Podcast
Questions and Answers
You are in violation of HIPAA if you did not remove PHI from the PCR beforehand.
You are in violation of HIPAA if you did not remove PHI from the PCR beforehand.
True
According to the Occupational Safety and Health Administration regulations, what must an employer offer?
According to the Occupational Safety and Health Administration regulations, what must an employer offer?
a workplace environment that reduces the risk for exposure
If it is not possible to adequately clean your ambulance at the hospital following a call, what should you do?
If it is not possible to adequately clean your ambulance at the hospital following a call, what should you do?
clean the ambulance at your station in a designated area that is well ventilated
When performing their duties, what are EMTs generally expected to do?
When performing their duties, what are EMTs generally expected to do?
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What should you do if you arrive at the scene of a motor vehicle vs. pedestrian accident and the patient is unconscious?
What should you do if you arrive at the scene of a motor vehicle vs. pedestrian accident and the patient is unconscious?
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What should the compliance monitoring component of an infection control plan ensure?
What should the compliance monitoring component of an infection control plan ensure?
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What is the most serious consequence of drug or alcohol abuse among EMS personnel?
What is the most serious consequence of drug or alcohol abuse among EMS personnel?
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If you are exposed to a patient's blood or other bodily fluid, what should your first action be?
If you are exposed to a patient's blood or other bodily fluid, what should your first action be?
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What should you assess if a patient regains consciousness and refuses to go to the hospital?
What should you assess if a patient regains consciousness and refuses to go to the hospital?
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While decontaminating the back of your ambulance after a call, what should you allow?
While decontaminating the back of your ambulance after a call, what should you allow?
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In order for a DNR order to be valid, what must it clearly state?
In order for a DNR order to be valid, what must it clearly state?
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Which of the following is not considered to be protected health information (PHI)?
Which of the following is not considered to be protected health information (PHI)?
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Why do prescription glasses not provide adequate eye protection?
Why do prescription glasses not provide adequate eye protection?
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Which situation requires you to notify the appropriate authorities?
Which situation requires you to notify the appropriate authorities?
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What should you explain to a middle-aged man with chest pain who does not want to go to the hospital?
What should you explain to a middle-aged man with chest pain who does not want to go to the hospital?
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Which of the following most accurately depicts informed consent?
Which of the following most accurately depicts informed consent?
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Common factors that influence how a patient reacts to the stress of an illness/injury include all the following EXCEPT:
Common factors that influence how a patient reacts to the stress of an illness/injury include all the following EXCEPT:
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Hazards associated with a structural fire include all of the following except:
Hazards associated with a structural fire include all of the following except:
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What is an example of a PTSD reaction?
What is an example of a PTSD reaction?
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If a person is partially immune to a particular disease, what may occur?
If a person is partially immune to a particular disease, what may occur?
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Patients who become dependent on EMS personnel may often feel what?
Patients who become dependent on EMS personnel may often feel what?
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The manner in which the EMT acts or behaves when caring for a patient is called what?
The manner in which the EMT acts or behaves when caring for a patient is called what?
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What should you do when caring for a terminal cancer patient with a valid DNR form?
What should you do when caring for a terminal cancer patient with a valid DNR form?
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What does a positive skin TB test indicate?
What does a positive skin TB test indicate?
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When performing their duties, what are EMTs generally expected to do?
When performing their duties, what are EMTs generally expected to do?
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What does the PCR ensure?
What does the PCR ensure?
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What could you be sued for if your radio report to the hospital injures a patient's reputation?
What could you be sued for if your radio report to the hospital injures a patient's reputation?
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Any radio hardware containing a transmitter and receiver that is located in a fixed location is called what?
Any radio hardware containing a transmitter and receiver that is located in a fixed location is called what?
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After being dispatched, what information can you expect the dispatcher to provide you with?
After being dispatched, what information can you expect the dispatcher to provide you with?
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Which of the following statements regarding the NREMT is correct? (Select all that apply)
Which of the following statements regarding the NREMT is correct? (Select all that apply)
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Which of the following scenarios does NOT involve the administration of ALS? (Select all that apply)
Which of the following scenarios does NOT involve the administration of ALS? (Select all that apply)
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Which of the following is a unique function of the emergency medical dispatcher?
Which of the following is a unique function of the emergency medical dispatcher?
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EMRs such as firefighters, police, and park rangers are an integral part of the EMS system because...
EMRs such as firefighters, police, and park rangers are an integral part of the EMS system because...
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According to the National EMS Scope of Practice model, an EMT would require special permission from the Med Director and the state EMS office in order to...
According to the National EMS Scope of Practice model, an EMT would require special permission from the Med Director and the state EMS office in order to...
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What is the purpose of the continuous quality improvement (CQI) process?
