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Chapter 1 Flashcards

1
Q

EMS system is a team of: ________________________.

A

Health Care Professionals

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2
Q

EMS system provides _________________ and _________________.

A

Emergency care and transport

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3
Q

EMS system is governed by: ____________________.

A

State Laws

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4
Q

After completion of an EMS class you are eligible to take either of these exams?

A

1.) National Registry of EMT’s exam
2.) Your state’s certification exam

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5
Q

Most states have four training and licensure levels. Name them.

A

1.) EMR
2.) EMT
3.) AEMT
4.) Paramedic

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6
Q

Which of the four levels of training and licensure is considered very basic training that provides care before an ambulance arrives and may assist in the ambulance?

A

EMR

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7
Q

Which of the four levels of training and licensure has training in basic life support, automated external defibrillation, airway adjuncts and assisting patients with certain medications?

A

EMT

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8
Q

Which of the four levels of training and licensure has training in specific aspects of advanced lift support including: IV therapy and administration of a limited number of emergency medications?

A

AEMT

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9
Q

Which of the four levels of training and licensure has extensive ALS training, including: endotracheal intubation, emergency pharmacology, cardiac monitoring and other advanced assessment and treatment skills?

A

Paramedic

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10
Q

What are the four learning activities included in the EMT course?

A

1.) Reading assignments, lecture presentations and classroom discussions

2.) Step-by-step demonstrations

3.) Summary skills sheets

4.) Case presentations and scenarios

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11
Q

True or False: EMTs are the backbone of the EMS system in the United States

A

True

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12
Q

True or False: EMTs provide emergency care to the sick and injured.

A

True

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13
Q

What are the general requirements to be an EMT?

A

1.) High School Diploma

2.) Proof of Immunization

3.) Successful completion of a background check + drug screening

4.)Valid driver’s license

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14
Q

What are the licensure requirements to be an EMT?

A

1.) Successful completion of required courses and certification exams

2.) Demonstration of the mental and physical abilities necessary to perform the job

3.) Compliance with other state, local and employer provisions

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15
Q

What is the ADA?

A

Americans with Disabilities Act which prohibits employers from failing to provide full and equal employment

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16
Q

What is Title I of the ADA?

A

Protects EMTs with disabilities who are seeking employment and may require modifying the work environment or how the job is performed.

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17
Q

What is the origins of the history of EMS?

A

Volunteer ambulances in WWI

Field care in WWII

Field medic and rapid helicopter evacuation in Korean conflict

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18
Q

In what year was: Accidental Death and Disability - The Neglected Disease of Modern Society established EMS?

A

1966

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19
Q

In what year did the DOT publish the first EMT training curriculum?

A

Early 1970s

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20
Q

In what year was the Emergency Medical Services Act?

A

1973

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21
Q

In what year did the AAOS publish the first EMT textbook?

A

1971

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22
Q

In what years were the national standardization efforts?

A

1970s - DOT National Standard Curriculum

1980s - Advanced levels of EMTs

1990s - NHTSA’s EMS agenda for the future

2019 - NHTSA’s EMS Agenda 2050

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23
Q

What are the three levels of EMS training?

A

Federal level

State level

Local level

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24
Q

What EMS level is: the national EMS scope of practice?

