designated agent
an EMT or other person authorized by a Medical Director to give medications and provide emergency care
Off-line medical direction
consists of standing orders issued by Medical Direcctor that allows EMT s to give certain medications or perform certain procedures without speaking to 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
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 requires improvement.
Protocols
list of steps, such as assessment and interventions, to be taken in different situations
Standing Order
a policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations
Evidence Based
description of medical techniques or practices that are supported by scientific evidence of their safety and efficacy rather than merely supposition and tradition
Patient outcomes
the long-term survival of pateints
the earliest documented emergency med. service was in:
France, 1790's
In 1966 the_________ charged the United States __________ with developing the EMS standards and helping the states to upgrade the quality of their pre-hospital emergency care
National Highway Safety Act; Department of Transportation
3 major components of Nat. Highway Traffic Safety Administration's EMS system assessment standards
transportation, communications, evaluation
US department of transportation provides for national levels of EMS training in all of the following
(not advanced first aid) advanced EMT, emergency medical responder, paramedic
The major emphasis of EMT education deals with _________ of the ill or injured patient in the pre-hospital setting
basic assessment and care
patient care provided by the EMT should be:
based on assessment findings
an example of ensuring continuity in during the transfer of care of the patient would be:
providing pertinent information to hospital staff
patient advocacy is
speaking up for your patient
Good personality traits are very important to the EMT. You should be:
pleasant, cooperative, resourceful, neat/clean, leader, controlled
AN EMT who is not in control of personal habits might:
contaminate patient's wounds, render improper care, make inappropriate decisions
to prevent violating patient confidentiality, the EMT should
avoid inappropriate conversation with others
AN EMT may maintain up-to-date knowledge and skills through continuing educations such as:
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 hospital staff is a means of
providing quality improvement
Every EMS system should have a
Medical DirectorI
It is important that each EMT know his or her Med. Director. AN EMT is operating as the Medical Director's
designated agent
difference between on=line and off-line medical direction is that
on line orders are given by the on-duty physician, usually over radio/phone
an example of medication carried by EMTs that may require a physician consultation to administer is:
Aspirin
AS a new EMT, you will witness many changes in the EMS system and patient care, moving from practices that have been based on _______ to those based on ______
tradition; research
THe EMT has many jobs to do . It is resp. of EMT to treat patients
in a nonjudgmental and fair manner
categories/standards of an EMS system established by the National HIghway Traffic Safety Administration
regulation and policy, resource management, human resources and training, trauma systems, public information and education, communications, transportation, facilities, evaluation, med. direction
6 types specialty hospitals are:
trauma centers, burns c., cardiac c., poison control c., stroke centers, pediatric centers
4 levels EMS certification:
emergency medical responder, EMT, Advanced EMT, PAramedic
Specific areas of responsibility for EMT:
personal safety, safety of crew, patient, & bystanders, patient assessment, lifting and moving, transport, transfer of care, patient advocacy