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Questions and Answers
Putrefaction is defined as:
Putrefaction is defined as:
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:
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:
To help protect patients, EMS agencies are required to have:
To help protect patients, EMS agencies are required to have:
Which of the following components are needed to prove negligence?
Which of the following components are needed to prove negligence?
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Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
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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?
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?
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When performing his or her duties, the EMT is generally expected to:
When performing his or her duties, the EMT is generally expected to:
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Which of the following statements about the patient care report is correct?
Which of the following statements about the patient care report is correct?
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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:
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:
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Which of the following general statements regarding consent is correct?
Which of the following general statements regarding consent is correct?
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Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
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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:
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:
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As an EMT, the standards of emergency care are often partially based on:
As an EMT, the standards of emergency care are often partially based on:
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The EMT's scope of practice within his or her local response area is defined by the:
The EMT's scope of practice within his or her local response area is defined by the:
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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?
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?
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In which of the following situations does a legal duty to act clearly exist?
In which of the following situations does a legal duty to act clearly exist?
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During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMT system. You identify the patient's name, age, and sex, and discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:
During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMT system. You identify the patient's name, age, and sex, and discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:
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In which of the following circumstances can the EMT legally release confidential patient information?
In which of the following circumstances can the EMT legally release confidential patient information?
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Maintaining the chain of evidence at the scene of a crime should include:
Maintaining the chain of evidence at the scene of a crime should include:
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When is forcible restraint permitted?
When is forcible restraint permitted?
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Study Notes
Putrefaction
- Defined as the decomposition of the body's tissues.
DNR Situations
- In cases of unconscious patients with a DNR order, begin treatment and contact medical control as needed, even if the DNR paperwork is unavailable.
Privacy in EMS
- EMS agencies must employ a privacy officer to address patient questions and ensure compliance with regulations regarding patient privacy.
Proving Negligence
- To establish negligence in an EMS context, four elements must be present: duty to act, breach of duty, injury/damages, and causation.
Organ Donation
- A driver's license is the most common location for information regarding a patient's organ donor status.
Consent for Treatment
- In emergencies involving minors, immediately transport the patient to the hospital, having the parents meet you there.
EMT Responsibilities
- EMTs are expected to exercise reasonable care and act prudently while performing their duties.
Patient Care Report
- It is essential to document actions accurately; failure to include them can hinder proof of treatment performed.
Deceased Patients
- When dealing with unresponsive patients lacking a pulse, confirm the patient's status before taking further action.
Consent Types
- Patients can refuse treatment but may still consent to transport; expressed consent can be verbal or written.
HIPAA Compliance
- The Health Insurance Portability and Accountability Act primarily focuses on protecting patient privacy, which is crucial for EMS personnel.
Confirming DNR Orders
- Verify a DNR by contacting the MedicAlert Foundation using the number on the patient’s bracelet before proceeding.
Local Protocols
- EMT standards of care are based on locally accepted protocols, reflecting community needs and resources.
Defining Scope of Practice
- The medical director defines an EMT's scope of practice within their local response area.
Expressed Consent
- The consent from a mentally competent patient, such as a female with a severe headache requesting transport, is considered expressed consent.
Duty to Act
- A clear duty to act exists when a call is received shortly before a shift change, obligating the EMT to respond.
Quality Improvement Violations
- Discussing patient information without proper protocols during quality improvement reviews can violate HIPAA regulations.
Releasing Confidential Information
- Confidential patient information can only be released if the patient is competent and signs a release form.
Preserving Crime Scene Evidence
- It is important to not cut through holes in clothing caused by weapons to preserve evidence at a crime scene.
Forcible Restraint
- Forcible restraint is allowed when the patient poses a significant threat to themselves or others, following appropriate assessments.
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Test your knowledge with the EMT-B Chapter 3 Quiz focused on key concepts related to patient assessment and body decomposition. Challenge yourself with flashcards designed to help you remember critical terminology and scenarios encountered in emergency medical services. Perfect for aspiring EMTs or those looking to refresh their knowledge.