EMR Final Exam

EMR Final Exam EMS System - A network of resources to provide emergency care and transport victims of sudden illness and injury Enhanced 911 System - Allows caller to be identified by the dispatch system by providing the callers phone numbers and address from which they are calling Seven Levels of EMS training - 1. Emergency Medical Responder (DOTrans, Basic, Advanced) 2. EMT Basic 3. AEMT (Advanced EMT) 4. Intermediate 85,99 5. EMT Paramedic 6. Critical Care Paramedic 7. TEMS (Tactical EMS) Five Roles / Responsibilities of the EMR - 1. Personal Health and Safety 2. Caring Attitude, Maintaining Composure 3. Neat, Clean, and Professional Appearance 4. Keep Up to Date knowledge and skills 5. Put Patients needs as a priority Eustress - Good Stress Distress - Bad Stress Five Common Causes of Stress - mass casualty violence amputations death Pediatric patients Five Stages of the Grieving Process - 1. Denial (Disbelief) 2. Anger 3. Bargaining 4. Depression 5. Acceptance Five Signs of Stress - irritability can't concentrate difficulty sleeping anxiety (guilt) loss of appetite Four Lifestyle Changes to Deal with Stress - 1. Eat healthier 2. Exercise (Meditation) 3. Balance Work 4. Listening to Family and friends CISD - Critical Incident Stress Debriefing Critical Incident Stress Debriefing: Purpose - Deals with Traumatic Incidents, a debriefing is a confidential group meeting which encourages open discussion of the incident. The goal is to assist the EMS personal in dealing with the stress related to the incident Four Types of Body Substance Isolation - Hand washing Proper disposal of medical equipment use of personal protective equipment Scene Safety (?) Scene Safety - Assessment of scene (surroundings) that will provide information to the first responder and will help ensure their well-being Scope of Practice - The legal duties to the patient, medical director, and public Standard of Care - care expected based on training and experience taking into account the conditions under which the care is rendered Competence - The ability to understand questions and to the implication of decisions made ( do you know who / where / what you are? ) Expressed Consent - The patient must be told in an easy to understand nature and the extent of the procedure to be preformed as well as the possible risks involved Implied Consent - Consent based on the assumption that the unresponsive patient would consent to life saving interventions Advanced Directives - Written documentation that specifies what medical treatment a patient wishes to have and what to withhold should the patient become unable to make a decision Assault and Battery - Unlawfully touching a patient without consent providing emergency medical care when a competent patient does not consent to the emergency medical care Abandonment - Terminating care of the patient without insuring that care will continue at the same level or higher Four Components of Negligence - 1. Duty to act (legal obligation) 2. Breach of Duty (failure to act) 3. Injury where Inflicted (some injury occurred) 4. Proximate Cause (the actions of the EMR caused injury)