A

Federal Level

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25
What EMS level creates laws to regulate EMS operations?
State Level
26
What level of EMS has a medical director to provide oversight and support?
Local Level
27
True or False: Laypeople cannot be trained in BLS/CPR?
False: Millions of laypeople are trained in BLS/CPR.
28
True or False: Automated external defibrillators are used by laypeople?
True
29
EMR includes __________ and ______________.
Law enforcement officers and firefighters
30
True or False: EMRs initiate immediate care and assist EMTs on their arrival?
True
31
True or False: EMRs focus on providing BLS and urgent care with extensive equipment.
False: EMRs focus on providing BLS and urgent care with limited equipment
32
How many hours does and EMT course require?
150-200 hours
33
The EMT assumes responsibility for these four things of the patient:
1.) Assessment 2.) Care 3.) Packaging 4.) Transport
34
AEMT training adds knowledge and skills in specific aspects of ALS, including these three things:
1.) IV Therapy 2.) Advanced airway adjuncts 3.) Administration of limited number of medications
35
Paramedic training includes how many hours in the classroom and internships?
1,000 - 1,300 hours
36
What are the five components of the EMS system?
1.) Comprehensive, quality, convenient care 2.) Evidence-based clinical care 3.) Efficient, well-rounded care 4.) Preventative care 5.) Comprehensive and easily accessible patient records
37
What are the four forms of public access?
1.) 911 system 2.) Dispatchers 3.) Emergency medical dispatch system 4.) Mobile apps to assist with CPR and AED
38
True or False: Human Resources focus on people who deliver care?
True
39
True or False: The EMS Agenda 2050 encourages an environment where people want to work?
True
40
Who authorizes EMTs to provide medical care in the field?
Physician Medical Director
41
Who acts as a liaison?
Medical Director
42
True or False: Medical control can be offline only.
False: Medical control can be off-line or online.
43
Offline or Online? : Standing orders, training and supervision.
Off-line
44
Offline or Online? : Physician's directions given over the phone or radio.
Online
45
Senior EMS officials handle which administrative tasks?
1.) Scheduling 2.) Personnel 3.) Budgets 4.) Purchasing 5.) Vehicle Maintenance
46
Prehospital care is coordinated with ________________.
Hospital Care
47
Prehospital care is continued in the __________________.
Emergency Department
48
Integration ensures comprehensive ________________ of care for the patient.
Continuity
49
What is the method of delivering health care that utilizes the prehospital spectrum?
Mobile Integrated Health Care
50
Why did mobile integrated health care evolve to what is it today?
To improve access to healthcare at an affordable price
51
True or False: There is the same level of training for MIH for EMS providers as without?
False: Additional training was created for MIH EMS providers including community paramedicine which allows community paramedics to provide additional services.
52
These are used for documentation of patient care: ____________________.
Computer systems
53
True or False: Electronically stored information can be used to improve care.
True
54
Who is responsible for maintaining quality control?
Medical Director
55
This promotes a learning culture that holds employees accountable for behavioral choices by balancing fairness and accountability: ___________________________.
Adopting a Just Culture
56
_________________________ reviews and performs audits of the EMS system to identify areas of improvement and/or assign remedial training.
Continuous Quality Improvement
57
What is the goal of CQI?
Minimizing errors
58
What does the CQI use?
A plan-do-study-act cycle
59
Maximize patient safety by minimizing these three things: ______________, _______________, _____________.
Rules-based failure Knowledge-based failure Skill-based failure
60
True or False: Patient safety requires efforts of both the EMS agency and EMS personnel?
True
61
Finance systems vary depending on the __________________ involved.
Organization
62
Personnel may be ___________, __________ or a combination of the two.
Paid or volunteer
63
What three things may an EMT be asked to do in terms of finance?
Gather insurance information Secure signatures Obtain permission from patients to bill insurance
64
In 2020, the centers for Medicare and Medicaid services implemented a pilot program called _______________________.
Emergency Triage, Treat and Transport (ET3)
65
What is the purpose of the ET3?
Reimburse EMS systems for providing the right patient care at the right time and Setting up a payment model for the patient transport to alternative destinations
66
True or False: EMS instructors are not licensed in most states.
False: They are licensed in most states.
67
Most EMS training programs must adhere to ______________ standards.
National
68
How can you maintain and update your skills and knowledge as an EMT?
Continuing Education Refresher Courses Computer-Based or Manikin-Based self-education exercises
69
What are the two components of the EMS system with a focus on public health?
Prevention Public Education
70
Is the emphasis on Public Education or Prevention?
Prevention
71
How many types of prevention are there that EMS works with health agencies on?
Two: Primary and Secondary
72
Give some examples of Prevention in the public?
Vaccination Programs Fluoridation of water supplies Helmet Laws Sewage Systems Formation of the Food and Drug Administration Clean Drinking Water Seat Belt Laws Tobacco Use Laws Restaurant Inspections Prenatal screenings
73
________________ helps determine the shape of EMS via Evidence Based Medicine.
EMS Research
74
What do EMS systems consult in terms of research?
The National Model EMS Clinical Guidelines from the National Association of State EMS Officials
75
Which of the following options is a role and responsibility of the EMT? (Choose all that apply) A.) Keep vehicles and equipment ready B.) Ensure Safety and perform scene evaluation C.) Be Familiar with emergency vehicle operation D.) Provide on-scene leadership
All of the Above
76
Which of the following options is a role and responsibility of the EMT? (Choose all that apply) A.) Call for additional Resources as needed B.) Restrict Patient Access C.) Perform a Patient Assessment D.) Wait until the medical doctor arrives before providing emergency medical care.
A and C are correct. B is incorrect - You need to gain patient access D is incorrect - You need to give emergency medical care while awaiting additional medical resources
77
Which of the following options is a role and responsibility of the EMT? (Choose all that apply) A.) Give emotional support and maintain continuity of care B.) Avoid emergency incidents C.) Uphold medical and legal standards D.) Ensure and protect patient privacy
A, C and D are correct. B is incorrect - You need to resolve emergency incidents.
78
Which of the following options is a role and responsibility of the EMT? (Choose all that apply) A.) Reserve administration support for front desk personnel B.) Constantly continue professional development C.) Cultivate and sustain community relations D.) Give back to the profession
B, C and D are correct. A is incorrect - You need to give administrative support
79
List professional attributes of an EMS professional?
Integrity, Empathy, Self-Motivation, Appearance and hygiene, self confidence, time management, communications, teamwork and diplomacy, respect, patient advocacy and careful delivery of care.
80
Every patient is entitled to ______________, __________ and the best care.
Compassion, Respect
81
EMTs are bound by patient confidentiality via this act: ____________________________.
Health Insurance Portability and Accountability Act (HIPAA)

EMT Class (4 decks)

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