EMT Chapter 3: Lifting & Moving Patients Quiz

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Questions and Answers

What is a basket stretcher?

What is an Organ Donor?

A person who has completed a legal document that allows donation of organs and tissues in the event of death.

To ensure your own safety when lifting an adult patient, it is important to:

Keep the weight as far away from your body as possible

Avoid lifting a patient who weighs more than you do

Always wear a back brace

Use your legs, not your back to lift (correct)

When lifting a patient, you should do all of the following except:

Twist while you lift the patient Signup and view all the answers

When lifting a cot or stretcher:

Use an even number of people so that balance is maintained Signup and view all the answers

When you place all fingers and the palm in contact with the object being lifted, you are using a:

Power grip Signup and view all the answers

When you must push an object:

Keep the line of pull through the center of your body by bending your knees Signup and view all the answers

The situation in which an emergency move would be used includes all of the following except:

Dispatcher is holding another, more serious, call Signup and view all the answers

You have decided to use an emergency move. This patient can be moved by:

Pulling on her clothing in the neck and shoulder area Signup and view all the answers

If the patient has an altered mental status, the EMT should consider a _____ move.

Urgent Signup and view all the answers

When doing a log roll, lean from your hips and:

Use your shoulder muscles to help with the roll Signup and view all the answers

The final step in packaging a patient on a wheeled stretcher is:

Securing the patient to the stretcher Signup and view all the answers

If you are carrying a patient down stairs, when possible:

Use a stair chair instead of a stretcher Signup and view all the answers

Your patient is approximately 400 pounds and experiencing breathing difficulty. It would be helpful to call for:

A bariatric stretcher Signup and view all the answers

You have a patient who was injured on the rooftop of a three-story structure. You should:

Place the stretcher and patient in a plastic basket stretcher Signup and view all the answers

To avoid trauma to a patient with an injured spine, the best patient-carrying device would be the:

Long spine board Signup and view all the answers

The direct ground lift is an example of a ____ move for a patient who has no spine injury.

Nonurgent Signup and view all the answers

Another name for the squat lift used by weight lifters and EMTs is:

Power lift Signup and view all the answers

How should the EMT's feet be positioned when lifting?

All of these Signup and view all the answers

When the EMT has to lift with one hand, as in a litter carry, he must be careful not to:

Compensate by leaning Signup and view all the answers

A comfortable device that can be used to transport a patient in the supine position who has sustained a spinal injury is a:

Vacuum mattress Signup and view all the answers

When using an air mattress (vacuum mattress) the patient is placed on the device and the air is by a pump. Then the mattress will form a and conforming surface around the patient.

Withdrawn; rigid Signup and view all the answers

What is a basket stretcher?

A type of stretcher made of steel wire mesh and tubular steel rim or plastic and steel rim Signup and view all the answers

What are body mechanics?

Proper use of the body to facilitate lifting and moving and to prevent injury Signup and view all the answers

What is a direct carry?

Method of transferring a patient from bed to stretcher by curling the patient to your chest Signup and view all the answers

What does direct ground lift refer to?

Method of lifting a patient from ground level to a stretcher by kneeling and curling the patient Signup and view all the answers

What is the draw sheet method?

Method of transferring a patient from bed to stretcher by pulling the loosened bottom sheet of the bed Signup and view all the answers

Define emergency move.

Removal of a patient from a hazardous environment prioritizing safety Signup and view all the answers

What is an extremity lift?

Method of lifting a patient by slipping hands under their armpits and grasping their wrists while another rescuer holds their knees Signup and view all the answers

What is the purpose of a log roll?

To move a supine patient onto a long backboard without compromising spinal integrity Signup and view all the answers

What does long axis refer to?

Line that runs down the center of the body from the top of the head along the spine Signup and view all the answers

What is a power grip?

Gripping with as much hand surface as possible while lifting an object Signup and view all the answers

Describe a power lift.

