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Flashcards in Module One Deck (142):
1

What is the first priority of the EMT on the scene of an emergency?

TO ENSURE PERSONAL SAFETY

2

An EMT is an operating as a designated agent of the ______________________

MEDICAL DIRECTOR

3

The _________________ is legally responsible for the clinical and patient-care aspects of an EMS system.

MEDICAL DIRECTOR

4

The first concern of an EMT always must be __________________ safety.

PERSONAL

5

What is the term used for a policy set by an EMS medical director that allows EMTs to administer glucose to patients in certain circumstances without speaking to the physician?

STANDING ORDER

6

An order from an EMS system's on-duty physician given by radio or phone is an example of _________________

ON-LINE MEDICAL DIRECTION

7

The level of EMS that involves medical training for those who are usually first on the scene of an emergency is _________________

EMERGENCY MEDICAL RESPONDER

8

Most EMT courses today are based on models developed by the _______________

National Highway Traffic Safety Administration (NHTSA)

9

The system of internal and external reviews and audits for all aspects of an emergency medical system is known as what?

Quality Improvement (QI)

10

The aspect of the EMT's job that involves protecting the patient's right is called __________________

ADVOCACY

11

The stage of the dying process that can be characterized by the words "Why me?" is known as ________________

ANGER

12

While working in the EMS what is the type of emergency call likely to produce extreme levels of stress?

INJURY OR DEATH OF A COWORKER

13

What is the goal of CISD?

To assist emergency care workers in dealing with stress.

14

A less structured version of the CISD, which may be held from 1 to 4 hours after an incident and before the formal debriefing, is called a(n) _________________

DEFUSING

15

What is the stage of grieving in which a patient seeks to postpone death, even for a short time?

BARGAINING

16

What is the term that most specifically describes organisms that can cause infectious diseases?

PATHOGENS

17

Which of the following concepts is used by OSHA, and based on the assumption that any patient's blood and body fluids can transmit infectious disease?
**Universal Standards
**Risk Management
**Preventive Controls
**Standard Precautions

STANDARD PRECAUTIONS

18

Which of the following would be used as personal protective equipment to prevent infection with a bloodborne disease?
**turnout gear
**a "sharps" container
**disposable exam gloves
**hospital grade disinfectant

DISPOSABLE EXAM GLOVES

19

Which of the following is the best way to protect yourself from exposure when caring for a patient with known or suspected active tuberculosis?
** wear a surgical face mask
** place an oxygen mask on the patient
** wear a HEPA mask
** place a surgical mask on the patient

WEAR A HEPA MASK

20

Lifestyle changes that can help an EMT deal with stress include all of the following except
** cut down on sugar, fat, and caffeine
** avoid exercise in your daily routine
** avoid self medication
** keep balance in your life

AVOID EXERCISE IN YOUR DAILY ROUTINE

21

Which of the following materials is NOT recommended for gloves to be used when there is the potential for contact with blood and other body fluids?
** latex
** vinyl
** cotton
** synthetics

COTTON

22

Equipment used as BSI precaution includes all of the following EXCEPT
** a HEPA respirator
** vinyl gloves
** cotton scrub pants
** goggles

COTTON SCRUB PANTS

23

What is the process by which an object is subject to a chemical or physical substance that kills all microorganisms on the surface?

STERILIZATION

24

A situation that would usually call for the use of a gown as protection would be one involving a _________________

CHILDBIRTH

25

Where is one supposed to dispose of all needles immediately after use?

A DESIGNATED "SHARPS" CONTAINER

26

What is the single most important way an EMT can prevent the spread of infection?

HAND WASHING

27

In general, what should an EMT do before entering a hazardous materials scene?

Call for a specialized HAZMAT team

28

What is the test that can detect exposure tuberculosis?

PPT

29

What is one to do if there is a suspected potential for violence at the scene?

CALL LAW ENFORCEMENT

30

What should vehicles, structures, and storage containers holding hazardous materials be identified by?

SIGNS OR PLACARDS

31

Dying patients experience what five emotional stages?

DENIAL
ANGER
BARGAINING
DEPRESSION
ACCEPTANCE

32

A(n) ______________________ is a single incident in which there are multiple patients.

MULTIPLE-CASUALTY INCIDENT

33

____________________ is brought about by work-related problems in an emotionally charged environment and can lead to burnout.

