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Quality Assurance: Types of Audits

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What type of evaluation assesses the presence of mandated resources, including physical facilities, equipment, and staffing patterns?

Structural Evaluation

What type of audit evaluates the use of resources and their appropriateness in specific patient cases?

Process Evaluation

What type of evaluation measures the results of patient care, including stabilization, recovery, and resolution of illness?

Outcome Evaluation

What method of evaluation involves measuring future events against predetermined standards?

Prospective Methods

What method of evaluation involves reviewing activities that are on-site and on-going?

Concurrent Methods

What type of evaluation assesses the qualifications, credentialing, and recordkeeping requirements of personnel?

Structural Evaluation

What type of audit examines the mechanics and flow of patient care, including registration and triage procedures?

Process Evaluation

What is the purpose of quality assurance in healthcare?

To evaluate and improve patient care

What are the retrospective methods used in medical debriefings to recognize past deficiencies, trends, and patterns?

Medical debriefings, critique sessions, audits, practice profile/credentialing, and incident reports

How can an EMT provide gentle and caring support to a grieving person?

By making helpful statements, being oneself and sincere, and understanding that grief is a process that must be worked through

What are the five stages of the grieving process?

Denial, anger, bargaining, depression, and acceptance

What is the importance of public education and awareness in emergency medical services?

To teach people what to do in an emergency, provide basic first aid skills, and promote the service

What is the purpose of PCR in emergency medical services?

To provide a written record of the incident, facilitate legal and medical audits, and improve quality of care

What is the role of radio communication in emergency medical services?

To facilitate contact between providers and medical control

What are the key principles of good communication in emergency medical services?

Never put anyone down, don't criticize, and don't judge people's opinions

How can an EMT communicate effectively with a pediatric patient?

By explaining procedures truthfully, positioning themselves on the patient's level, and allowing comfort objects to remain close

What are some non-pharmacological methods used in pain management in the field?

Splinting, Gentle handling, and Talking to patients

What is the purpose of high-flow oxygen therapy in patient preparation during rescue?

To provide adequate oxygen to the patient

What is the role of Bronze commanders in a command and control system?

Bronze commanders are directly responsible to their Incident commanders.

What is the purpose of the Warm zone in a hazardous material incident?

Decontamination of people contaminated with the substance.

What is the definition of professionalism in the context of emergency medical services?

The conduct or qualities that characterize an expert practitioner in a particular field or occupation

What is the difference between criminal law and civil law?

Criminal law involves punishment by the State, whereas civil law involves compensation for wrongs committed against an individual

What is the priority of Red-tagged patients in a triage system?

Highest priority, needing immediate care.

What is the principle of Autonomy in healthcare ethics?

Respecting patients' right to self-determination and informed choices.

What is the concept of patient autonomy in emergency medical services?

Rational people must decide for themselves what is best for them

What is the purpose of IMIST AMBO and METHANE in handover?

To facilitate effective handover of patient information

What is an example of a natural disaster?

Earthquake.

What are the characteristics of good documentation in emergency medical services?

Accuracy, Legibility, Timeliness, Unaltered, Professionalism, and Completeness

What is the range of a portable radio?

Up to 5 miles, depending on the type of radio.

What is the difference between a Type 1 Ambulance and a Type 3 Ambulance?

Type 1 Ambulance is a large, walk-in vehicle, while Type 3 Ambulance is a smaller, van-type vehicle

What is an example of a leverage tool?

Prying tool.

What is a factor to consider when transferring a patient?

Urgency of transfer.

What are the three certification levels of Emergency Medical Technicians in the UAE, and what skills or competencies are associated with each level?

The three certification levels are EMT-Basic, EMT-Paramedic, and EMT-Advance Paramedic. EMT-Basic provides basic life support, EMT-Paramedic possesses all EMT-Basic skills and is competent in advanced airway, IV therapy, and other skills, and EMT-Advance Paramedic is the most advanced EMS provider.

What is benchmarking in the context of EMS, and what is its goal?

Benchmarking is an on-going and systematic process for measuring and comparing the work process of one organization to those of another, bringing an external focus to internal activities, functions, or operations. The goal is to provide policy makers with a standard for measuring the quality and cost of internal activities and to help identify where opportunities for improvement may reside.

What is the role of a Medical Director in an EMS system, and what are their key responsibilities?

The Medical Director is a physician who is legally responsible for all clinical aspects of the system. Their key responsibilities include educating and training personnel, participating in equipment and personnel selection, developing clinical protocols, participating in problem resolution and quality improvement, providing direct input into patient care, interfacing with the EMS system, advocating within the medical community, and serving as the 'medical conscience' of the EMS system.

