question

Which of the following statements about the patient care report is correct?

answer

It is difficult to prove actions were performed if they are not included on the report.

question

You and your partner arrive at the scene of a major motor vehicle crash. The driver, a young male, is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, is not breathing, and does not have a palpable carotid pulse. You should:

answer

have your partner check for a pulse to confirm that the patient is deceased.

question

The EMT's scope of practice within his or her local response area is defined by the:

answer

medical director.

question

Where would you MOST likely find information regarding a patient's wishes to be an organ donor?

answer

Driver's license

question

Putrefaction is defined as:

answer

decomposition of the body's tissues.

question

You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?

answer

Transport the child immediately and have the parents meet you at the hospital.

question

In which of the following situations does a legal duty to act clearly exist?

answer

A call is received 15 minutes prior to shift change.

question

You are called to attend to an elderly patient with an extensive medical history who is now in cardiac arrest. The patient's family tells you that the patient has a DNR order. There is no paperwork available but the patient does have a MedicAlert bracelet indicating Do Not Resuscitate. You should:

answer

confirm the patient identity and then confirm the DNR by calling the MedicAlert Foundation number on the bracelet.

question

During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:

answer

are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.

question

In which of the following circumstances can the EMT legally release confidential patient information?

answer

The patient is competent and signs a release form

question

When is forcible restraint permitted?

answer

When the patient poses a significant threat to self or others

question

Which of the following general statements regarding consent is correct?

answer

All patients older than 18 years can legally refuse treatment or transport.

question

When performing his or her duties, the EMT is generally expected to:

answer

exercise reasonable care and act prudently.

question

Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?

answer

Protecting patient privacy

question

Maintaining the chain of evidence at the scene of a crime should include:

answer

not cutting through holes in clothing that were caused by weapons.

question

To help protect patients, EMS agencies are required to have __________.

answer

a privacy officer to answer questions

question

You respond to the home of a 59-year-old man who is unconscious; has slow, shallow breathing; and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient, but they are unable to locate it. You should:

answer

begin treatment and contact medical control as needed.

question

Which of the following components are needed to prove negligence?

answer

Duty to act, breach of duty, injury/damages, and causation

question

As an EMT, the standards of emergency care are often partially based on:

answer

Locally accepted protocols

question

Which type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?

answer

expressed

question

abandonment

answer

unilateral termination of care by the EMT without the patient's consent and without making provisions for transferring care to another medical professional with the skills and training necessary to meet the needs of the patient

question

advanced directive

answer

written documentation that specifies medical treatment for a competent patient should the patient become unable to make decisions; also called a living will or health care directive

EMT Chapter 3 EMS Systems – Flashcards

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