A lift made from a squatting position with weight close to the body Signup and view all the answers

What is a scoop (orthopedic) stretcher?

An aluminum stretcher that splits in halves and can be pushed under the patient Signup and view all the answers

What is a stair chair?

A portable folding chair with wheels for transporting patients up or down stairs Signup and view all the answers

What is an urgent move?

A patient move that should be done quickly without compromising spinal integrity Signup and view all the answers

You should twist your back while lifting a patient.

False Signup and view all the answers

When lifting a cot or stretcher, what should you do?

Use an even number of people to maintain balance Signup and view all the answers

When you are lifting an object, using all fingers and palm indicates using a:

Power grip Signup and view all the answers

What should you keep in mind when pushing an object?

Keep the line of pull through the center of your body by bending your knees Signup and view all the answers

A dispatcher holding another more serious call is a reason to conduct an emergency move.

False Signup and view all the answers

If a patient has an altered mental status, what type of move should be considered?

Urgent move Signup and view all the answers

What should EMT-B do when doing a log roll?

Lean from your hips and use your shoulder muscles to help with the roll Signup and view all the answers

What is the rapid extrication procedure?

An urgent move for a patient in a sitting position in an automobile Signup and view all the answers

What is the final step in packaging a patient on a wheeled stretcher?

Securing the patient to the stretcher Signup and view all the answers

What should you do when carrying a patient down stairs?

Use a stair chair instead of a stretcher when possible Signup and view all the answers

A direct carry stretcher is a device used for patient lifting.

False Signup and view all the answers

Which device is not recommended for moving a patient with a suspected spinal injury?

Scoop stretcher Signup and view all the answers

What should you do if lowering a patient from a rooftop on a scoop-style stretcher?

Place the stretcher and patient in a plastic basket stretcher Signup and view all the answers

To avoid trauma to a patient with an injured spine, the best patient-carrying device would be the:

Long spine board Signup and view all the answers

The direct ground lift is an example of which type of move?

Non-urgent Signup and view all the answers

Which method is commonly used for transferring a bed-level patient to a wheeled stretcher?

Draw sheet method Signup and view all the answers

When positioning a patient with chest pain and high blood pressure, you should:

Put him in a semi-sitting position Signup and view all the answers

For a patient in hypoperfusion (shock) with no suspected spine injury, the EMT-B should:

Lay her flat on her back with legs elevated Signup and view all the answers

What is the walking assist technique?

Basic method using one or two responders to assist a conscious person Signup and view all the answers

Define the two-person seat carry.

A method where two responders assist a conscious, non-seriously injured patient using interlocked arms. Signup and view all the answers

Describe the pack-strap carry.

An emergency move for conscious or unconscious persons using a back support technique. Signup and view all the answers

What is the clothes drag technique?

An emergency move for suspected head, neck, or spinal injury by grasping clothing behind the neck. Signup and view all the answers

How should a blanket drag technique be performed?

Roll the person onto the blanket, gather the blanket at head, and move them. Signup and view all the answers

What is the purpose of an ankle drag?

To move a person who is too large to carry by pulling them in a straight line while ensuring the head does not bump. Signup and view all the answers

What should you do when attempting to reach a person in water?

Get help from a trained responder and avoid entering the water unless properly trained. Signup and view all the answers

Explain implied consent.

The consent presumed for a patient unable to give explicit consent, like the unconscious. Signup and view all the answers

What is expressed consent?

Consent given by mentally competent adults regarding their medical care. Signup and view all the answers

What is an advanced directive?

A DNR order; written instructions regarding medical care in advance. Signup and view all the answers

Define abandonment in EMT context.

Leaving a patient after care has started before transfer to someone with equal training. Signup and view all the answers

What does negligence imply in healthcare?

Failure to act properly, resulting in harm to a patient. Signup and view all the answers

What is meant by 'duty to act'?

Obligation to provide care to a patient as per standard practice. Signup and view all the answers

Define confidentiality in healthcare.

