EMT chapter 1

Question 1

Efforts to limit the effects of an injury/illness that you cannot completely prevent

Answer 1

Secondary prevention

Question 2

An individual who has extensive training in advance life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills

Answer 2

Paramedic

Question 3

An individual who was training in basic life support, including automates external defibrillation, use of definitive airway adjunct, and assisting patients with certain medication

Answer 3

Emergency Medical Technician (EMT)

Question 4

A trained professional, such as police officer, firefighter, lifeguard, or other rescuer, who may arrive first at the scene of an emergency to provide initial medical assistance.

Answer 4

Emergency medical responder

Question 5

An established process to determine the qualifications necessary to be allowed to practice a particular profession, or to function as an organization.

Answer 5

Credentialing

Question 6

A method of delivering health care that involves providing health care within the community rather than at a physician’s office or hospital.

Answer 6

mobile integrated health care

Question 7

An approach to medicine where decisions are based on well-conducted research, classifying recommendations based on the strength of the scientific evidence; also called science-based medicine.

Answer 7

Evidence-based medicine

Question 8

The delivery of medication directly into a vein

Answer 8

Intravenous therapy(IV therapy)

Question 9

A document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers.

Answer 9

National EMS Scope of Practice Model

Question 10

Advanced life-saving procedures, some of which are now being provided by the EMT.

Answer 10

advanced life support

Question 11

An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications.

Answer 11

Advance emergency medical technician (AEMT)

Question 12

A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.

Answer 12

Emergency medical services

Question 12

Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients’ health care information and penalizing violations of patient privacy.

Answer 12

Health Insurance Portability and Accountability Act

Question 13

Oversight by the medical director to ensure the appropriate medical care standards are met by EMTs on each call.

Answer 13

Quality control

Question 14

The branch of medicine that is focused on examining the health needs of entire populations with the goal of preventing health problems.

Answer 14

public health

Question 15

A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care.

Answer 15

Certification

Question 16

The process whereby a competent authority, usually the state, allows people to perform a regulated act.

Answer 16

Licensure

Question 17

The physician who authorizes or delegates to the EMT the authority to provide medical care in the field.

Answer 17

Medical Director

Question 18

A system of internal and external reviews and audits of all aspects of an EMS system aimed at improving outcomes.

Answer 18

continuous quality improvement

Question 19

Efforts to prevent an injury or illness from ever occurring.

Answer 19

Primary prevention

Question 20

Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.

Answer 20

Medical control

Question 21

A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services.

Answer 21

Public safety access point

Question 22

A health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment, such as health evaluations, monitoring of chronic illnesses or conditions, and patient advocacy.

Answer 22

community paramedicine

Question 23

A device that detects treatable life-threatening cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.

Answer 23

Automated external defibrillator (AED)

Question 24

The designated area in which the EMS agency is responsible for the provision of prehospital emergency care and transportation to the hospital.

Answer 24

Primary service area

Question 25

A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and provides callers with vital instructions until the arrival of EMS crews.

Answer 25

Emergency medical dispatch

Question 26

Comprehensive legislation that is designed to protect people with disabilities against discrimination.

Answer 26

Americans with Disabilities Act (ADA)

Question 27

List five aspects of a people-centered EMS system

Answer 27

1. Comprehensive, quality, convenient care 2. Evidence-based clinical care 3. Efficient, well-rounded care 4. Preventive care 5. Comprehensive and easily accessible patient records

Question 28

The purpose of EMS Agenda 2050

Answer 28

Encourages an environment where people want to work

Question 29

Medical director is responsible for maintaining _____

Answer 29

Quality control

Question 30

Medical control can be

Answer 30

Off-line(direct): Standing orders, training, supervision Online(direct): Physician directions given over the phone/radio

Question 31

What is a just culture

Answer 31

a learning culture that holds employees accountable for behavioral choices -balancing fairness and accountability

Question 32

How does one improve patient safety

Answer 32

-minimizing medical errors that occur

Question 33

The cause of medical errors could be the result of:

Answer 33

Rule-based failure/knowledge-based failure/skill-based failure (or a combination of all three)