CHRONIC STRESS

34

________________ _____________, which include deep-breathing exercises and meditation, are valuable stress reducers

RELAXATION TECHNIQUES

35

Held within 24-72 hours of a critical incident, a(n) _________________ ____________ __________ ____________ is a process in which a team of trained peer counselors and mental health professionals meet with rescuers and health care providers who have been involved in the incident.

CRITICAL INCIDENT STRESS DEBREIFING

36

What is the state of emotional exhaustion and irritability that can markedly decrease an EMT's effectiveness in delivering medical care?

BURNOUT

37

According to the U.S. Public Health Service, most contaminants can be removed from the skin with ______________________

10 TO 15 seconds of vigorous hand washing

38

______________________ are spread by tiny droplets sprayed during breathing, coughing, or sneezing

AIRBORNE PATHOGENS

39

What is the strict for form of infection control for emergency personnel?

BODY SUBSTANCE ISOLATION

40

In addition to eye protection, gloves, and a mask, another item of personal protective equipment that should be worn when there may be significant contact with blood or other body fluids is a(n) ______________________

GOWN

41

As an advance safety precaution, an EMT should have a ________________ ____________ _____________ test for TB every year

PURIFIED PROTEIN DERIVATIVE

42

The level of cleaning for items such as backboards and cervical collars, which come in contact with the intact skin of patients, is ____________________________

DISINFECTION

43

EMS personnel treating a patient suspected of having TB should use a(n) __________________

HEPA RESPIRATOR

44

Before entering scenes involving domestic disputes, gang fights, or bar fights, an EMT should first do what?

CALL LAW ENFORCEMENT

45

When approaching a wrecked vehicle that may be carrying hazardous materials, use binoculars to try to find ______________ or ___________________ signs that can identify the material as hazardous

PLACARDS
SIGNS

46

________________ are mentally competent adults of legal age who accept care from an EMS crew that have said to give consent

EXPRESSED CONSENT

47

EMS personnel can treat unconscious patients because the law holds that rational patients would consent to treatment if they were conscious. This principle is known as _______________ consent

IMPLIED CONSENT

48

Minors who are married or of a certain age and who are legally able to give consent for medical care are known as _____________________

EMANCIPATED

49

When a patient refuses care, he or she must sign a(n) ________________

RELEASE FROM LIABILITY FORM

50

A legal document, usually signed by the patient and his physician, which states that the patient has a terminal illness and does not wish to prolong life through resucitative efforts, is called a(n) _________________

DNR order

51

A person whom the signer of a document names to make health care decisions for her in case the signer is unable to make such decisions for herself is known as a(n) _____________________

PROXY

52

Legislative measures intended to provide legal protection for citizens and some health care personnel who administer emergency care are known as ______________

GOOD SAMARITAN LAWS

53

An EMT's obligation in certain situations to provide care to a patient is referred to as a(n) __________________

DUTY TO ACT

54

If a jury finds that an EMT had a duty to a patient, that he failed to carry out that duty properly, and that his action caused harm to the patient, the EMT could be convicted of __________________________

NEGLIGENCE

55

A living will is one example of a(n) _____________

ADVANCE DIRECTIVE

56

The principle that information about a patient's history, condition, or treatment must not be shared with unauthorized parties is called ________________

CONFIDENTIALITY

57

If you discover that a critically injured patient is an organ donor, as an EMT, you should _________________

CONTACT MEDICAL DIRECTION

58

Once police have made the scene safe, the priority of the EMT at a crime scene is to _____________________

PROVIDE PATIENT CARE

59

Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training is known as _________________

ABANDONMENT

60

The actions and care that an EMT is legally allowed to perform are referred to as ________________

SCOPE OF PRACTICE

61

When dealing with children and mentally incompetent adults, the _________________ or _______________ have the legal authority to give consent

PARENTS OR GUARDIANS

62

Minors who are married or who meet certain other criteria that allow them to legally give consent as an adult would are called _________________ minors

EMANCIPATED

63

Failure to provide the standard of care is one of the elements that must be proved in a case involving a charge of __________________ against an EMT

NEGLIGENCE

64

If all efforts fail and the patient does not accept your care or transportation, you must have the patient sign a(n) ___________________

REFUSAL OF TREATMENT FORM

65

To refuse care, a patient must be _________________ to make decisions and demonstrate that he understands the risks of refusing treatment

