Ch 01: The Responder Flashcards Preview

Emergency Medical Responder > Ch 01: The Responder > Flashcards

Flashcards in Ch 01: The Responder Deck (37):
1

Levels of Training for Providers - Canada

Emergency Medical Responder
Primary Care Paramedic
Advanced Care Paramedic
Critical Care Paramedic

2

Levels of Training for Providers - Alberta

Emergency Medical Responder
Emergency Medical Technician
Paramedic

3

Emergency Medical Aid Act

In Alberta, this act protects emergency medical care workers from being liable for damages caused, unless negligent.

4

Medical Control

Policies and directions written by a physician to guide emergency personnel.

5

Medical Director

The physician responsible for Medical Control; oversees training and the development of protocols.

6

Indirect / Offline Medical Control

Following protocols without consulting the Medical Director

7

Direct / On Line Medical Control

Speaking to a Medical Director about procedures not in protocol.

8

5 Personal Characteristics of a Responder

-Caring and Professional Attitude
-Controlling Fears
-Professional Appearance
-Updated Skills and Knowledge
-Keeping Healthy

9

6 Responsibilities of an EMR

-Ensure your safety and the safety of others
-Gain access to casualty
-Determine threats to their life
-Obtain advanced medical help
-Provide needed care
-Assist advanced medical pros

10

Good Communication

-Speak slow and clear
-Simple words
-Be at eye level
-Inviting body language
-Listen carefully

11

Duty to Act

A responder must act when they are on duty and expected to do so; in Quebec, anyone trained must act.

12

Scope of Practice

The range of duties and skills allowed and expected to perform.

13

Informed Consent

Casualty tells you clearly that you have permission to provide care.

14

Implied Consent

Assume that an unconscious casualty would grant consent if they were able to do so.

15

Consent from a Minor

Parent / guardian must be present to provide consent.

If the child is by themselves, ask why and assume implied consent.

16

Competence

The persons ability to understand questions and implications (consequences).

17

Advanced Directive

Documented instruction from the casualty on what care can be provided.

18

Do Not Resuscitate
DNR

Documented instruction from casualty that protect their right to refuse resuscitation.

Do not perform CPR

19

Negligence

Not providing the standard of care expected and causing injury or harm;

Acting wrongly or not at all

20

4 Components of a Negligence Lawsuit

-You had a duty to care
-Breach of that duty
-Cause of harm
-Damage caused

21

Refusal of Care

A casualty says no to care;

-Casualty is competent
-Persuade the person truthfully
-Advise the risks
-Sign a 'Refusal of Care' form

22

Abandonment

Failing to continue care once you have begun, without being relieved by a person of greater training or the scene becomes too unsafe.

23

Confidentiality

Never discuss patient or care given except to health care professionals directly involved.

24

Radio Communication - Procedure

-Press the 'Push to Talk' button
-Wait one second before speaking
-Hold mic 5-7cm from mouth
-Be brief
-Listen before talking; Don't interrupt.

25

Base Station

Stationary radio in a dispatch centre, station or hospital

26

Mobile Radio

Mounted inside vehicle

27

Portable Radio

Hand held radio

28

Repeater

Receive a low power signal and put it out as a high power signal.

29

Cell Phone

Used when radio signal is unavailable

30

4 Activities to Report to Dispatch

-On route to call
-Arrive at scene
-Require additional / specialized personnel
-Return to service and are available for next call

31

7 Pieces of Info to Provide Medical Director During On-line Direction

-Unit Identifier; You are a responder
-Patient age, sex, chief complaint
-Brief events leading to emergency
-Physical exam results and vitals
-Care provided and casualty response
-The reason you are calling
-Repeat any orders given

32

Reasons for Documentation

-Document care provided
-Evidence in lawsuits
-Transfer information
-Research to improve EMS system

33

10 Elements of Good Documentation

-Complete and Accuracy
-Legible
-Timeliness
-No alterations
-Names of responders, call number, address of scene
-Patient name, age, gender, birth date, care prior to EMS arrival
-Vital signs
-Chief complaint
-History (SAMPLE, OPQRST) and assessment
-Care given

34

Critical Incident Stress Management

Help coping with the mental and emotional stress caused by incidents a responder has attended.

35

First Responder

A person trained in emergency care for their job site

36

Good Samaritan Laws

Protective law for non-certified, quality emergency care. Does not protect from lawsuit financial charges or negligence.

37

Interpersonal Communication

Speaking and listening to others at a scene