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18 Cards in this Set
- Front
- Back
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What is scene safety?
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Doing everything possible to ensure a safe environment for yourself, your crew, other responding personnel, your patient and any bystanders
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What should you do during scene size-up?
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Look for potential hazards
Even the most peaceful scene can pose potential dangers Wait for the police before entering a potentially hazardous scene Never enter a specialized rescue situation without proper training and equipment Hazmat responses require special training and equipment |
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What should you do with the patient?
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Protect the patient from hazards at a scene
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What about bystanders?
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Tape lines help keep them out of hazardous scenes
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How can you move a spinal injury patient?
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Log roll
Straddle slide Rope sling slide Orthopedic stretcher Vest type device Rapid extrication moves Final patient positioning Long spine board Diving injury immobilization |
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What is BSI?
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Body substance isolation, based on the assumption that all blood and body fluids are infectious
Dictates that all EMS personnel take BSI precautions with every patient Requires that personnel protective equipment (PPE) be available in every vehicle |
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What are examples of PPE?
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Protective gloves
Masks and protective eyewear HEPA and N-95 respirators Disposable Resuscitation equipment |
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What is the most important infection control practice?
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HAND WASHING!
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How should hands be washed properly?
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lather well and scrub under your nails. When rinse point hands downward so that soap and water run off and away from your body.
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How do vaccinations and screening tests work in EMS?
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Often a requirement of employment
Some may require boosters Available for - Rubella -Measles -Mumps -Chicken pox -Tetanus/diptheria -polio -influenza -Hep A and B Lyme disease |
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How should equipment be decontaminated?
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Dispose of waste in a properly marked bag
Discard needles and other sharp objects in properly labeled puncture proof container Contaminated non-disposable equipment must be cleaned, disinfected or sterilized |
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What are the three ways in which equipment can be decontaminated?
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Cleaning: Refers to washing an object with soap and water
Disinfecting: Includes cleaning with a disinfectant Sterilizing: The use of a chemical or steam to kill all microorganisms on an object |
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What are general post exposure procedures?
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In most areas an EMS provider who has had an exposure should
-immediately wash the affected area -get a medical evaluation -take any immunization boosters -notify the agency's infection control liason -document the event |
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What is the Ryan White CARE act?
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American federal legislation that outlines procedures to follow post occupational exposure to select pathogens
Similar laws in Canada are being considered but have not yet been approved |
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What is the infectious disease exposure procedure for an AIRBORNE disease?
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1)You transport a patient who is infected with a life-threatening airborne disease such as TB but you are not aware that the patient is infected.
2) The medical facility diagnoses the disease in the patient you transported 3)The medical facility must notify your designated officer within 48 hours 4) Your officer notifies you that you have been exposed 5) Employer arranges for you to be evaluated and followed up by a doctor or health care professional |
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What is the infectious disease exposure procedure for coming into contact with blood or bodily fluids and you wonder if a patient is infected with bloodborne disease such as HIV or HEP-B?
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1) You come into contact and wonder if the patient might be infected
2) You seek immediate medical attention and document for workers compensation 3) You ask your designated officer to determine if you have been exposed to an infectious disease 4) Your DO must gather information and determine if needed to contact the medical facility the patient was transported to. 5) The medical facility must gather information and report back with 48 hours. Your DO notifies you of the findings |
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What are some general safety considerations?
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Safety is a priority
Risks include violent people, environmental hazards, structural collapse, motor vehicles and infectious diseases Many of these hazards can be minimized with protective equipment such as helmets, body armor, reflective tape, supportive footwear and BSI precautions |
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What are some general interpersonal relation that can give rise to safety concerns and how can you mitigate?
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Safety issues often arise out of poor interpersonal relations.
Need to have effective communications Treat every person you meet with dignity and respect regardless of race, age, sex, religion or present background |
