EMT Emergency Care 13th edition Chapter 1 – Flashcards

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designated agent
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an EMT or other person authorized by a Medical Director to give medications and provide emergency care
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Off-line medical direction
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consists of standing orders issued by Medical Direcctor that allows EMT s to give certain medications or perform certain procedures without speaking to Medical Director or another physician
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On-line medical direction
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orders from the on-duty physician given directly to an EMT in the field by radio or telephone
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911 system
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a system for telephone access to report emergencies
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Medical Direction
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oversight of the patient care aspects of an EMS system by the Medical Director
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Medical Director
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a physician who assumes the ultimate responsibility for the patient-care aspects of the EMS system
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Quality Improvement
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A process of continuous self-review with the purpose of identifying and correcting aspects of the system that requires improvement.
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Protocols
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list of steps, such as assessment and interventions, to be taken in different situations
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Standing Order
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a policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations
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Evidence Based
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description of medical techniques or practices that are supported by scientific evidence of their safety and efficacy rather than merely supposition and tradition
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Patient outcomes
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the long-term survival of pateints
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the earliest documented emergency med. service was in:
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France, 1790's
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In 1966 the_________ charged the United States __________ with developing the EMS standards and helping the states to upgrade the quality of their pre-hospital emergency care
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National Highway Safety Act; Department of Transportation
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3 major components of Nat. Highway Traffic Safety Administration's EMS system assessment standards
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transportation, communications, evaluation
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US department of transportation provides for national levels of EMS training in all of the following
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(not advanced first aid) advanced EMT, emergency medical responder, paramedic
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The major emphasis of EMT education deals with _________ of the ill or injured patient in the pre-hospital setting
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basic assessment and care
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patient care provided by the EMT should be:
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based on assessment findings
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an example of ensuring continuity in during the transfer of care of the patient would be:
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providing pertinent information to hospital staff
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patient advocacy is
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speaking up for your patient
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Good personality traits are very important to the EMT. You should be:
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pleasant, cooperative, resourceful, neat/clean, leader, controlled
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AN EMT who is not in control of personal habits might:
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contaminate patient's wounds, render improper care, make inappropriate decisions
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to prevent violating patient confidentiality, the EMT should
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avoid inappropriate conversation with others
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AN EMT may maintain up-to-date knowledge and skills through continuing educations such as:
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attending EMS conferences
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A process of continuous self review of all aspects of an EMS system for the purpose of identifying and correcting aspects of the system that require improvement is called:
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quality improvement
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obtaining feedback from patients and hospital staff is a means of
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providing quality improvement
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Every EMS system should have a
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Medical DirectorI
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It is important that each EMT know his or her Med. Director. AN EMT is operating as the Medical Director's
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designated agent
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difference between on=line and off-line medical direction is that
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on line orders are given by the on-duty physician, usually over radio/phone
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an example of medication carried by EMTs that may require a physician consultation to administer is:
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Aspirin
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AS a new EMT, you will witness many changes in the EMS system and patient care, moving from practices that have been based on _______ to those based on ______
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tradition; research
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THe EMT has many jobs to do . It is resp. of EMT to treat patients
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in a nonjudgmental and fair manner
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categories/standards of an EMS system established by the National HIghway Traffic Safety Administration
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regulation and policy, resource management, human resources and training, trauma systems, public information and education, communications, transportation, facilities, evaluation, med. direction
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6 types specialty hospitals are:
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trauma centers, burns c., cardiac c., poison control c., stroke centers, pediatric centers
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4 levels EMS certification:
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emergency medical responder, EMT, Advanced EMT, PAramedic
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Specific areas of responsibility for EMT:
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personal safety, safety of crew, patient, & bystanders, patient assessment, lifting and moving, transport, transfer of care, patient advocacy
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