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Ch 2
Knowledge Objectives
State the steps that contribute to wellness an their importance in managing stress: | Nutrition, Exercise and Relaxation, Sleep, Balanced Lifestyle. |
Define infectious disease: | A disease caused by organisms within the body. |
Define communicable disease: | A disease that's spread from person to person and one species to another. |
Describe the routes of disease transmission: | Direct Contact: Bloodborne Pathogens Indirect: Needlesticks Airborne: Sneezing, Coughing Vector borne: Fleas, Mosquitos |
Know the standard precautions used in treating patients to prevent infection: | Hand Hygiene, Personal Protective Equipment (gloves, gown, mask, eye protection, and face shield), Patient Care Environment (soiled patient care equipment, environmental controls, textiles and laundry, needles and other sharp objects). |
Describe the routes of transmission and steps to prevent and/or deal with an exposure to Hepatitis, Tuberculosis, and HIV/AIDS: | Infection Control Plan: Determine exposure risk, Education & Training, Hepatitis B Vaccine, PPE, Cleaning & Disinfection Practices, TB Skin Testing/Fit Testing, Postexposure Management, Compliance Monitoring, and Recordkeeping. |
Describe the steps to take for personal protection from airborne and bloodborne pathogens: | Gloves, Gowns, Mask, Eye Protection and Face Shields |
Explain proper handwashing techniques: | Always wash hands before and after contact with patient. Rinse hands using warm water. If running water isn't available use hand sanitizer. Apply soap, lather hands, rinse with warm/hot water. Dry hands with paper towel and use paper towel to turn off. |
List the ways immunity to infectious diseases is acquired: | Vaccinations have almost eliminated some childhood diseases such as measles and polio. Vaccines also make it so people are able to recover from an infection from that disease. |
Explain Postexposure management of exposure to patient blood or bodily fluids, including completing a Postexposure report: | If you are exposed to a patients blood or bodily fluids: turn over patient care to another EMS provider, clean the exposed area with soap and water, if eyes were exposed rinse for 20 minutes, activate your departments ICP, and complete an exposure report. |
Describe the steps necessary to determine scene safety and to prevent work-related injury: | Begin protecting yourself as soon as you're dispatched, wear seatbelts, don appropriate PPE, make sure scene is well marked, place warning devices to alert motorists of the scene, wear reflective clothing in the dark. |
Describe the different types of protective clothing worn to prevent injury (1): | Cold Weather Clothing: Inner Layer (pulls moisture away from skin), Thermal Middle Layer (insulation), Outer Layer (resists wind, rain, sleet and snow). |
Describe the different types of protective clothing worn to prevent injury (2): | Turnout Gear: Protects from heat, fire, sparks and flashover, also called bunker gear. For example, gloves, helmets, boots, eye protection, ear protection, skin protection, and body armor. |
Explain the care of critically ill and injured patients: | The patient needs to know who you are and what you are doing. Let the patient know that you are attending his/her immediate needs. Avoid making unprofessional comments during resuscitation, and treat all patients with dignity and respect. |
Describe issues concerning care of the dying patient, death, and the grieving process of family members: | Death may occur quite suddenly or after prolonged, terminal illness. |
The grieving process: | 1. Denial 2. Anger/Hostility 3. Bargaining 4. Depression 5. Acceptance |
Know the physiologic, physical, and psychological responses to stress: | EMS is a high stress job, and it's important to know the causes of stress and how to deal with stress. General Adaptive Syndrome and Physiologic Manifestations are both examples that can cause increased respirations, dilated pupils and perspiration. |
Describe PTSD and steps that can be taken, including critical incident stress management, to decrease the likelihood that PTSD will develop: | PTSD can develop from any type of high levels of stress. They created CISM to reduce likelihood of PTSD by having people talk about their stressors in hopes to fix them or help with them. |
Identify the emotional aspect of emergency care: | Act calm and responsibly at all times, although it may be stressful. |
Recognize the stress inherent in many situations, such as mass-casualty scenes: | Violent situations can be created by: civil disturbances, large gatherings, domestic disputes, and crime scenes. |
Describe how to handle behavioral emergencies: | Emergencies that don't have a clear physical cause. Most behavioral emergencies don't pose a threat but always ask yourself "how do they respond to you" "withdrawn or attached" "understand why you're there" look at how they're dressed and how they appear |
Discuss workplace issues such as cultural diversity, sexual harassment, and substance abuse (1): | 2 types of sexual harassment: Quid Pro Quo (requests sexual favors in exchange for something else), Hostile Work Environment (jokes, touching, requests for dates, talking about inappropriate things. |
Discuss workplace issues as cultural diversity, sexual harassment, and substance abuse (2): | Substance Abuse: Increases risks of accidents and tension and causes poor treatment. |