General Patient Care (GPC)

Questions and Answers

What must clinicians do if they cannot immediately provide documentation of the patient's prehospital care?

Document on a template approved by MIEMSS before leaving the facility. (correct)

Use a generic template for documentation.

Deliver the completed PCR within 48 hours.

Submit verbal reports to the receiving facility.

Which option should only be selected by the unit that pronounces death?

Dead at Scene with BLS Intervention

Dead on Scene (correct)

Dead at Scene with ALS Intervention

Operational Support Only

What action must the highest level EMS clinician take if no interventions are performed?

Document 'Dead at Scene' without further actions.

Terminate resuscitation immediately.

Report to the receiving facility.

Pronounce death and document 'Dead on Scene'. (correct)

In the case where BLS care was provided and death was pronounced, what should the BLS unit select in the PCR?

Dead at Scene with BLS Intervention Signup and view all the answers

Which principle regarding patient care must be adhered to at all times?

Maintaining patient confidentiality. Signup and view all the answers

What is the primary obligation of health care clinicians regarding suspected child or vulnerable adult abuse?

Report to local police or protective service agencies Signup and view all the answers

What should clinicians do when a patient has been impaled by a conducted electrical weapon?

Stabilize the dart in place and transport to a medical facility Signup and view all the answers

Which of the following is NOT part of the focused examination or assessment process?

Performing an EKG on all patients Signup and view all the answers

Under Maryland law, what protection do EMS clinicians have when reporting suspected abuse?

They are protected from liability if reporting in good faith Signup and view all the answers

What is a vital step to take before validating additional patient information?

Obtain a contact number for individuals knowledgeable about the patient's history Signup and view all the answers

Which of the following best summarizes the treatment protocol for external device impalements?

The device should be left in place during transport Signup and view all the answers

What must be done with documentation related to a patient's history during assessment?

It should be collected and transported Signup and view all the answers

What is the recommended approach for ongoing assessments under clinical guidelines?

Continuously conduct a focused examination Signup and view all the answers

Which of the following should NOT be included in a clinician impression during notifications?

Duration of symptoms Signup and view all the answers

What is the purpose of the Cincinnati Stroke Scale during consults?

To initiate a STROKE alert with LAMS score Signup and view all the answers

Which of the following elements is specifically required for trauma patients?

Motor GCS score Signup and view all the answers

During a Mass Casualty Incident (MCI), what is critical for EMS communications?

To maximize patient care resources for emergencies Signup and view all the answers

When noting patient vital signs, which phrase should be avoided according to the guidelines?

Within normal limits Signup and view all the answers

What is the definition of Priority 2 in patient triage?

A less serious condition that requires emergency medical attention but is not immediately life-threatening. Signup and view all the answers

What should be indicated if there are multiple victims in a trauma situation?

Number of victims Signup and view all the answers

In the context of medical notifications, what does ETA stand for?

Estimated Time of Arrival Signup and view all the answers

Which patient is categorized under Priority 3?

A patient with a non-emergent condition requiring medical attention. Signup and view all the answers

Which vital sign should NOT be used in a manner that implies stability?

Electrocardiogram results Signup and view all the answers

What should be done in a multiple casualty incident?

Use the Simple Triage and Rapid Treatment (START) technique for patient sorting. Signup and view all the answers

At what weight is a newborn categorized and what are its normal heart rate and B/P responsibilities?

Less than 3 kg with a heart rate of 160 and systolic B/P of 60. Signup and view all the answers

What is the expected resting heart rate for a 10-year-old child?

85 beats per minute. Signup and view all the answers

Which age group has an expected respiratory rate of 20?

6-year-old. Signup and view all the answers

What is the normal systolic blood pressure for a 2-year-old child?

90 mmHg. Signup and view all the answers

What category does a patient with a condition that does not require medical attention fall into?

Priority 4. Signup and view all the answers

What is the first step to take upon arriving at the scene of a patient encounter?

Review the dispatch information. Signup and view all the answers

Which condition indicates a critically unstable patient?

New onset of altered mental status not judged alert. Signup and view all the answers

What action should be taken if a critically unstable patient is identified?

Stop all movement of the patient. Signup and view all the answers

In the case of a pediatric patient, which tool is recommended for initial assessment?

Pediatric Assessment Triangle. Signup and view all the answers

What should be evaluated first during the scene arrival phase?

Scene safety. Signup and view all the answers

Which of the following is NOT a sign of poor perfusion?

Warm and dry skin. Signup and view all the answers

What should NOT be done if a critically unstable patient is identified?

Initiate transport to the hospital. Signup and view all the answers

What is the purpose of considering Personal Protective Equipment (PPE) during the scene size-up?

To protect responders from hazards. Signup and view all the answers

Study Notes

General Patient Care Overview

General Patient Care (GPC) applies to all patient encounters unless specified in treatment protocols.

Response Guidelines

Review dispatch information before responding.
Select appropriate response based on situation.

Scene Arrival and Size-Up

Body Substance Isolation (BSI) and Personal Protective Equipment (PPE) should be considered.
Evaluate scene safety, determine number of patients, and assess need for additional resources.

Patient Approach

Assess Mechanism of Injury (MOI) or Nature of Illness (NOI).
Begin triage if necessary, particularly for Mass Casualty Incidents (MCI).

Initial Assessment

Quickly form a general impression of the patient upon first contact.
Identify critically unstable patients based on specific criteria, including:
- Altered mental status (AVPU not alert)
- Airway compromise
- Acute respiratory distress
- Poor perfusion signs.
If a critically unstable patient is identified:
- Stop all patient movement.
- Do not initiate transport.
- Follow critically unstable patient protocol.

Pediatric Assessment

Utilize the Pediatric Assessment Triangle: Appearance, Work of Breathing, Circulation to Skin.

Triage Prioritization

Define patient priorities from 1 to 4:
- Priority 1: Critically unstable patients.
- Priority 2: Life-threatening but stable conditions.
- Priority 3: Non-emergent conditions.
- Priority 4: No medical attention required.

Vital Signs Chart

Established vital sign ranges vary by age, with specific heart rates, respiratory rates, and blood pressure readings provided for different age groups (from premature to adult).

History and Physical Examination

Conduct focused and ongoing assessments.
Collect and transport relevant patient documentation, including emergency information forms.
Obtain contact details for individuals familiar with the patient’s medical history.
Document any suspected child or vulnerable adult abuse or neglect confidentially.

Treatment Protocols and Notifications

Follow all relevant treatment protocols.
Specific guidelines for transport of patients with impaled electrical weapon darts.
Include crucial data in notifications: patient priority, age, chief complaint, clinical impressions, vital signs, and ETA.

Mass Casualty Incident Communications

During an MCI, optimize patient care resources and manage EMS communications for emergencies.
Ensure proper documentation of prehospital care is completed within 24 hours post-dispatch.

Confidentiality and Professional Conduct

Maintain patient confidentiality at all times.
Treat all patients with dignity, respect, and in a calm manner.

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Description

This quiz focuses on the General Patient Care (GPC) standards, applicable to all patient encounters. It emphasizes crucial aspects such as response planning, scene safety assessment, and protocols for patient interaction. Test your knowledge on the key elements of effective patient care and safety measures.

General Patient Care (GPC) - EMS