Obligation not to disclose patient information without consent. Signup and view all the answers

What are Good Samaritan laws?

Laws providing legal protection for citizens delivering emergency care. Signup and view all the answers

What does HIPAA stand for?

Health Insurance Portability and Accountability Act. Signup and view all the answers

What are the primary ethical responsibilities of an EMT?

To prioritize patient care and well-being. Signup and view all the answers

Why must expressed consent be informed consent?

Patients must understand the risks associated with their care. Signup and view all the answers

List actions an EMT can take to persuade a patient to accept care.

Speak to the patient, consult medical direction, inform about consequences, call family or law enforcement if necessary. Signup and view all the answers

What conditions must be fulfilled for a patient to refuse care?

Patient must be legally able to consent, mentally competent, fully informed, and sign a release form. Signup and view all the answers

What are the consequences of forcing treatment upon a patient who has refused care?

It can be viewed as assault or battery in court. Signup and view all the answers

List three forms of advance directives.

DNR order, living wills, healthcare proxies. Signup and view all the answers

What must be proved for an EMT-B to be found guilty of negligence?

An EMT had a duty, did not provide the standard of care, which caused harm to the patient. Signup and view all the answers

When is an EMT-B legally obligated to act?

When dispatched to a call as part of their duty. Signup and view all the answers

Under what conditions can an EMT-B release confidential patient information?

When a patient has signed a release, directed by a legal authority, or shared with relevant healthcare professionals. Signup and view all the answers

What care does a patient who is an organ donor require?

All emergency care must be taken, potentially including CPR. Signup and view all the answers

What information could an EMT-B look for in a patient's wallet?

Heart conditions, allergies, diabetes, epilepsy. Signup and view all the answers

What is an EMT-B's priority at a crime scene?

To provide patient care once the area is deemed safe. Signup and view all the answers

Name five situations requiring an EMT-B to report to authorities.

Child abuse, elderly abuse, domestic violence, sexual assaults, injuries of intoxicated individuals. Signup and view all the answers

What steps should be taken to preserve evidence at a crime scene?

Document the condition, avoid unnecessary touching, remember what you touched. Signup and view all the answers

What is the scope of practice?

A set of regulations defining the extent and limits of an EMT's job. Signup and view all the answers

Study Notes

Lifting and Moving Patients

Basket Stretcher: Constructed from steel wire mesh or durable plastic, designed for transporting patients over various terrains or between elevation levels.
Body Mechanics: Involves optimal body usage to lift and move patients safely, preventing injury.
Direct Carry: Transfer technique where rescuers curl the patient to their chests from a bed, then lower them onto a stretcher.
Direct Ground Lift: Involves rescuers kneeling and curling the patient to their chests before standing and placing them onto a stretcher.
Draw Sheet Method: Utilizes the loosened bottom sheet of the bed to move a patient from bed to stretcher.
Emergency Move: Focuses on quick patient removal from dangerous environments, prioritizing safety over spinal integrity.
Extremity Lift: Patient lifting method where one rescuer supports under the armpits, while another supports the knees.
Log Roll: Technique for moving a supine patient onto a backboard while maintaining spinal alignment, generally executed by multiple rescuers.
Long Axis: Refers to the central line of the body extending from the head to the spine.
Non-Urgent Move: Patient movement that can be done without haste; speed isn't the primary concern.
Power Grip: Technique that maximizes hand surface contact during lifting, ensuring fingers are bent uniformly.
Power Lift: Lifting from a squat position with the load close to the body to maintain balance and safety.
Scoop (Orthopedic) Stretcher: Splits into halves to easily place underneath a patient for transport.
Stair Chair: Portable chair with wheels designed for transporting patients in sitting positions up or down stairs.
Urgent Move: Patient transfer that must be done quickly while still safeguarding spinal integrity.

