CH 1 Flashcards
(25 cards)
If the receiving facility does not have adequate resources to take care of your patient, you should next determine whether:
transport of the patient by ambulance is absolutely necessary.
a BLS ambulance can transport the patient to a distant hospital.
there is an appropriate facility within a reasonable distance.
an emergency physician should be dispatched to the scene.
there is an appropriate facility within a reasonable distance.
The first part of EMS research is to:
identify a specific problem or question.
obtain medical director authorization.
determine the style of research to be used.
determine if there is adequate funding
identify a specific problem or question.
When research participants are advised of all the aspects of the project, the research project is said to be:
double-blinded.
cross-sectional.
unblinded.
retrospective.
unblinded.
Compared to an EMT, an AEMT:
has a more advanced knowledge of pathophysiology.
is trained and authorized to perform manual defibrillation.
can administer a variety of emergency medications.
can legally transfer patient care to a provider of lesser training.
has a more advanced knowledge of pathophysiology.
Which of the following statements regarding peer review is correct?
Peer review is not a tool to demean or belittle a fellow paramedic.
Review findings should be shared with others to facilitate learning.
It is preferable to use the same people to conduct all peer reviews.
The EMS administrator is the ideal person to conduct the review.
Peer review is not a tool to demean or belittle a fellow paramedic.
Which of the following statements regarding the EMT is correct?
In some states, EMTs are trained in advanced airway management and IV therapy.
Manual defibrillation is a skill that all EMTs are required to learn and perform.
There are far more certified paramedics in the United States than there are EMTs.
EMTs are licensed and can provide basic life support without medical direction.
In some states, EMTs are trained in advanced airway management and IV therapy.
A CQI program should primarily focus on:
modifying protocols as needed.
reviewing all patient care reports.
improving patient care delivery.
identifying incompetent medics.
improving patient care delivery.
When using a group of subjects who range in age from 30 to 40 years, 35 years of age would considered the:
median.
mean.
mode.
midpoint.
midpoint.
The 2009 National EMS Education Standards:
require inclusion of a college-level pathophysiology course within the paramedic program.
outline the minimum knowledge base that the paramedic must possess in order to function in the field.
clearly state that all paramedic training programs must be at least 1,200 hours in length.
mandate that the paramedic designation must be achieved through an associate degree program.
outline the minimum knowledge base that the paramedic must possess in order to function in the field.
In the United States, mobile intensive care units (MICUs) were staffed by:
registered nurses.
nonphysician providers.
funeral home directors.
physicians.
nonphysician providers.
You are dispatched to a residence at 3:00 AM for a 39-year-old man with signs of a common cold. What should you do when caring for this patient?
After ruling out any significant findings, educate the patient and tactfully discuss why a cold is not an emergency.
Advise the patient that this is not an emergency and obtain a signed refusal.
Tell the patient to schedule an appointment with his physician the next day.
Realize that this clearly is not a call to which you should have been dispatched.
After ruling out any significant findings, educate the patient and tactfully discuss why a cold is not an emergency.
When returning your unit to service following a call, the responsibility of ensuring that the unit is restocked and ready for another call rests with:
everyone on the EMS team.
the shift captain or supervisor.
the medic who was driving.
the paramedic in charge.
everyone on the EMS team.
What should you do when educating the public regarding your EMS system?
Ensure that citizens know how to access EMS.
Advocate the importance of using EMS for all medical situations.
Liken your job to EMS-related TV shows.
Assume the needs of your community.
Ensure that citizens know how to access EMS.
Prior to transporting a 66-year-old woman with chest pain to the hospital, she expresses the need to retrieve her Bible and say a prayer. You should:
be respectful of the patient’s wishes and give her the time she needs.
leave the room if your religious beliefs are not consistent with hers.
tactfully explain to the patient that her condition will not allow it.
advise the patient that a minister will talk with her at the hospital.
be respectful of the patient’s wishes and give her the time she needs.
Which of the following was a required component identified by the Emergency Medical Services System Act of 1973?
Mutual aid agreements
Resource management
Trauma systems
National EMS certification
Mutual aid agreements
The benefit to online medical control is that it:
identifies any departmental or system-wide issues.
outlines specific directions, permissions, and prohibitions regarding patient care.
allows for the development of protocols or guidelines.
provides an immediate and specific patient care resource.
provides an immediate and specific patient care resource.
A patient has requested to be transported to a specific hospital; however, the hospital does not have the proper resources to meet the patient’s needs. You should:
advise the patient that his or her hospital of choice is a poorly equipped medical facility.
contact medical control and request permission to transport the patient to his or her choice. hospital.
remember that the hospital can always transfer the patient to a more appropriate facility.
determine if there is a more appropriate medical facility within a reasonable distance.
determine if there is a more appropriate medical facility within a reasonable distance.
How should a paramedic evaluate and interpret research?
Focus on the limitations of the study
Focus on the findings that support what they already know
Skim through the study and look at a couple of findings
Read all parts of the study
Read all parts of the study
When gathering data for a research project that involves subjects in various age groups, standard deviation outlines:
how much the scores in each set will differ from the mean.
the most frequent age of the subject or subjects being used.
how close the scores in each set will be to the median.
the average age of the subjects used in the research project.
how much the scores in each set will differ from the mean.
Which of the following is an example of injury prevention?
Instructing a family member to administer Narcan
Demonstrating the proper use of a bicycle helmet
Teaching rescue breathing and CPR to a group of citizens
Providing instructions on how to recognize signs of cardiac arrest
Demonstrating the proper use of a bicycle helmet
In order to link research and evidence to patient care, one must:
recognize that evidence is less reliable than scientific data that produce sound statistics.
conduct research at least every 10 years and then perform a retrospective analysis of the data.
understand that only level 1 evidence can be used to justify changing patient care protocols.
ensure that the quality of the evidence is sufficient to justify changing patient care protocols.
ensure that the quality of the evidence is sufficient to justify changing patient care protocols.
Which of the following was one of the findings of “The White Paper” that was published in 1966?
High-quality communication occurred between EMS and hospitals.
Ambulances and equipment were of poor quality or nonexistent.
Uniform laws and standards were adequate.
Hospitals had mainly full-time staff.
Ambulances and equipment were of poor quality or nonexistent.
A paramedic notices a tripping hazard in the home of a patient during an emergency call. What should the paramedic do?
Talk about the findings with the patient or a family member
Fix the tripping hazard before attending to the patient
Tell the patient or a family member that they must fix the tripping hazard before they transport the patient to the hospital
Recognize that it isn’t the role of the paramedic to discuss topics unrelated to the emergency call
Talk about the findings with the patient or a family member
Records of education, state or local credentials, and recertification are held by a recognized agency through a process called:
registration.
reciprocity.
licensure.
certification.
registration.
