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60 Cards in this Set
- Front
- Back
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Code of Hammurabi
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1700BC
Established protocals for medical care reimbursement and malpractice |
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Jean Larrey
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1790AD
Developed Ambulances for patient care in the field |
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Who documented the first ambulance service
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NYC Health Dept
1869 |
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When was the Accedental Death and Disability paper and National HWY Saftey act Passed
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1966
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Who is the Father of Paramedicine
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Dr. Eugene Nagel
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What Act defined the Components of the EMS System and and when was it passed
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Emergency Medical Service Systems Act
1973 |
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U.S. DOT Established standards for Paramedicine in what year
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1977
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What are the 8 Parts of the Paramedic Code of Ethics
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Integrity; Empathy;Self Motivation;Communocation Skills;Teamwork and Respect; Patient Advocacy; Injury Prevention; Careful Delivery of Service
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What are the Primary Responsibilities of the Paramedic
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Preperation; Response; Scene Management; Patient assesment and care; Management and disposition;patient transfer; documentation, return to service
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Define Online medical control
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Verbally communication with medical control over radio or phone
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Define Offline medical control
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Outlined through SOPs SO's Protocals and training
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Eustress
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Positive Stress, Motivates achievement
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Distress
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Negative or injurious stress
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What are the two types of stress
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Eustress, and distress
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What are the responses of patients to illness or injury
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Fear; Anxiety; Depression; Anger; Confusion
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What are the psychologic defense mechanisms
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Denial; Regression; Projection; Displacement
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What are the 5 Stages of the Grieving Process
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Denial, Anger, Bargaining ,Depression, Acceptance
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What is CISD/CISM
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Critical Incident Stress Debreifings
Usually held within 24-72 hours of incident |
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What is PTSD and what are the Symptoms
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Post trumatic Stress disorder
Depression; Startle Reactions; Flashbacks; Amnesia of Events |
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How do you manage Exposures to blood or body fluids
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Wash Area with soap and water, Report it, Medical Eval, Get Immuno Boosters, Document the instance
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What are the 3 stages of prevention of illness and injury
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Primary-Prevent it from happening
Secondary - reducing the affects of and injury Third - tertiary prevention |
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What are the two types of Injuries
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Intentional ( Assault or Suicide)
Unintentional ( MVA, Fall) |
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What are the 4 E's of Prevention
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Education; Enforcement; Engineering/Environment; Economic incentives
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What is the Haddon Matrix
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Identifies several principles of injury prevention
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What are the 5 steps to developing a prevention Program
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Community Assesment; Define problem, Set goals & Objectives; Test interventions; Implement and evaluate interventions
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What are two types of Laws governing Paramedic actions
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Civil and Criminal
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What are the three most likely charges against a prehospital care provider
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Assault, Battery and flase imprisonment
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What is assault
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instilling the fear of bodily harm or breaching body security whether the threat is carried not
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What is battery
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touching the patient without consent
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What is false imprisonment
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When a patient is intentionally or unjustifiably detained against their will
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What is Defamation
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Intentioanlly making a false statement through verbal or written communication that injures a persons good name or reputation
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What is Libel
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Making a false statement through written communication
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What is Slander
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Making a flase verbal statement
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What is the most important rule for the Paramedic
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Do What Is Best For The Patient!!!!!
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Define Scope of Practice
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Care that is allowed to be preformed under the State of liscensing and certification
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What are the three lines of authoririty that a paramedic is answerable to
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1. Medical Director
2. Liscensing Agency 3. Employer |
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What is the Medical Practice Act
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Defines the minimum Qualifications of those that may preform various health services
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What does HIPAA Stand for
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Health Insurance Portability and Accountability Act
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What is HIPAA
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Provides stringent privacy requirements for patient information; enacted in 1996
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What is EMTALA
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Emergency Medical Treatment and Active Labor Act; 1986; Prevents Patient Dumping, especially pregnant women
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What is stated in the Good Sumaritan Law
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Provides immunity from liability to any member of the community who stops and helps at an emergency scene
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What is negligence and what must happen to have it happen
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Duty to act; Breach of Duty; Proximate Cause; Harm, all have to be in place to prove negligence
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What is abandonment
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Termination of care without the patients consent
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What are the types of advance directives
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Documents related to the future of a patients care
DNR;Living Wills;Organ Donation |
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What is certification
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Generally evidence of a certain level of trainig
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What is Licensure
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Privilage to practice at a carefully defined level
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What are the three types of consent
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Informed, implied, and expressed
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What is Informed consent
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Must be obtained from every adult patient who has descision making capacity
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What is Expressed consent
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A type of informed consent where the patient does something by speaking or action to imply consent
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What is implied consent
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Implied in unconcious adults or adults who are too ill or injured to consent
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Consent for Minors
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Minors cannot consent, gaurdians must give consent for non life saving actions, only for life safety and no gaurdian may you act without consent
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When can minors give consent
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Pregnant Minors; Emancipated Minors; Married, and active military service
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What determines mental competency for adults
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A&O x 4, No significant head injury or altered mental status, Patient understands situation, Patient can describe plan for follow up care, O2/Glucose normal
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When is use of force acceptable
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Only as last resort and only enough force to extricate yourself from situation
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What should be included in paramedics Patient Care Reports (PCR's)
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Date and times, history, observations, physical examinations, treatment, changes in status
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What cases need to be reported to Law Enforcement
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Any Abuse cases, Drug related, Live Birth, Rape, Animal Bites, Communicable Diseases, injuries related to a felony or suspicious injuries
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What are Ethics
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Philisophy of right and wrong, Moral duties, and ideal professional behavior
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What is Morality
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code of Conduct defined by society, religion, or a person, affecting character, conduct and conscience
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When can you override a DNR order
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Only when the patient gives you verbal consent at the scene of the incident or the incident is not directly related to the DNR; POA
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When can you override a Living Will
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Only when the patient gives you verbal consent at the scene; POA
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