What is the purpose of the continuous quality improvement (CQI) process?
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What is one of the criteria to be licensed and employed as an EMT?
What is one of the criteria to be licensed and employed as an EMT?
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Where does EMT training in nearly every state meet or exceed the guidelines?
Where does EMT training in nearly every state meet or exceed the guidelines?
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Who is responsible for authorizing EMTs to perform emergency medical care in the field?
Who is responsible for authorizing EMTs to perform emergency medical care in the field?
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Why are prehospital emergency care guidelines updated on a regular basis?
Why are prehospital emergency care guidelines updated on a regular basis?
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Who is responsible for obtaining continuing medical education?
Who is responsible for obtaining continuing medical education?
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If an EMT candidate has been convicted of a felony or misdemeanor, what should they do?
If an EMT candidate has been convicted of a felony or misdemeanor, what should they do?
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What is an appropriate demonstration of professionalism when your patient is frightened or unpleasant?
What is an appropriate demonstration of professionalism when your patient is frightened or unpleasant?
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What is the function of a paramedic?
What is the function of a paramedic?
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Who regulates the standards for prehospital emergency care?
Who regulates the standards for prehospital emergency care?
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What types of skills are laypeople trained to perform?
What types of skills are laypeople trained to perform?
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What permission allows an EMT to administer aspirin to a patient with chest pain?
What permission allows an EMT to administer aspirin to a patient with chest pain?
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What is an example of knowledge-based failure?
What is an example of knowledge-based failure?
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What is an example of a primary prevention strategy?
What is an example of a primary prevention strategy?
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Which of the following skills or interventions is included at every level of prehospital emergency training?
Which of the following skills or interventions is included at every level of prehospital emergency training?
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What department deals with the well-being of the EMT, career progression, and EMT compensation?
What department deals with the well-being of the EMT, career progression, and EMT compensation?
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What do you refer to an EMS provider with extensive training in various aspects of ALS?
What do you refer to an EMS provider with extensive training in various aspects of ALS?
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If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, what should you recognize?
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, what should you recognize?
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What is the basis for determining that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient?
What is the basis for determining that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient?
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Which of the following statements regarding the Americans with Disabilities Act of 1990 is correct?
Which of the following statements regarding the Americans with Disabilities Act of 1990 is correct?
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According to the National EMS Scope of Practice model, what should an EMT be able to do?
According to the National EMS Scope of Practice model, what should an EMT be able to do?
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Which of the following descriptions MOST accurately portrays emergency medical services (EMS)?
Which of the following descriptions MOST accurately portrays emergency medical services (EMS)?
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Continuing education in EMS serves to...
Continuing education in EMS serves to...
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What type of medical direction do standing orders and protocols describe?
What type of medical direction do standing orders and protocols describe?
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What should you do when you and your partner arrive at the residence of a man in cardiac arrest?
What should you do when you and your partner arrive at the residence of a man in cardiac arrest?
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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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What should you do when assessing a woman thrown from her horse as a thunderstorm is approaching?
What should you do when assessing a woman thrown from her horse as a thunderstorm is approaching?
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Which of the following scenarios MOST accurately depicts abandonment?
Which of the following scenarios MOST accurately depicts abandonment?
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What stage of the grieving process does an abusive patient who blames the healthcare system display?
What stage of the grieving process does an abusive patient who blames the healthcare system display?
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What should you do if a child's mother refuses to allow you to continue treatment after a suspected broken leg?
What should you do if a child's mother refuses to allow you to continue treatment after a suspected broken leg?
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What action should you take when responding to a 16-year-old with an asthma attack at a middle school?
What action should you take when responding to a 16-year-old with an asthma attack at a middle school?
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What should maintaining the chain of evidence at the scene of a crime include?
What should maintaining the chain of evidence at the scene of a crime include?
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What should you do if your partner touches you inappropriately without consent?
What should you do if your partner touches you inappropriately without consent?
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What is your BEST protection against legal liability when a competent patient refuses EMS care?
What is your BEST protection against legal liability when a competent patient refuses EMS care?
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What are some physiological manifestations of stress?
What are some physiological manifestations of stress?
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What is your first priority upon arriving at a potential crime scene with a critically injured patient?
What is your first priority upon arriving at a potential crime scene with a critically injured patient?
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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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What does an incomplete patient care form indicate in the eyes of the court?
What does an incomplete patient care form indicate in the eyes of the court?
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What should you do if you accidentally give a woman with diabetes oral glucose despite her high blood glucose level?
What should you do if you accidentally give a woman with diabetes oral glucose despite her high blood glucose level?
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Which of the following statements regarding the Good Samaritan law is correct?
Which of the following statements regarding the Good Samaritan law is correct?
