Final Paramedic Fisdap Study Guide latest 2023 Assured A+.

Final Paramedic Fisdap Study Guide latest 2023 Assured A+. Ems Operations - Page 1 OB/Gynecology - Page 11 Pediatrics - Page 20 Airway - Page 30 Medical Emergencies - Page 39 Trauma - Page Cardiology - Page - Page 54 EMS OPERATIONS 1. Airbags Safety During Extrication (2228) • Un-deployed airbags may deploy during extrication and cause harm to the patients and rescuers. • Look for airbag badging or labeling system • A vehicles airbags system comes equipped with an energy capacitor that can store power for up to 30 mins in some models • Remove key from ignition 4.Criteria for Transferring Care of Patient (154) • In your documentation of care, it is important that you were able to show in whose care you left the patient with, otherwise you could face allegations of abandonment. some agencies have begun to require physician or nurse signatures to verify that the patient was left with a medical professional of a higher level of training. Another situation that may require you to document a transfer of care is when you hand over your patient to another agency such as a paramedic transport crew or an air medical team. 5.Decontamination of Airway Equipment • Sanitize and disinfect everything after a call • Any piece of equipment that is intended for single use should be discarded in an appropriate hazardous materials bag. For any reusable piece of equipment that has had direct contact with the patient or patients bodily fluids, use a commercial disinfecting agent for decontamination. Bleach diluted in water (1:10) can also be used as disinfecting agent. WINDOWS USER 1 Final Paramedic Fisdap Study Guide latest 2023 Assured A+. 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide about:blank 2/137 2 6.Documenting Medication Administration (471) • Documentation is everything, if you did not document it, you didn’t do it. Always document your actions and the patients response on the on the patient care report after administering a medication. This includes... - Name - Dose - Time - Route - Persons name who administered it - Patients response to the medication, whether positive or negative 7.Indications for N95 Mask • 95 (Heppa) Mask on you, surgical or normal mask on patient 8.Indications for Rapid Extrication () (2226) WINDOWS USER 2 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide about:blank 3/137 2 • Patient can be moved from sitting in a car to laying supine on a backboard in 2 mins. Indications listed below - The vehicle or scene is unsafe - The patient cannot be properly assessed before being removed from the car - The patient needs immediate intervention that requires a supine position - The patients condition requires immediate transport to the hospital - The patient blocks your access to another seriously injured patient • A team member should remain with the patient to direct the rescuers who are preforming the disentanglement. For example, unless there is an immediate threat to fire, explosion, or other danger, you should preform a primary assessment and perform and critical interventions before disentanglement begins. This may include providing c-spine immobilization, opening airway, providing O2, ventilations, or controlling significant bleeding. Once life threats have been treated, disentanglement can begin. Sometimes a patient must be removed quickly (Rapid extrication) because his or her general condition is deteriorating and time does not permit meticulous splinting and dressing procedures. Quick removal may also occur if hazards are present, such as as spilled gas or other materials that could endanger the patient or rescue personnel. The only time the patient should be moved prior to completion of initial care, assessment, stabilization, and treatment is when the patient’s or emergency responders life is in immediate danger. 10. Making Decisions Regarding a Patients Request to Refuse Care (96-99) • Patients with decision-making capacity have the right to refuse all or part of the emergency medical care offered to them • Refusing care - Needs to be informed consent. • Need to use your “People skills” and just talk to the patient · Ensure your pt is fully informed about their current situa琀椀on, his or her right to receive or refuse medical care, and the consequences of a refusal of care · Unresponsive pa琀椀ents may be treated under implied consent · Involve online medical control if pt have severe injuries but refusing care · Document carefully and have pt sign AMA Minors - Because minors have no legal status, they can neither refuse no consent to medical care. In the case of children and adults who have legal guardians, consent must be obtained, if possible, from a parent or legal guardian of the patient. If the parent or guardian is not available, emergency treatment to sustain life may be undertaken without direct consent under the doctrine of implied consent. You should also be aware of the legal principle known as “In loco parentis”. This term literally means “In place of the parent”. This principle may apply in school, day care, or summer camp situations if a parent is unavailable. The school administrator or day care director may make treatment and transportation decisions on behalf of the minor. 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide about:blank 4/137 2 A particularly difficult circumstance can arise if a parent or legal guardian refuses to grant consent to treat a minor who clearly requires lifesaving or limb-saving treatment. Although adults clearly have the right to refuse treatment for themselves, state laws generally do not permit a parent or guardian to deny treatment to a minor child. In fact, the failure of a parent to allow such treatment may constitute neglect. When confronted with such a circumstance, the paramedic should notify law enforcement and medical control. State law may permit the state to 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide about:blank 5/137 2 assume custody of the child for purpose of ensuring that necessary emergency treatment be provided. Emancipated Minors - are under legal age in a given state but can be treated as legal adults because certain circumstances. By court order. Marriage, pregnancy, or active military service. They can accept or deny care. 12. Operations within a HazMat Scene Responding to Hazmat incidents · Look for warning signs such as patient S/S, placards, labels, etc. · Placards or labels may be found on building, trucks/railway cars, drums/storage vessels · Intentional ingestion of chemicals and activities occurring at illicit labs or potential terrorist activities may have no obvious signs · Some chemicals are odorized (propane, methane) where other dangerous substances are odorless (carbon monoxide) · If you approach a scene where more than one person has collapsed due to respiratory distress, suspect the presence had a hazardous material · When arriving, you should stop at a safe distance, uphill and upwind from the scene · Items to report include: o Exact location o Atmosphereic conditions o Size/shape of containers o Chemical ID number or symbols o # of victims with S/S o Type and number of additional resources 18. Stress Management (42-43) • Fight or flight mode S/S - heart palpitations, rapid breathing, chest tightness, sweating, rapid breathing, unnecessary shouting. 1. Control breathing 2. Progressive Relaxation - tighten/relax muscle groups to initiate muscle relaxation throughout the body. Stupid. 3. Professional Assistance - Seek therapist • Focus on immediate situations while on duty, remind yourself “I will do my very best, but what i can do may not be enough” 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide about:blank 6/137 2 • Avoid excessive amounts of stimulants such as caffeine or alcohol, cigs, or sleeping aids after a stressful event. • Stages of Stress · Acute reac琀椀on – occurs during stressful situa琀椀ons · Delayed reac琀椀on – manifests a昀琀er stressful situa琀椀ons · Cumula琀椀ve reac琀椀on – when you are exposed to prolonged/excessive stress 19. Treating a Patient with Advance Directives An advance directive is usually a written document (but can be also an oral statement) that expresses the wants, needs, and desires of a patient in reference to his o her future medical care. Advance directives state what medical care the patient wants or does not want when the 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide about:blank 7/137 Discover more from: NUR 4837 Mark Klimek Lecture Outline Nclex Globalization of Health Care: Health Care Finance None Carcinoma in situ Globalization of Health Care: Health Care Finance None Certi ed Coding Specialist Globalization of Health Care: Health Care Finance None These Globalization of Health Care: Health Care Finance None Director Globalization of Health Care: Health Care Finance None CALT EXAM - CALT EXAM Globalization of Health Care: Health Care Finance None.