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Questions and Answers
Putrefaction is defined as:
Putrefaction is defined as:
- Blood setting to the lowest part of the body.
- Separation of the torso from the rest of the body.
- Profound cyanosis to the trunk and face.
- Decomposition of the body's tissues. (correct)
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:
- Honor the patient's wishes and withhold all treatment.
- Begin treatment and contact medical control as needed. (correct)
- Decide on further action once the DNR order is produced.
- Transport the patient without providing any treatment.
To help protect patients, EMS agencies are required to have:
To help protect patients, EMS agencies are required to have:
- Public forums with their medical director
- An anonymous reporting system
- A privacy officer to answer questions (correct)
- Online access to patient records
Which of the following components are needed to prove negligence?
Which of the following components are needed to prove negligence?
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?
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?
When performing his or her duties, the EMT is generally expected to:
When performing his or her duties, the EMT is generally expected to:
Which of the following statements about the patient care report is correct?
Which of the following statements about the patient care report is correct?
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:
Which of the following general statements regarding consent is correct?
Which of the following general statements regarding consent is correct?
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?
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:
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:
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:
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?
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?
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:
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?
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:
When is forcible restraint permitted?
When is forcible restraint permitted?
Flashcards
Putrefaction
Putrefaction
The decomposition of the body's tissues after death.
DNR Situations
DNR Situations
Start treatment for unconscious patients with a DNR order if paperwork is absent.
Privacy in EMS
Privacy in EMS
EMS must have a privacy officer for patient inquiries and regulatory compliance.
Proving Negligence
Proving Negligence
Negligence requires duty to act, breach, injury, and causation to be established.
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Organ Donation
Organ Donation
The driver's license commonly indicates a person's organ donor status.
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Consent for Treatment
Consent for Treatment
In emergencies, minors require immediate transport; parents follow to the hospital.
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EMT Responsibilities
EMT Responsibilities
An EMT must provide reasonable care and prudent actions while on duty.
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Patient Care Report
Patient Care Report
Accurate documentation of actions is essential to prove treatment was performed.
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Deceased Patients
Deceased Patients
Confirm a patient’s status before taking further action with unresponsive patients.
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Consent Types
Consent Types
Patients can refuse treatment but may still consent to transport; consent can be verbal or written.
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HIPAA Compliance
HIPAA Compliance
HIPAA focuses on protecting patient privacy, crucial for EMS personnel.
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Confirming DNR Orders
Confirming DNR Orders
Verify a DNR order via the MedicAlert Foundation's number on the patient’s bracelet.
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Local Protocols
Local Protocols
EMT care standards depend on locally accepted protocols and community resources.
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Defining Scope of Practice
Defining Scope of Practice
The medical director defines the EMT's operational scope in the response area.
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Expressed Consent
Expressed Consent
Consent from a mentally competent patient requesting treatment or transport.
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Duty to Act
Duty to Act
A duty to respond exists when a call is received shortly before shift change.
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Quality Improvement Violations
Quality Improvement Violations
Discussing patient info improperly during reviews can breach HIPAA regulations.
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Releasing Confidential Information
Releasing Confidential Information
Only release confidential info if the patient is competent and signs a form.
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Preserving Crime Scene Evidence
Preserving Crime Scene Evidence
Do not cut clothing holes caused by weapons to maintain crime scene integrity.
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Forcible Restraint
Forcible Restraint
Allowed when a patient poses a threat to self or others after assessments.
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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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