Question 34

What are the roles and responsibilities of the EMT? A mnemonic to make it easy to remember: "Every Smart Medic Brings Simple Care, Great Treatment, Helping People Make Real Progress, Generating Excellent Continuous Care, Reaching Ultimate Excellence"

Answer 34

1. Equipment ready 2. Safety 3. Medical vehicle operation 4. Be on-scene leader 5. Scene evaluation 6. Call for resources 7. Gain patient access 8. Through patient assessment 9. Help with medical care 10. Provide emotional support 11. Maintain continuity support 12. Resolve incidents 13. Protect patient privacy 14. Give administrative support 15. Ensure professional development 16. Cultivate community relations 17. Contribute to the profession 18. Reflect on medical and legal standards

Question 35

What are the professional attributes an EMT is expected to posses? A mnemonic to make it easy to remember: "I Enjoy Smooth And Simple Tasks, Creating Team Respect, Providing Care."

Answer 35

1. Integrity 2. Empathy 3. Self-motivation 4. Appearance and hygiene 5. Self-confidence 6. Time management 7. Communication 8. Teamwork and diplomacy 9. Respect 10. patient Advocacy 11. Careful delivery of care

Question 36

What is standing order?

Answer 36

A form of off-line(indirect) medical controls that involves performing certain life-saving interventions before contacting a physician

Question 37

Which of the following is an example of care that is provided using standing orders? A. Medical control is contacted by the EMT after a patient with chest pain refuses EMS care. B. The EMT defibrillates a patient in cardiac arrest, begins CPR, and then contacts medical control. C. A physician gives the EMT an order via radio to administer oral glucose to a diabetic patient. D. Following an overdose, the EMT contacts the medical director for permission to give activated charcoal.

Answer 37

B. The EMT defibrillates a patient in cardiac arrest, begins CPR, and then contacts medical control.

Question 38

Upon arriving at the scene of a domestic dispute, you hear yelling and the sound of breaking glass from inside the residence. You should: A. immediately gain access to the patient. B. carefully enter the house and then call the police. C. retreat to a safe place until the police arrive. D. tell the patient to exit the residence so you can provide care.

Answer 38

C. retreat to a safe place until the police arrive.

Question 39

Which of the following is NOT a component of continuous quality improvement (CQI)? A. Periodic review of run reports B. Discussion of needs for improvement C. Negative feedback given to those who make mistakes while on a call D. Remedial training as deemed necessary by the medical director

Answer 39

C. Negative feedback given to those who make mistakes while on a call

Question 40

All of the following are responsibilities of the EMS medical director, EXCEPT: A. evaluating patient insurance information. B. serving as a liaison to the medical community. C. ensuring that the appropriate standards are met by EMTs. D. ensuring appropriate EMT education and continuing training.

Answer 40

A. evaluating patient insurance information.

Question 41

Which of the following situations would MOST likely disqualify a person for EMS certification? A. A misdemeanor committed at age 17 B. Driving under the influence of alcohol C. Possessing a valid driver’s license from another state D. A mild hearing impairment that is corrected with hearing aids

Answer 41

B. Driving under the influence of alcohol

Question 42

Which of the following should be the EMT’s highest priority? A. Controlling severe bleeding B. Maintaining a patient’s airway C. Ensuring patient safety D. Ensuring personal safety

Answer 42

D. Ensuring personal safety

Question 43

A patient who requires cardiac monitoring in the field would require, at a minimum, which level of EMS provider? A. EMR B. EMT C. Paramedic D. AEMT

Answer 43

C. Paramedic

Question 44

Emergency patient care occurs in progressive phases. What occurs first? A. Activation of EMS B. Initial prehospital care C. The patient receives definitive care D. Incident recognition

Answer 44

D. Incident recognition

Question 45

Which of the following is a professional responsibility of the EMT? A. Telling the family of a dying patient that everything will be OK B. Maintaining only the skills that he or she feels uncomfortable with C. Maintaining a professional demeanor in even the most stressful situations D. Advising an emergency department nurse that patient reports are given only to a physician

Answer 45

C. Maintaining a professional demeanor in even the most stressful situations