Safe Lifting Techniques and Practices

Lifting Safety: Always lift using legs rather than the back to minimize injury risk.
Avoid Twisting: While lifting, it is crucial to maintain proper posture and avoid twisting to prevent strain.
Balanced Lifting: Ensure an even number of rescuers support the stretcher to maintain balance during transport.

Patient Transfer Methods

Emergency Moves: Used in critical scenarios like vehicle accidents or combustible hazards, emphasizing prompt action.
Patient Positioning: For chest pain or high blood pressure cases, sitting positions are preferred, while those with shock should have their legs elevated.

Implied Consent: Assumed consent for treatment when patients are unconscious or unable to communicate.
Expressed Consent: Legally informed consent from competent adults for medical intervention.
Advanced Directive: Includes Do Not Resuscitate (DNR) orders established before emergencies.
Abandonment: Leaving a patient without assuring transfer to qualified personnel after care initiation represents legal abandonment.

Legal and Ethical Concepts

Negligence: Failure to act according to the standard of care expected from an EMT, leading to patient harm.
Duty to Act: Obligation of EMTs to provide care upon being dispatched to a scene.
Confidentiality: Legal and ethical duty to protect patient information unless authorized or legally mandated to share.
Good Samaritan Laws: Offer legal protection for bystanders assisting in emergencies.

Reporting and Crime Scene Management

Reporting Obligations: EMTs must report certain cases like abuse, violence, or sexual assaults to authorities.
Preserving Evidence: Maintain the scene's integrity by not contaminating potential evidence and minimizing personal impact.

Techniques for Moving Patients with Special Considerations

Walking Assist: For conscious patients, placing an arm around the responder and avoiding head/spinal injuries.
Two-Person Seat Carry: Used for patients who are conscious and not seriously harmed, interlocking arms for support.
Pack-Strap Carry: Requires at least one responder to safely carry either conscious or unconscious patients.
Clothes Drag and Blanket Drag: Both methods suited for emergency scenarios prioritizing patient safety.
Specific Situations for Evasive Action: Consideration for the patient's medical history such as allergies or existing conditions may require searching belongings for vital information.

Final Notes

All EMTs must adhere to guidelines ensuring the safety and dignity of patients while pursuing ethical and legal standards in patient care and consent dynamics.### Patient Handling and Transport Techniques
Emergency moves may be necessary in situations like fires in nursing homes; specific techniques are employed based on the patient's condition.
Use of clothing for moving a patient is not recommended; it's essential to use safe and controlled methods.
In cases of altered mental status, urgent moves should be employed to ensure patient safety and minimize risk.

Log Roll Technique

When conducting a log roll, proper technique involves using shoulder muscles for assistance, ensuring effective patient handling without strain.

Patient Securing Methods

Confirm that the patient is securely strapped to a wheeled stretcher, which is crucial for safety during transport.
When transporting down stairs, consider using specialized equipment such as a stair chair for safer handling, especially with larger patients.

Special Considerations for Large Patients

For obese patients (approximately 400 pounds and experiencing difficulty), a bariatric stretcher is preferred to ensure adequate support and care.

Equipment Knowledge

Familiarity with various stretching devices is vital; a plastic basket stretcher is required when lowering patients from heights.
A long spine board is the best choice for patients with suspected spinal injuries to avoid additional trauma.

Lifting Techniques

Employ proper lifting techniques, including using a power lift stance to minimize the risk of injury.
EMTs should always ensure their feet are positioned correctly: shoulder-width apart, on firm and flat ground.

Special Devices

For patients with spinal injuries, a vacuum mattress provides comfort and safety during transport, adapting to the patient's shape when air is withdrawn.

General Safety Awareness

While lifting with one hand, avoid compensating by leaning, as this can lead to strain and injury. Maintaining proper posture is critical for the safety of both the patient and provider.

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Description

Test your knowledge on essential terms and concepts in EMT Chapter 3 regarding patient lifting and movement. This quiz includes key definitions such as 'basket stretcher' and 'body mechanics' to help prepare you for real-life scenarios. Perfect for EMT students looking to reinforce their learning.

