EMT Ch 1

Designated Agent

An EMT or other person authorized by a Medical director to give medications and provide emergency care

Off-line Medical Direction

Consist of standing orders issued by the Medical Director that allow EMTs to give certain medications or perform certain procedures without speaking to the Medical Director or another physician.

On-line Medical Direction

Orders from the on-duty physician given directly to an EMT in the field by radio or telephone

911 System

A system for telephone access to report emergencies

Medical Direction

The oversight of the patient-care aspects of an EMS system by the Medical Director

Medical Director

A physician who assumes the ultimate responsibility for the patient-care aspects of the EMS system

Quality Improvement

A process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement.

Protocols

Lists of steps, such as assessments and interventions, to be taken in different situations.

Standing Order

A policy or protocol issued by a Medical Director that authorized EMTs and others to perform particular skills in certain situations

Earliest documented emergency medical service was in:

France in the 1790s

In 1966, the _____ charged the United States _____ with developing EMS standards

National Highway Safety Act; Department of Transportation

Which (transportation, computerization, communications and evaluations) is not a major component of the National Highway Safety Administration's EMS system assessment standards?

Computerization

An example of a specialty hospital in the EMS system is an:

Poison Control Center

National levels of EMS training include all of the following (advanced first aid, emr, advanced emt, paraedic) except:

Advanced First Aid

The major emphasis of the curriculum for the EMT deals with ______ of the ill or injured patient in the prehospital setting.

Assessment & Care

Patient care provided by the EMT should be

Based on assessment findings

An example of ensuring continuity during the transfer of care of the patient would be

Providing pertinent patient information to the hospital staff

Patient advocacy is

Speaking up for your patient

Good personality traits are very important to the EMT. You should be:

Cooperative & resourceful

If an EMT is not in control of personal habits, he/she might

Contaminate the patient's wounds, make inappropriate decisions, render improper care

To prevent violating patient confidentiality, the EMT should:

Avoid inappropriate conversation

An EMT may further his/her EMS education by

Attending EMS conferences.

A process of continuous self review of all aspects of an EMS system for the purpose of identifying and correcting aspects of the system that require improvement is called:

Quality Improvement

Obtaining feedback from patients and the hospital staff is a means of:

Providing quality improvement

Participation in continuing education and keeping carefully written documentation are examples of the EMT's role in

Quality improvement

Every EMS system should have a:

Medical Director

An EMT is operating as the Medical Director's

Designated agent

The difference between on-line & off-line medical direction is:

on-line orders are given by the on-duty physician over the radio or phone

An example of a medication carried by EMTs that may require a physician to administer is:

Aspirin

As a new EMT, you will witness many changes in the EMS system & patient care, moving from practices that have been based on _____ to those that are based on _____

Tradition; Research

It is the responsibility of the EMT to treat patients:

In a nonjudgemental and fair manner.

A general procedure involved in making evidence-based patient care decisions includes:

Reviewing the literature, evaluating evidence, forming a hypothesis.

Injury prevention for geriatric patients and campaigns to reduce tobacco use are examples of:

An EMTs role in public health.

Six of the categories and standards of an EMS system established by the National Highway Traffic Safety Administration

-Regulation & Policy
-Resource Management
-Human Resources & Training
-Transportation
-Facilities
-Communication

Six Types of Specialty Hospitals

-Burn Centers
-Pediatric Centers
-Cardiac Centers
-Trauma Centers
-Stroke Centers
-Poison Control Centers

Four Levels of EMS Certification

-EMR
-EMT Basic
-Advanced EMT
-Paramedic