Designated agent
an EMT or other person authorized by a Medical Director to give medication and provide emergency care
Evidence based
description of medical techniques of the patient-care aspects of an EMS system by the Medical Director
Medical Director
a physician who assumes ultimate responsibility for the patient care aspects of the EMS system
off line medical direction
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.
protocols
lists of steps, such as assessments and interventions, to be taken in different situations. Protocols are developed by the Medical Director of an EMS system
quality improvement
a process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement
standing orders
a policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations
Transportation
the National Standard Curriculum for EMT Basic training programs is developed by the US Department of _______
Maintain his own health and safety
What is the first responsibility of the EMT Basic?
Transfer of care
When an EMT Basic turns over his patient to hospital personnel, this is called _______
1966 National Highway Safety Act
(year) (who) .... charged Dot with developing EMS standards, EMT Basic is based on the model established by DOT
1970 National Registry of EMT
In what year was was _______ founded to establish professional standards
1973 National EMS Systems Act
In what year was _____ passed by Congress to implement and improve EMS in the US
Individual states
______ ______ now govern their own EMS System
30 and 30A of the Public Health Law
New York state is governed by Article _____ and ____ of the _________
Part 800
Part _____ of the State EMS Code requires Ambulance certification and equipment required on certified ambulances
Enhanced 911
911 that gives the address of the patient
Training, transportation, communication, Medical Director, trauma centers, evaluation
6 parts of Standards
First Responders, EMT B, EMT I, EMT P
4 levels of certification/training
EMT I
EMT- Advanced Life Support
EMT P
EMT- paramedic
Prehospital care reports (PCR) = documentation
Components of Quality- A
Become involved in the QI process as one becomes more experienced
Components of Quality- B
Obtain feedback from ER staff and patients
Components of Quality- C
Maintain and check equipment regularly so as to maintain optimal use
Components of Quality- D
Continue training and education
Components of Quality- E
Pleasant
Personal Traits- remain calm and instill confidence to the patient
Sincerity
Personal Traits- Understand the situation and patient's feelings
Cooperative
Personal Traits- Make it a team effort and be able to work with either high or lower levels of certified EMTs
Resourceful
Personal Traits- Not all calls are by the book. One must be able to adapt to the situation at hand and be able to handle an unusual situation
Self-starter
Personal Traits- Be confident to take the leading role and not wait for someone else to start the call
Emotionally stable
Be able to hold one's composure during a difficult call and be able to address one's feeling after the call
Take charge
Personal Traits- be resourceful enough to take control of a scene
Neat and clean
Personal Traits- clean appearance instills professionalism and confidence in the Patient
Trustworthy
Personal Traits- EMT needs to allow for patient trust when the patient cannot protect himself
In control of personal habits
Personal Traits- no alcohol when on call, no smoking when with a patient as this can lead to improper care or cause patient discomfort
Communicate
Personal Traits- avoid improper communications or conversation that will anger patient or bystanders
able to listen to others
Personal Traits- be compassionate and empathetic to your patient
Fair and nonjudgmental
Personal Traits- treat all patients the same be it race, religion, or culture