What are markings in the context of hazardous materials transportation, and what is their purpose?

Markings are additional identifiers that further describe a package, added in addition to hazmat labels and placards. They provide essential information for first responders during a hazardous materials incident.

What is the purpose of the ERG 2012 (orange book), and how is it used by first responders?

The ERG 2012 (orange book) is a guidebook for first responders during the initial phase of a hazardous materials transportation incident, providing critical information for safe and effective response.

Describe the process of emergency decontamination, including the use of water as a universal decontamination solution.

Emergency decontamination involves removing the bulk of contaminants from a person as quickly and completely as possible. Water is used as a universal decontamination solution, and is often used in shower-based decontamination systems.

What is a mass decontamination corridor, and how is it set up?

A mass decontamination corridor is a system for decontaminating large numbers of people during a hazardous materials incident. It is set up by requesting two Fire-Trucks to park parallel to each other, setting up a fog-stream shower between the fire trucks, and having patients disrobe on one side and walk through the fog stream single file into a tent where they are provided with clean clothes.

What is the role of protocols in an EMS system, and what is their purpose?

Protocols are the policies and procedures for all elements of an EMS system, providing a framework for response and patient care. Their purpose is to ensure consistent and high-quality care across the system.

What type of evaluation assesses the presence of mandated resources, including physical facilities and equipment?

Structural Evaluation

What is the purpose of on-line medical control in Concurrent Methods?

To observe EMS personnel in the field

What type of evaluation measures the results of patient care, including stabilization, recovery, and resolution of illness?

Outcome Evaluation

What is the purpose of establishing time standards in Prospective Methods?

To establish minimal levels of primary training

What type of evaluation examines the mechanics and flow of patient care, including registration and triage procedures?

Process Evaluation

What is the purpose of credentialing and recordkeeping requirements in Structural Evaluation?

To assess the qualifications of personnel

What method of evaluation involves reviewing activities that are on-site and on-going?

Concurrent Methods

What is the purpose of developing protocols in Prospective Methods?

To develop protocols for patient care

What is the primary goal of conducting a critique session in EMS?

To identify areas for improvement in patient care

What is the significance of a written record of an incident in EMS?

It serves as a legal record of the incident

What is the purpose of public education awareness in EMS?

To educate the public on what to do in an emergency

How should an EMT communicate with a geriatric patient?

Use a gentle tone of voice and maintain a reassuring demeanor

What is the role of a dispatcher in EMS?

To screen and assign priorities to emergency calls

What is the purpose of PCR in EMS?

To provide a written record of the incident

What is the definition of MCI in EMS?

Three or more patients requiring medical attention

What is the role of radio communication in EMS?

To facilitate contact between providers and medical control

What is the primary goal of non-pharmacological pain management in the field?

To provide temporary pain relief

What is the primary purpose of sodium bicarbonate administration during rescue?

To counteract acidic environment

What is the main difference between criminal law and civil law?

Criminal law involves the State, while civil law involves individuals

What is the primary purpose of leadership in emergency medical services?

To influence and motivate others

What is the purpose of respecting patients' autonomy in emergency medical services?

To protect patients' rights

What is the primary purpose of high-flow oxygen therapy during patient preparation?

To provide supplemental oxygen

What is the primary purpose of IMIST AMBO and METHANE in handover?

To facilitate communication during handover

What is the primary characteristic of good documentation in emergency medical services?

All of the above

What is the primary role of Silver commanders in a command and control system?

To provide on-scene tactical command

What is the purpose of the Cold zone in a hazardous material incident?

To provide a safe area for incident commanders

What is the classification of patients who need immediate care in a triage system?

Red

What is the purpose of a Hand-held tool in emergency medical services?

To apply force

What is an example of a natural disaster?

Earthquake

What is a factor to consider when preparing a patient for transport?

All of the above

What is the role of a Bronze commander in a command and control system?

To be directly responsible to Incident commanders

What is the purpose of triage in emergency medical services?

To prioritize patients based on the severity of their injuries

What is the primary goal of benchmarking in the context of EMS?

To identify opportunities for improvement in internal activities

What is the most advanced level of EMS certification in the UAE?

EMT-Advance Paramedic

What is the primary role of a Medical Director in an EMS system?

To serve as the 'medical conscience' of the EMS system

What is the purpose of the ERG 2012 (orange book) in hazardous materials transportation incidents?

To guide first responders during the initial phase of an incident

What is the purpose of ongoing education in EMS?

