EMT Scope of Practice and Professionalism
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Questions and Answers

According to the National EMS Scope of Practice Model, an EMT should be able to:

  • Insert a peripheral IV line and infuse fluids.
  • Interpret a basic (ECG) rhythm and treat accordingly.
  • Administer epinephrine via the subcutaneous route.
  • Assist a patient with certain prescribed medications. (correct)
  • An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:

  • Ignore the patient's feelings and focus on his or her medical complaint.
  • Reassure the patient that everything will be all right, even if it will not be.
  • Demand that the patient be quiet and cooperative during transport.
  • Continue to be nonjudgmental, compassionate, and respectful. (correct)
  • Continuing education in EMS serves to:

  • Maintain, update, and expand the EMT's knowledge and skills. (correct)
  • Provide an ongoing review and audit of the EMS system.
  • Confirm research and statistical findings in prehospital care.
  • Enforce mandatory attendance at agency-specific training.
  • EMS as we know it today had its origins in 1966 with the publication of:

    <p>Accidental Death and Disability: The Neglected Disease of Modern Society.</p> Signup and view all the answers

    If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:

    <p>Contact the state EMS office and provide its staff with the required documentation.</p> Signup and view all the answers

    Obtaining continuing medical education is the responsibility of the:

    <p>Individual EMT.</p> Signup and view all the answers

    The continuous quality improvement (CQI) process is designed to:

    <p>Identify areas of improvement and provide remedial training if needed.</p> Signup and view all the answers

    The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

    <p>Medical director.</p> Signup and view all the answers

    The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:

    <p>State office of EMS.</p> Signup and view all the answers

    Which of the following scenarios involves the administration of ALS?

    <p>A 48-year-old patient whose airway is secured with a supraglottic device.</p> Signup and view all the answers

    Which of the following skills would a layperson MOST likely be trained to perform before arrival of EMS?

    <p>Bleeding control using a tourniquet.</p> Signup and view all the answers

    Which type of medical direction do standing orders and protocols describe?

    <p>Off-line</p> Signup and view all the answers

    What should an EMT do to limit errors in the field?

    <p>Follow the agency's written protocols.</p> Signup and view all the answers

    Which of the following statements regarding the Americans with Disabilities Act (ADA) of 1990 is correct?

    <p>The ADA prohibits employers from failing to provide full and equal employment to those who are disabled.</p> Signup and view all the answers

    You are caring for a driver who struck a light pole. She admits to drinking alcohol but orders you not to tell anyone. You should report the information to:

    <p>The receiving nurse or doctor</p> Signup and view all the answers

    Study Notes

    EMT Scope of Practice

    • EMTs can assist patients with certain prescribed medications as per the National EMS Scope of Practice Model.
    • EMTs do NOT have the authority to interpret ECG rhythms or insert IV lines.

    Professionalism in Patient Care

    • Maintain professionalism by being nonjudgmental, compassionate, and respectful, especially with frightened or unpleasant patients.

    Continuing Education

    • Continuing education is crucial for EMTs to maintain, update, and expand their knowledge and skills.

    Historical Context of EMS

    • Modern EMS originated in 1966 with the publication of "Accidental Death and Disability: The Neglected Disease of Modern Society."

    Felony or Misdemeanor Convictions

    • EMT candidates with felony or misdemeanor convictions must contact their state EMS office with the necessary documentation, as these convictions may affect licensure eligibility.

    Responsibility for Continuing Medical Education

    • Individual EMTs are responsible for obtaining their continuing medical education.

    Continuous Quality Improvement (CQI)

    • The CQI process aims to identify areas for improvement and provide remedial training when necessary.

    Authority in Emergency Medical Care

    • The medical director is responsible for authorizing EMTs to perform medical care in the field.

    Regulation of Prehospital Care

    • Standards for prehospital emergency care are typically regulated by the state office of EMS.

    Advanced Life Support (ALS)

    • Administration of ALS is indicated when airway security is achieved using a supraglottic device.

    Layperson Training

    • Laypersons are most likely to be trained in bleeding control techniques using a tourniquet before EMS arrival.

    Medical Direction

    • Off-line medical direction is described by standing orders and protocols.

    Error Limitation

    • EMTs should strictly follow written protocols to limit errors in the field.

    Americans With Disabilities Act (ADA)

    • The ADA prohibits discrimination against individuals with disabilities, ensuring equal employment opportunities.

    Reporting Patient Information

    • Any relevant information regarding a patient's alcohol consumption should be reported to the receiving nurse or doctor.

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    Description

    This quiz covers the essential aspects of the EMT scope of practice, including medication assistance, professionalism in patient care, and the importance of continuing education. It also highlights the historical context of EMS and the impact of felony or misdemeanor convictions on licensure. Test your knowledge and understanding of EMT responsibilities and ethics.

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