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What is the type of consent when a pregnant 16-year-old girl agrees to splint her leg after being hit by a car?
What is the type of consent when a pregnant 16-year-old girl agrees to splint her leg after being hit by a car?
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What is important to remember about the signs of cumulative stress?
What is important to remember about the signs of cumulative stress?
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What should you do after using a waterless handwashing substitute in the field?
What should you do after using a waterless handwashing substitute in the field?
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What should you maintain as you approach a crash involving a large tanker truck?
What should you maintain as you approach a crash involving a large tanker truck?
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What method is vector-borne transmission of an infectious organism?
What method is vector-borne transmission of an infectious organism?
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What should you do upon arriving at a domestic violence situation where you hear screaming and that someone has a gun?
What should you do upon arriving at a domestic violence situation where you hear screaming and that someone has a gun?
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When should gloves, a mask, eye protection, and a face shield be used?
When should gloves, a mask, eye protection, and a face shield be used?
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If law enforcement personnel are present and have the suspect in custody at a shooting scene, what should you do?
If law enforcement personnel are present and have the suspect in custody at a shooting scene, what should you do?
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What should you do if your partner, a veteran EMT, appears agitated and smells of alcohol?
What should you do if your partner, a veteran EMT, appears agitated and smells of alcohol?
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What should you do before attempting to access a patient trapped in a vehicle?
What should you do before attempting to access a patient trapped in a vehicle?
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The manner in which the EMT must act or behave when caring for a patient is called what?
The manner in which the EMT must act or behave when caring for a patient is called what?
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Which of the following is a definitive sign of death?
Which of the following is a definitive sign of death?
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If you have a patient as an organ donor while triaging other patients at an MCI, what should you do?
If you have a patient as an organ donor while triaging other patients at an MCI, what should you do?
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What is the best approach when working at the scene of a major building collapse for an extended period?
What is the best approach when working at the scene of a major building collapse for an extended period?
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Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?
Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?
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What should you and your partner do after parking the ambulance at a safe distance at an MVC?
What should you and your partner do after parking the ambulance at a safe distance at an MVC?
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What should you do for a 59-year-old man who is unconscious and has a weak pulse, with the family stating he has terminal brain cancer and no DNR order?
What should you do for a 59-year-old man who is unconscious and has a weak pulse, with the family stating he has terminal brain cancer and no DNR order?
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Which statement regarding the hepatitis B vaccine is correct?
Which statement regarding the hepatitis B vaccine is correct?
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The final stage of death and dying is most commonly displayed as what?
The final stage of death and dying is most commonly displayed as what?
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Why is the determination of exposure an important component of an infection control plan?
Why is the determination of exposure an important component of an infection control plan?
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To minimize the risk of litigation, what should the EMT always do?
To minimize the risk of litigation, what should the EMT always do?
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What does regression mean when a patient is dying?
What does regression mean when a patient is dying?
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Which of the following statements would not be appropriate to say to the family of a dying patient?
Which of the following statements would not be appropriate to say to the family of a dying patient?
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Which of the following statements regarding consent is most correct?
Which of the following statements regarding consent is most correct?
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What is the most effective strategy for managing stress?
What is the most effective strategy for managing stress?
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Acting in such a way as to make another person fear immediate bodily harm is called what?
Acting in such a way as to make another person fear immediate bodily harm is called what?
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Study Notes
NREMT and EMT Certification
- NREMT provides national standards for EMS testing.
- It is not a governmental agency and does not exclusively certify EMTs.
- EMS training standards are regulated at the state level.
ALS Administration Scenarios
- Administering an AED does not involve ALS as EMTs are CPR/AED certified.
- Glucagon administration for hypoglycemia is an example of ALS intervention.
Emergency Medical Dispatcher Functions
- Unique role includes providing life-saving instructions to callers.
Role of EMRs
- EMRs, like police and firefighters, can initiate BLS care and supplement EMS teams.
Scope of Practice for EMTs
- EMTs need special permission to perform blood glucose monitoring, while other tasks are typically authorized under local protocols.
Continuous Quality Improvement (CQI)
- CQI aims to identify areas for improvement and provide remedial training.
Licensing and Employability
- Proof of immunization against communicable diseases is required to be licensed as an EMT.
EMS Training Standards
- EMT training in most states adheres to guidelines set by the National Highway Traffic Safety Administration (NHTSA).
Medical Direction in EMS
- The medical director authorizes EMTs to perform emergency medical care in the field.
Updates to Emergency Care Guidelines
- Regular updates ensure practices reflect the latest evidence on intervention effectiveness.
Continuing Medical Education
- Individual EMTs are responsible for obtaining continuing education to maintain proficiency.