EMT Chapter 3: Lifting & Moving Patients

Choose a study mode

Podcast

Questions and Answers

What is a basket stretcher?

What is an Organ Donor?

To ensure your own safety when lifting an adult patient, it is important to:

When lifting a patient, you should do all of the following except:

When lifting a cot or stretcher:

When you place all fingers and the palm in contact with the object being lifted, you are using a:

When you must push an object:

The situation in which an emergency move would be used includes all of the following except:

You have decided to use an emergency move. This patient can be moved by:

If the patient has an altered mental status, the EMT should consider a _____ move.

When doing a log roll, lean from your hips and:

The final step in packaging a patient on a wheeled stretcher is:

If you are carrying a patient down stairs, when possible:

Your patient is approximately 400 pounds and experiencing breathing difficulty. It would be helpful to call for:

You have a patient who was injured on the rooftop of a three-story structure. You should:

To avoid trauma to a patient with an injured spine, the best patient-carrying device would be the:

The direct ground lift is an example of a ____ move for a patient who has no spine injury.

Another name for the squat lift used by weight lifters and EMTs is:

How should the EMT's feet be positioned when lifting?

When the EMT has to lift with one hand, as in a litter carry, he must be careful not to:

A comfortable device that can be used to transport a patient in the supine position who has sustained a spinal injury is a:

When using an air mattress (vacuum mattress) the patient is placed on the device and the air is ____ by a pump. Then the mattress will form a ____ and conforming surface around the patient.

What is a basket stretcher?

What are body mechanics?

What is a direct carry?

What does direct ground lift refer to?

What is the draw sheet method?

Define emergency move.

What is an extremity lift?

What is the purpose of a log roll?

What does long axis refer to?

What is a power grip?

Describe a power lift.

What is a scoop (orthopedic) stretcher?

What is a stair chair?

What is an urgent move?

You should twist your back while lifting a patient.

When lifting a cot or stretcher, what should you do?

When you are lifting an object, using all fingers and palm indicates using a:

What should you keep in mind when pushing an object?

A dispatcher holding another more serious call is a reason to conduct an emergency move.

If a patient has an altered mental status, what type of move should be considered?

What should EMT-B do when doing a log roll?

What is the rapid extrication procedure?

What is the final step in packaging a patient on a wheeled stretcher?

What should you do when carrying a patient down stairs?

A direct carry stretcher is a device used for patient lifting.

Which device is not recommended for moving a patient with a suspected spinal injury?

What should you do if lowering a patient from a rooftop on a scoop-style stretcher?

To avoid trauma to a patient with an injured spine, the best patient-carrying device would be the:

The direct ground lift is an example of which type of move?

Which method is commonly used for transferring a bed-level patient to a wheeled stretcher?

When positioning a patient with chest pain and high blood pressure, you should:

For a patient in hypoperfusion (shock) with no suspected spine injury, the EMT-B should:

What is the walking assist technique?

Define the two-person seat carry.

Describe the pack-strap carry.

What is the clothes drag technique?

How should a blanket drag technique be performed?

What is the purpose of an ankle drag?

What should you do when attempting to reach a person in water?

Explain implied consent.

What is expressed consent?

What is an advanced directive?

Define abandonment in EMT context.

What does negligence imply in healthcare?

What is meant by 'duty to act'?

Define confidentiality in healthcare.

What are Good Samaritan laws?

What does HIPAA stand for?

What are the primary ethical responsibilities of an EMT?

Why must expressed consent be informed consent?

List actions an EMT can take to persuade a patient to accept care.

What conditions must be fulfilled for a patient to refuse care?

What are the consequences of forcing treatment upon a patient who has refused care?

List three forms of advance directives.

When using an air mattress (vacuum mattress) the patient is placed on the device and the air is by a pump. Then the mattress will form a and conforming surface around the patient.