outside a bar. The medic decides not to immobilize the PT b/c he is not c/o any neck or back pain. The PT is found to have a vertebral inj. with permanent neuro dysfunction. The medic's actions may result in: | nonfeasance |
| Nonfeasance | a breach which occurs when a paramedic fails to perform a required act or duty |
| Malfeasance | performing a wrongful act |
| Misfeasance | the performance of an injurious manner |
| While functioning as a paramedic,you are working with an EMT-B under your supervision. You direct the EMT-B to perform some task that he does incorrectly & results in an injury to the PT. You, the paramedic, may also be found negligent b/c of: | borrowed servant doctrine |
| An elderly PT with a head inj. sustained from a fall, refuses to be taken to the hosp. The PT becomes unresponsive due to the inj. while the medics are on scene. If the medics decide to treat & transport the victim, their actions may be considered: | legal & appropriate |
| PTs who are unresponsive & cannot speak for themselves are assumed to grant what type of consent? | implied consent |
| The legal description of what should occur medically to a PT with a chronic disease that suddenly deteriorates is called: | advance directive |
| A legal document that is created to ensure that certain treatment choices are honored when a PT is unconscious or oterwise unable to express his choice of treatment is known as: | an advanced directive |
| Different types/forms of advanced directives: | living wills, DNR, or a durable power of attorney or health care proxy |
| A paramedic's personal beleifs or standards of what is right or wrong is known as: | ethics |
| What definiton refers to the personal standards of what is right or wrong for an individual? | Morals; however, it were to pertain to a larger group of people's beleifs, it is referred to as ethics. |
| Your ethical decision making while functoning as a paramedic should fall in line with you: | your morals |
| The definition that refers to the rules or standards that govern the conduct of members within a particular groups or profession is: | Ethics |
| While returning to your station from a long interhospital transport to another state, you witness a horrific accident on the fwy. You don't stop & assist b/c you aren't in your jurisdiction or state. How might the EMS dept. of the state view your actions? | illegal |
| While returning to your station from a long interhospital transport to another state, you witness a horrific accident on the fwy. You stop & provide care despite your not in your jurisdiction or state. Your actions may be deemed how by the local comm.? | Ethical |
| In 1978, what organization developed & adopted the Code of Ethics for EMS providers? | National Association of EMTs (NAEMT) |
| Your partner helps make an elderly PT comfortable while en route to the hospital by talking to her kindly & holding her hand. These actions may be considered an example of: | Beneficence |
| The term that refers to the actual deed of doing good: | Beneficence |
| The term that refers to the desire to do good: | Benevolence |
| Although ethical decisions are based on the morals of the individual, there should still be an organized thought process that the individal goes through in order to arrive at a conclusion. This thought process is known as? | ethical decision making |
| You are faced with a situation in which your legal obligations to treat a PT are in conflict with your ethical standards. This situation is referred to as: | a moral dilemma |
| The process for resolving a moral dilemma in which paramedics ask themselves, "What would I want done to me if I were in that situation?" is known as: | impartiality test |
| If you consistently meet all similar moral dilemmas encountered in the prehospital environment with the same thought process & application of what is right & wrong, your orientation for resolving moral dilemmas would be referred to as: | universalizability test |
| What are the 3 phases of stress response? | 1) alarm 2) resistance 3) exhaustion |
| What phase of stress response is the initial response, more commonly known as the "fight or flight" response? | Alarm phase (phase I) |
| Which phase of the stress response begins as the body starts to adjust & cope with stress? | Resistance phase (phase II) |
| Which phase of the stress response occurs if the exposure to stress is prolonged and the body becomes exhausted & loses its ability to resist & adapt to the stressors? | Exhaustion phase (phase III) |
| What are the 5 stages of the grieving process? | 1) anger 2) denial 3) bargaining 4) depression 5) acceptance |
Created by:
Wisniewski
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