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32 Cards in this Set

  • Front
  • Back
When did non-military ambulance services begin to appear in the US?
The early 1900s.
What national governing body has established an assessment program with a nationwide set of standards for EMS systems?
The National Highway Traffic Safety Administration (NHTSA)
From the patient's point of view, when does emergency care begin? Put another way, at which point does the EMS system kick in?
Care begins with the initial call to the emergency medical dispatcher.
What is the chain of human resources that makes up the EMS system?
1) Patient
2) 911 dispatcher
3) First responders
4) EMTs
5) Emergency department staff
6) Allied health staff
What is 'enhanced 911'?
Enhanced 911 is a system in place at many communications centers that can automatically detect a caller's phone number and location.
What's an EMD?
An EMD is a specially trained dispatcher that can walk a caller through first aid steps before first responders arrive.
What are the four levels of EMS training?
1) First responder (includes police, firefighters, industrial health personnel)

2) EMT-Basic (minimum level of certification for ambulance personnel)

3) EMT-Intermediate (can engage in more invasive procedures and administer more medications than an EMT-B)

4) EMT-Paramedic (Most highly trained EMS personnel)
What are the 8 primary responsibilities of the EMT?
1) Personal safety
2) Safety of others
3) Patient assessment
4) Patient care
5) Lifting and moving
6) Transport
7) Transfer of care
8) Patient advocacy
In terms of personal traits, an EMT should be:
1) Pleasant
2) Sincere
3) Cooperative
4) Resourceful
5) A Self Starter
6) Emotionally stable
7) Able to lead
8) Neat and clean
9) Of good moral character
10) Respectful
11) In control of personal habits
12) Controlled in conversation
13) A good communicator
14) Able to listen
15) Non-judgemental
What are two important ways to keep your EMT knowledge current?
1) Refresher training
2) Continuing education
What governing body provides registration to First Responders, EMT-B's, EMT-I's, and EMT-P's?
The National Registry of Emergency Medical Technicians (NREMT)
Define "quality improvement."
Quality improvement is a process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement. There are QI committees that evaluate EMT performance.
In what ways can an EMT work toward quality improvement on their own?
1) Keeping carefully written documentation
2) Becoming involved in the quality process
3) Obtaining feedback from patients and the hospital staff
4) Maintaining your equipment
5) Continuing your education
Define "Medical Director"
The Medical Director is a physician who assumes ultimate responsibility for the patient-care aspects of the EMS system
Define "Medical direction"
Medical direction is oversight of the patient-care aspects of an EMS system by the Medical Director.
Define "Off-line medical direction"
Off-line medical direction consists 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.
Define "on-line medical direction."
On-line medical direction consists of orders from the on-duty physician given directly to an EMT in the field by radio or telephone.
What does it mean when it's said that an EMT is a "designated agent" of the physician (the Medical Director)?
It means that the EMT's authority to give medication and provide emergency care is actually an extension of the Medical Director's license to practice medicine.
Define "standing orders."
Standing orders are specific policies and protocols put in effect by the Medical Director that authorize EMTs and others to perform particular skills in certain situations.
Define "protocols."
Protocols are lists of steps, such as assessments and interventions, to be taken in different situations.
Who is responsible for developing protocols for an EMS system?
The Medical Director is in charge of developing protocols for the EMS system.
What are some important special designations a hospital may have?
1) Trauma center
2) Burn center
3) Pediatric care center
4) Poison control center
5) Cardiac center
6) Stroke center
What are the ten components of NHTSA standards for an EMS service?
1) Regulation and policy
2) Resource management
3) Human resources and training
4) Transportation
5) Facilities
6) Communications
7) Public information and education
8) Medical direction
9) Trauma systems
10) Evaluation
What four types of personnel are the main components of "pre-hospital care?"
First responders, EMT-B, EMT-I, Paramedic
What three types of personnel do you see working in the ER?
Patient care technicians (techs), Nurses, Physicians
What are the major types of specialty facilities?
1) Trauma center
2) Stroke center
3) Cardiac center
4) Pediatric center
5) Poison center
6) Burn center
What are the main jobs of the medical director?
1) Overseeing training
2) Developing protocols
3) Developing standing orders
4) Taking part in QI
True or false: one important function of an EMT is patient assessment.
True
True or false: the care rendered by the EMT is an extension of the medical director's authority.
True
True or false: moderate alcohol consumption prior to working a shift as an EMT is allowed, since it most likely will not affect job performance.
False
True or false: as an EMT, your first responsibility is your own safety.
True
True or false: upcoming EMS education standards will change the name EMT-Basic to Emergency Medical Responder.
False