COMPETENT

66

An EMT who is on an ambulance and is dispatched to call clearly has a(n) ____________________

DUTY TO ACT

67

In many states, an off-duty EMT has no legal obligation to provide ____________________

EMERGENCY CARE

68

If the EMT is off duty and begins care, then leaes the patient before other trained personnel arrive, he may be considered to have ________________________

ABANDONED THE PATIENT

69

Laws that provide immunity from liability to persons who stop to help in an emergency are known as __________________

GOOD SAMARITAN LAWS

70

The only time that confidential information about a patient may be disclosed is when the patient has signed a(n) ____________________

WRITTEN RELEASE

71

A person who has signed a legal document to allow his organs and tissues to be harvested for transplantation to another person is called an ____________________

ORGAN DONOR

72

Obvious signs of death, with which resuscitative efforts do not have to be made, include decomposition of the body, dependent lividity, __________________ and __________________

DECAPITATION and RIGOR MORTIS

73

All of the following are purposes served by patient care report documentation except
** prevention of lawsuits
** continuity of care
** quality assurance
** reimbursement

PREVENTION OF LAWSUITS

74

The paper or electronic record of an EMT's documentation of a call is known informally as a _______________

PCR (patient care report)

75

Which of the following is least likely to be the fate of a patient care report?
** evidence in a legal case
** part of the hospital's permanent records
** data in a research project
** private property controlled by the patient

PRIVATE PROPERTY CONTROLLED BY A PATIENT

76

Administrative information on a PCR is often referred to as _____________________

RUN DATA

77

The standardized information that should be collected on all PCRs is called the _________________

MINIMUM DATA SET

78

Which federal agency has developed a list of minimum data elements to be collected on patient care reports?

Department of transportation (DOT)

79

In which section of a patient care report would an EMT record the time the emergency unit left the scene?

ADMINISTRATIVE INFORMATION

80

Which of the following elements of patient information is not provided in a radio report but must be provided on a patient care report?
** name and address
** age and sex
** chief complaint
** vital signs

NAME AND ADDRESS

81

All of the following are included in the patient narrative section of a prehospital care report EXCEPT
** billing information
** chief complaint
** pertinent negatives
** SAMPLE history

BILLING INFORMATION

82

What is the recommended punctuation mark when writing the patient's chief complaint?

QUOTATION MARKS

83

All of the following should be found in a well-written narrative EXCEPT
** pertinent negatives
** radio codes
** scene information
** standardized abbreviations

RADIO CODES

84

The EMT may provide confidential information to all of the following EXCEPT
** the patient's family
** the emergency department nurse
** a court under a subpoena
** the police in a criminal investigation

THE PATIENT'S FAMILY

85

If a competent patient refuses care or transport, an EMT should __________________

DOCUMENT THE REFUSAL

86

Incorrect information in a prehospital care report should be ______________________

CROSSED OUT WITH A SINGLE LINE

87

During a multiple-casualty incident (MCI), patient information is usually passed along by ___________________

TRIAGE TAGS

88

The important part of an EMT's care, in which he records a variety of information that serves administrative, educational, and research uses, is called the ________________

PATIENT CARE REPORT

89

To ensure that patient care meets current medical and organizational standards, most EMS agencies have a ______________________ system in place

QUALITY IMPROVEMENT

90

The U.S. Department of Transportation calls the information it wants on all PCRs the ___________________

MINIMUM DATA SET

91

When a bystander or patient gives information, such as a statement about what happened or the patient's chief complaint, you should consider using ________________ to show that you are recording the words of the bystander or patient

QUOTATION MARKS

92

When you have examined an area of the body and did not notice any signs of illness or injury that would be expected in a patient with a given complaint, you record this information as __________________

PERTINENT NEGATIVES

93

You must avoid allowing others to see or obtain a PCR because the information contained in it is considered ________________

CONFIDENTIAL

94

If a patient declines emergency treatment or transport, he should be asked to sign a(n) __________________

REFUSAL OF TREATMENT FORM

95

In a multiple-casualy incident (MCI), patient information is often passed through the system in the form of _____________________

TRIAGE TAGS

96

The initial communication EMT's receive about an emergency call comes from _______________

DISPATCH

97

The two-way radio located at a hospital or dispatch center is a ___________________

