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33 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Patient Advocacy
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Shield the patient from curious onlookers
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If the patient looks, fine what do you do?
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What would you say to someone if they told you they wanted to be an EMT?
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Opinion/Choice
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How would they proceed/succeed?
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Patients with traumatic injuries go where?
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The Trauma Center
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What is the best way to protect yourself from disease transmission?
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Wash your hands
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Blood and bodily fluids
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What PPE do you do/wear to protect yourself from HIV?
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Gloves, eyewear, and hand washing
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Treatment of a patient
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Hepatitis C
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– Approximately 80% of Hep. C patients have no symptoms
–Most common blood-borne infection in the US – transmission through needle stick, blood, semen, vaginal fluid, transfer cental, human bite, and sexual contact – Jaundice (yellow coloring of the eyes/skin) –Causes fatigue, abdominal pain, dark urine, nausea, Jaundice (yellow coloring of the eyes/skin), and loss of appetite – No preventative vaccination |
What is true about it?
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What PPE do you you wear to protect yourself from communicable diseases?
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– Eye protection
– Protective gloves – Gowns – Masks |
Name it all
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What is referred as the best way to protect yourself from blood and body fluids?
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Body substance isolation
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BSI
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What protective measures should one take in the case of providing care to a patient with HIV/AIDS?
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Wear gloves, eyewear, and wash hands
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Best protection against Tuberculosis?
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–Wear gloves, eyewear, HEPA or N–95 respirator, and wash hands
– disinfect all nondisposable equipment that was contaminated by patient's body fluids with hospital grade disinfectant with tuberculocidal agent – Launder all infected linen and clothing with hot soapy water and bleach |
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If somebody came to you while on duty for a shooting that happened nearby, what are you supposed to do?
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Stay clear of danger, call law-enforcement, and await their arrival
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Scene Safety
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Patient is fully competent and refuses treatment, what document would they sign?
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Refusal of Treatment
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Organisms that cause disease
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Pathogens
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Ways to manage stress
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– Eat healthy
–Exercise often –Learn to relax –Avoid self-medication (Drugs) |
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Advising someone wanting to become an EMT
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Help them to understand the nature of your work and what you do for patients. Describe to them how you feel about what you do. Answer their questions. Explain safety precautions you and coworkers take every day can ease their anxieties. Encourage them to join you and staying fit also can alleviate their concerns when you cannot be with them. Always include time with them on your list of priorities
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Defusing
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Vent emotions and get information needed before larger group meeting for CISD
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How to act during a session of defusing
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You are already vaccinated for Hep. B, but got poked by a needle infected by Hepatitis B
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Report the incident to your supervisor and follow your services exposure policy.
• care may include an injection of hepatitis B immunoglobulin |
Exposure to Hepatitis B
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How to prevent transmission of SARS from a patient to you?
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Wear gloves, surgical mask, eye protection, and wash hands
Do not touch yourself, especially eyes, mouth, and nose Place surgical mask on patient Immediately remove gloves after patient exposure, in Washington's there early |
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As an EMT, how do you protect your well-being after stressful incidents?
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Defusing
Critical Incident Stress Debriefing (CISD) |
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Which incidents potentially cause the greatest deal of emotional stress?
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–MCIs
(Multiple Casualty Incidents) –Abuse and neglect of infants, children, adults, and the elderly –Emergencies involving infants and children –Injury or death of a coworker –Responding and providing emergency care to a relative or bystander –Severe traumatic injuries such as amputations |
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What is the best way to protect yourself from getting MRSA
AFTER patient care? |
Wash your hands for 15 seconds
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Know what an EMT may/may not administer
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An EMT may NOT administer insulin, it is not carried on ambulance.
•EMT only assists with Epi-Pen, inhalers, & nitro |
Insulin for a diabetic patient?
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What is Advance Directive
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A document that a patient/physician may request that no resuscitation measures take place if the heart and lungs stop functioning
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Chronically/Terminally ill Patients
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Durable power of attorney/health care proxy
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Designates a person who is legally empowered to make health care decisions for the signer of the document, (if they are unable to do so by their own self)
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Usually pertains to in-hospital or long-term care facility situations
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What is a DNR?
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A legal document/order refusing resuscitation in an emergency
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What is implied consent/emergency doctrine?
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When a patient is unresponsive or unable to make a rational decision (disoriented) would consent if he could
Or if a patient initially refuses care |
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Patient is dizzy and vomiting and is declining care
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If the patient is dizzy and vomiting, they most likely are not competent enough to make the decision to decline care, have a relative sign refusal of care
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Patient is dizzy and vomiting
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What is the appropriate way to respond to somebody refusing care?
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–Try again to persuade patient to accept treatment or transport to a hospital.==>
–Tell them why treatment and/or transport is essential.==> –Make sure the patient is clear on consequences of refusal==> –Have patient read aloud from the report of refusal to verify understanding |
4 things to say
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What is negligence?
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A tort in which there is no intent to do any harm to the patient, but in which a breach in the duty to act occurred
Deviating from an accepted standard of care through carelessness, inattention, disregard, inadvertence, or oversight that results in further injury to the patient |
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How to prove negligence
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EMT had duty to act
EMT breached duty to act Patient suffered an injury or harm that is recognized by the law as a compensable injury Injuries were result of breached active duty |
Four things
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What is the difference between assault and battery?
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•Assault is willful threat to inflict harm on a patient
(to threaten) –threat to harm •Battery is touching a patient unlawfully/without consent –unlawful touching |
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What is the difference between negligence and false imprisonment?
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•Negligence is deviating from accepted standard of care
•False imprisonment is basically kidnapping |
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What you may/may not do under HIPAA
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You may not talk about a patient unless:
–Court order –Law Enforcement needs info. –Health provider needs info. |
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