Emergency Care 14th Edition Quiz & Flashcards

Questions and Answers

What is a system for telephone access to report emergencies?

911 system

What process involves continuous self-review of all aspects of an EMS system for improvement?

Quality improvement

What is the oversight of the patient-care aspects of an EMS system by the Medical Director called?

Medical Directions

Who assumes ultimate responsibility for the patient-care aspects of the EMS system?

Medical Director Signup and view all the answers

What are standing orders issued by the Medical Director that allow EMTs to give certain medications called?

Off-Line medical direction Signup and view all the answers

What do lists of steps, such as assessments and interventions, taken in different situations refer to?

Protocols Signup and view all the answers

What are policies or protocols issued by a medical director that authorize EMTs to perform specific skills in certain situations?

Standing orders Signup and view all the answers

What are orders from the on-duty physician given directly to an EMT in the field called?

On-line medical directions Signup and view all the answers

What term is used for research submitted to a professional journal and reviewed by peers?

Peer reviewed Signup and view all the answers

What is the term for the long-term survival of patients?

Patient outcomes Signup and view all the answers

What are techniques or practices that are supported by scientific evidence of their safety and efficacy called?

Evidence-based techniques Signup and view all the answers

Where was the earliest documented Emergency Medical Service located?

France in the 1790s Signup and view all the answers

In 1996, which act charged the U.S. Department of Transportation with developing EMS standards?

National Highway Safety Act Signup and view all the answers

Which of the following is NOT a major component of the National Highway Traffic Safety Administration's EMS system assessment standards?

Computerization Signup and view all the answers

An example of a specialty hospital in the EMS system is a(n):

Trauma center Signup and view all the answers

The National Registry of Emergency Medical Technicians (NREMT) provides certification based on successful completion of examinations in all the following except:

Advanced first aid Signup and view all the answers

The major emphasis of EMT education deals with ___________ of the ill or injured patient in the prehospital setting.

Basic-level assessment and care Signup and view all the answers

Patient care provided by the EMT should be:

Based on assessment findings Signup and view all the answers

An example of ensuring continuity during the transfer of care of the patient would be:

Providing pertinent patient information to the hospital staff Signup and view all the answers

Patient advocacy is:

Speaking up for your patient Signup and view all the answers

Good personality traits are very important to the EMT. You should be:

Cooperative and resourceful Signup and view all the answers

An EMT not in control of personal habits might:

All of the above Signup and view all the answers

To prevent violating patient confidentiality, the EMT should:

Avoid inappropriate conversation about the patient Signup and view all the answers

An EMT may maintain up-to-date knowledge and skills through continuing education such as:

Attending EMT conferences Signup and view all the answers

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 change is called:

Quality improvement Signup and view all the answers

In some states, the role of the EMTs has been expanded to assist local public health departments with:

Seasonal flu vaccinations Signup and view all the answers

Participation in continuing education and keeping carefully written documentation are examples of the EMT's role in:

Quality improvement Signup and view all the answers

Every EMS service or agency will have a:

Medical Director Signup and view all the answers

It is important that each EMT knows his or her Medical Director. An EMT is operating as the Medical Director's:

Eyes and ears in the field Signup and view all the answers

The difference between on-line and off-line medical direction is that:

On-line orders are given by the on-duty physician, usually over the radio or phone Signup and view all the answers

An example of a pharmaceutical carried by EMTs that may require a physician consultation to administer is:

Aspirin Signup and view all the answers

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 that are based on _

Tradition; research Signup and view all the answers

The EMT has many jobs to do. It is the responsibility of the EMT to treat patients:

In a nonjudgmental and fair manner Signup and view all the answers

Your Medical Director has stated that EMS is moving closer to science-based guidelines. A general procedure involved in making evidence-based patient care decisions is:

All of these Signup and view all the answers

Your service has been seeing an increase in injuries to the aging population. Injury prevention for geriatric patients and campaigns are examples of:

An EMT's role in public health Signup and view all the answers

Which of the following is NOT a challenge when EMTs conduct research in the field?

Lengthy patient encounters Signup and view all the answers

List at least six of the categories and standards of the EMS system established by the National Highway Traffic Administration.

Regulation and policy, resource management, human resources and training, transportation, facilities, communications, public education and information, medical direction, trauma systems, evaluation. Signup and view all the answers

List five types of specialty hospitals.

Trauma centers, cardiac centers, burn center, stroke centers, pediatric centers. Signup and view all the answers

List the four levels of EMS certification.

EMR, EMT, AEMT, Paramedic. Signup and view all the answers

List at least six responsibilities of an EMT.

Personal safety, safety of the crew, patient, and bystanders, working with other public safety professionals, patient assessment, patient care, lifting and moving, transport, transfer of care, patient advocacy. Signup and view all the answers

Study Notes

Emergency Medical Services Overview

911 System: A telephone access system for reporting emergencies.
Quality Improvement: Continuous self-review of an EMS system to identify and correct areas needing improvement.
Medical Director: Physician overseeing patient care aspects within an EMS system, ultimately responsible for patient care quality.

Medical Directions and Protocols

Off-Line Medical Direction: Standing orders allowing EMTs to administer medications or procedures without immediate physician communication.
On-Line Medical Direction: Direct orders from an on-duty physician to EMTs via radio or phone.
Protocols: Lists of assessments and interventions for various situations.
Standing Orders: Policies that authorize EMTs to perform specific skills under certain conditions.

Historical Context and Standards

First Documented EMS: France in the 1790s.
National Highway Safety Act (1996): Charged with developing EMS standards and aiding states to improve prehospital emergency care.
National Highway Traffic Safety Administration (NHTSA): Governs EMS system assessment standards excluding computerization.

Education and Certification

Certification: NREMT certifies based on training levels excluding advanced first aid.
EMT Education Emphasis: Basic-level assessment and care of ill or injured patients.

Patient Care Principles

Assessment-Based Care: EMTs should provide care based on assessment findings, ensuring proper treatment and transport.
Continuity of Care: Essential to provide pertinent patient information during transfer to hospital staff.
Patient Advocacy: EMTs are responsible for voicing the needs of their patients.

Professional Ethics and Responsibilities

Good Personality Traits: EMTs are expected to be cooperative, resourceful, and emotionally stable.
Confidentiality: EMTs must avoid inappropriate discussions about patients' conditions.
Continuing Education: Attending conferences to maintain up-to-date knowledge and skills.

Specialty Services and Community Role

Specialty Hospitals: Include trauma centers, cardiac centers, burn centers, stroke centers, and pediatric centers.
Expanded Roles: EMTs may assist public health departments with community health initiatives like seasonal flu vaccinations.

Research and Quality Improvement

Research Challenges: Unique field research challenges include unstable environments and patient consent.
Evidence-Based Techniques: Emphasizes practices supported by scientific evidence for safety and efficacy.

Core Responsibilities of EMTs

Key Responsibilities: Include personal safety, patient safety, collaborating with public safety professionals, and patient advocacy.

EMS Certification Levels

Certification Levels: EMR (Emergency Medical Responder), EMT (Emergency Medical Technician), AEMT (Advanced EMT), Paramedic.

Categories of EMS Standards

NHTSA Categories: Regulation, resource management, human resources, transportation, facilities, communication, public education, medical direction, trauma systems, evaluation.

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Description

Test your knowledge with this set of flashcards based on Chapter 1 of the Emergency Care 14th Edition workbook. Each card covers key terms and definitions related to emergency medical services and systems. Perfect for students and professionals looking to reinforce their understanding of emergency care concepts.

Emergency Care 14th Edition Flashcards