BASE STATION

98

All of the following should be included in a radio medical report except
** name and address
** age and sex
** mental status
** chief complaint

NAME AND ADDRESS

99

The federal agency that assigns and licenses radio frequencies used by EMS units is the ___________

FCC

100

If an order from medical direction appears to be inappropriate, the EMT should ____________

TACTFULLY QUESTION IT

101

The principles of radio communication encourage transmissions that make use of __________________

COURTESIES SUCH AS "THANK YOU"

102

To keep emergency frequencies open, an EMT should pause for several seconds if a transmission takes longer than _____________________

30 SECONDS

103

To help calm a patient, an EMT should __________________

EXPLAIN ALL PROCEDURES

104

In assessing a child, an EMT should ______________

CROUCH AT THE CHILD'S LEVEL

105

If an on-line physician orders medication, an EMT should ____________________

REPEAT BACK THE ORDER WORD FOR WORD

106

The important part of an EMT's care, in which he records a variety of information that serves administrative, educational, and research uses, is called _______________

DOCUMENTATION

107

A recent development in prehospital care reports is the _______________

ELECTRONIC CLIPBOARD

108

A PCR is a _______________________ that can sometimes find its way into either criminal or civil court cases

LEGAL DOCUMENT

109

To ensure that patient care meets current medical and organizational standards, most EMS agencies have a _________________ system in place

QUALITY IMPROVEMENT

110

The U.S. Department of Transportation calls the information it wants on all PCRs the ________________

MINIMUM DATA SET

111

The ________________ information includes unit numbers, date, times, call number, and crew member names.

ADMINISTRATIVE

112

The patient's name, address, sex, age, and any care provided before the EMT arrived are called __________________

PATIENT DATA

113

Statements that can be measured or verified are called ______________ statements

OBJECTIVE

114

Statements that reflect opinion are called __________ statements

SUBJECTIVE

115

When a clock shows the right time, it is called ____________________

ACCURATE

116

When all clocks being used show the same time, they are called ______________________

SYNCHRONOUS

117

When a bystander or patient gives information, such as a statement about what happened or the patient's chief complaint, you should consider using ____________________ to show that you are recording the words of the bystander or patient.

QUOTATION MARKS

118

When you have examined an area of the body and did not notice any signs of illness or injury that would be expected in a patient with a given complaint, you record this information as __________________

PERTINENT NEGATIVES

119

At least ______________ complete sets of vital signs should be taken and recorded

TWO

120

If a patient declines emergency treatment or transport, he should be asked to sign a ___________________

REFUSAL-OF-CARE FORM

121

You must avoid allowing others to see or obtain a PCR because the information contained in it is considered __________________

CONFIDENTIAL

122

In a MCI, patient information is often apssed through the system in the form of ___________________

TRIAGE TAGS

123

A fixed site that serves as a dispatch and coordination area is a ________________

BASE STATION

124

A __________________ breaks down sound into digital codes

ENCODER

125

A __________________ only responds to encoder codes

DECODER

126

A ______________ allows EMTs to be in touch with the members of the EMS while they are away from the ambulance

PORTABLE RADIO

127

In the event of power failure or malfunction, EMS systems should have ______________

BACK UP RADIOS

128

The federal agency that assigns radio frequencies and oversees radio communications is the _______________

FCC

129

After receiving an order from medical direction to administer medication, the EMT should __________________

REPEAT THE ORDER WORD FOR WORD

130

At the conclusion of a call, the EMTs should notify _________________ of their return to the station

DISPATCH

131

When caring for a patient with a hearing loss, be sure that your _______________ are visible or see if relatives can _____________ using American Sign Language

LIPS
SIGN

132

The EMT should never use the patient's ___________________ in radio transmissions

NAME

133

A handheld, two-way radio

PORTABLE RADIO

134

Federal agency that assigns and licenses radio frequencies

FCC

135

A two way radio mounted on a vehicle

MOBILE RADIO

136

A unit of measurement for radio output

WATT

137

A type of portable phone

CELL PHONE

138

A two way radio at a fixed site, such as a hospital

BASE STATION

139

A member of the EMS system who receives the initial call for help

EMD

140

Patient information sent while en route to the hospital

RADIO REPORT

141

A device that picks up radio signals from lower power units

REPEATER

142

Patient information given at the hospital

ORAL REPORT