Legal and Ethical Considerations
- An EMT should disclose any felony or misdemeanor convictions to the state EMS office.
Professionalism in Patient Care
- Maintaining a nonjudgmental and compassionate attitude is essential when dealing with difficult patients.
Paramedic Responsibilities
- Advanced treatment skills, including cardiac monitoring and medication administration, are within a paramedic's scope.
Regulatory Bodies
- The standards for emergency care are regulated by the state office of EMS.
Community Training and Skills
- Laypeople are typically trained in splinting, CPR, and bleeding control but not in inserting OPAs.
Knowledge-Based Failures
- Administering the wrong drug due to a lack of understanding is a key example of knowledge-based failure.
Primary Prevention Strategies
- Awareness programs about dangers of drinking and driving exemplify primary prevention efforts.
Essential Prehospital Skills
- AED usage is included at all levels of prehospital emergency training.
Human Resources and EMT Welfare
- The human resources department manages EMT well-being, career progression, and compensation.
Consent and Treatment
- Expressed consent includes situations where patients are conscious and agree to treatment.
Doctor's Orders and Medical Control
- If uncertain about treatment protocols during an emergency, EMTs should contact medical control.
Handling Trauma and Illness
- Prioritize patient care in emergencies, even when tensions are high.
Stress Management Techniques
- Effective stress management for EMTs involves focusing on delivering high-quality patient care.
Infection Control Considerations
- Employers must ensure a safe working environment to minimize risk for exposure to infections.
Documentation Protocols
- Accurate documentation ensures legal protection for EMTs and reflects the quality of patient care.
Dealing with Dying Patients
- Use empathetic communication and avoid dismissive comments when discussing death with families.
Emergency Response in Critical Situations
- Seek law enforcement assistance in potentially dangerous situations, ensuring personal safety first.
Organ Donation and Patient Wishes
- Information regarding a patient's organ donation wishes can often be found on their driver’s license.
Behavioral Responses to Patient Needs
- Recognizing emotional responses like anger during patient assessments is essential for effective communication.
Legal Liability Protections
- Proper documentation is critical when a competent patient refuses care to protect EMTs from liability.
Roles of EMTs
- EMTs are expected to act prudently and provide competent care following established standards.
Responding to Emergencies
- Maintain scene safety and efficiently triage patients during mass casualty incidents.
Importance of Personal Safety Measures
- Wear high-visibility safety gear in high-traffic environments, such as accident scenes.
Handling Patient Refusals
- When a patient refuses transport but is unconscious, begin treatment and contact medical control as necessary.
Good Samaritan Law
- EMTs are protected under the Good Samaritan law unless gross negligence is demonstrated.
Exposure Protocols
- In case of exposure to bodily fluids, the first step is to transfer care to another provider.
Dealing with Patient Incapacitation
- Implied consent allows treatment when patients are unconscious or mentally incapacitated.
Summary of Legal Protection for EMTs
- The most severe consequences of substance abuse among EMS personnel include inadequate patient care.### Patient Assessment and Legal Considerations
- Assess if a patient's mental condition is impaired when necessary.
- A DNR (Do Not Resuscitate) order must clearly specify the patient's medical problem to be valid.
- Attempted suicide mandates notifying appropriate authorities, as it poses significant health risks.
Health Information and Patient Safety
- The location of a call is not considered protected health information (PHI).
- Prescription glasses lack adequate side protection, diminishing eye safety during emergencies.
- Only the EMT advising a patient of risks constitutes accurate informed consent.
Patient Reactions and Emotional Support
- Common stress reactions to illness include fear of medical personnel and history of chronic disease, but distrust of EMTs is not influential.
- PTSD reactions can manifest when an EMT is reminded of a past traumatic incident during an emergency.
- Patients reliant on EMS personnel may experience feelings of shame.
Emergency Protocols and Patient Care
- Standard of care refers to the expected behavior of EMTs in patient management.
- When caring for a terminal patient with a valid DNR, focus on comfort and emotional support.
- A positive skin TB test indicates prior exposure to tuberculosis.
EMT Responsibilities and Communication
- EMTs must exercise reasonable care and prudence while performing duties.
- Patient Care Reports (PCR) are vital for ensuring continuity of care among healthcare providers.
- Slander occurs if a radio report damages a patient’s reputation through inaccurate descriptions.
Communication Equipment and Dispatch Information
- A base station refers to radio hardware that includes both a transmitter and receiver at a fixed location.
- After dispatch, expect information such as the nature of the incident and patient details, but not the general geographic location.
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Description
Test your knowledge on the National Registry of Emergency Medical Technicians (NREMT) and its role in EMT certification. This quiz covers key aspects of EMS training standards and testing protocols. Perfect for EMT students preparing for their exams!