To keep paramedics aware of the latest changes in the industry

What is the primary purpose of protocols in an EMS system?

To guide the policies and procedures for all elements of an EMS system

What is the primary goal of a mass decontamination corridor setup?

To remove the bulk of contaminants from a person as quickly and completely as possible

What is the primary role of a Medical Director in educating and training personnel?

To educate and train personnel on the latest changes in the industry

Which type of audit evaluates the mechanics and flow of patient care, including registration and triage procedures?

Process Evaluation

What type of evaluation involves reviewing activities that are on-site and on-going?

.Concurrent Methods

Which type of evaluation assesses the presence of mandated resources, including physical facilities and equipment?

Structural Evaluation

What is the primary purpose of protocols in an EMS system?

To guide decision-making in patient care

Which type of evaluation measures the results of patient care, including stabilization, recovery, and resolution of illness?

Outcome Evaluation

What type of evaluation examines the qualifications, credentialing, and recordkeeping requirements of personnel?

Structural Evaluation

Which type of evaluation involves measuring future events against predetermined standards?

Prospective Methods

What type of evaluation involves reviewing patient outcomes by disease category?

Outcome Evaluation

What is the purpose of splinting in non-pharmacological pain management in the field?

To reduce movement and prevent further injury

What is the primary goal of triage in emergency medical services?

To sort patients by seriousness of injury

What is the definition of professionalism in the context of EMS?

The conduct or qualities that characterize an expert practitioner in a particular field or occupation

What is the purpose of IMIST AMBO in handover?

To facilitate handover of patient care information between providers

What is the primary characteristic of good documentation in emergency medical services?

All of the above

What is the purpose of high-flow oxygen therapy in patient preparation during rescue?

To provide oxygen therapy to patients with breathing difficulties

What is the primary role of a Medical Director in an EMS system?

To oversee the operations and quality of care provided by the EMS system

What is the purpose of rope rescue in emergency medical services?

To rescue patients from heights or difficult-to-access locations

What is the primary responsibility of Bronze commanders in a Command and Control system?

To directly communicate with Incident commanders

What is the main purpose of the Warm zone in a hazardous material incident?

To decontaminate people who have been contaminated with the substance

What is the primary focus of the 'Disintegration' step in Special Rescue operations?

To disentangle the patient from the wreckage

What is the primary characteristic of a Black-tagged patient in a triage system?

They have lethal injuries and will not survive

What is the primary principle of Non Maleficence in healthcare?

To do no harm to patients or act against their best interests

What is the primary purpose of the Cold zone in a hazardous material incident?

To provide a safe area for the Incident commander and rehabilitation

What is the primary factor to consider when preparing a patient for transfer?

The nature of the illness

What is the primary purpose of the 'Arrival and scene size-up' step in Special Rescue operations?

To assess the situation and determine the best course of action

What is the primary goal of benchmarking in the context of Emergency Medical Services (EMS)?

To compare the quality and cost of internal activities with those of another organization.

What is the role of a Medical Director in an EMS system?

To provide direct input into patient care and interface with the EMS system.

What is the purpose of markings in the context of hazardous materials transportation?

To further describe a package in addition to hazmat labels and placards.

What is the purpose of the ERG 2012 (orange book) in hazardous materials transportation incidents?

To serve as a guidebook for first responders during the initial phase of a hazardous materials transportation incident.

What is the purpose of mass decontamination corridors in hazardous materials incidents?

To set up a mass decontamination corridor with fog-stream showers.

What is the primary goal of protocols in an EMS system?

To provide policies and procedures for all elements of an EMS system.

What is the role of ongoing education in EMS?

To keep paramedics aware of the latest changes in the industry.

What is the classification of patients who need immediate care in a triage system?

Red-tagged patients.

What is the primary goal of retrospective methods in EMS?

To recognize past deficiencies and trends

What is the role of a Medical Officer in EMS?

To guide treatment of patients and provide orders

What is the purpose of critique sessions in EMS?

To improve the quality of EMS services through feedback and discussion

How can an EMT deal with grief?

By being calm, gentle, and sincere

What is the importance of public education awareness in EMS?

To educate the public on what to do in an emergency

What is the purpose of radio communication in EMS?

To facilitate communication between providers and medical control

What is the primary role of a Dispatcher in EMS?

To dispatch and direct units to locations

What is the importance of documentation in EMS?

To provide a written record of the incident

Test your knowledge of quality assurance audits, including structural evaluation and process evaluation. Learn about the different aspects of audits, such as physical facilities, staffing patterns, and recordkeeping requirements. Assess your understanding of audit types and their applications.

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