FISDAP OPERATIONS TEST WITH ALL
ANSWERS
Abpatientbisbfoundbunresponsivebinbhisbsmallbbathroom.bHebisbnotbbreathingbandbisbsittin
gbinbthebcorner.bTwobEMTsbarebablebtobreachbhim,bbutbtheybarebunablebtobstandbsidebbyb
side.bHebappearsbtobweighbaboutb150bpoundsbandbtherebisbnobevidencebthatbhebhasbbee
nbinjured.bWhichbofbthebfollowingbwouldbbebthebquickestbandbMOSTbpracticalbwaybofbmo
vingbhimboutbofbthebbathroom?
A)bExtremityblift
B)bLongbbackboard
C)bDirectbgroundblift
D)bStairbchairbdeviceb-bcorrectbanswer-A)bExtremityblift
Whenbmovingbanybpatient,byoubshouldbdobsobinbthebsafest,bmostbefficientbwaybpossible.b
Ifbabpatientbisbinbabnarrowbspaceb(ie,bsmallbbathroom,bnarrowbhallway)
andbyoubandbyourbpartnerbcannotbstandbsidebbybsidebtobperformbabdirectbgroundblift,btheb
extremitybliftbwouldbbebthebmostbpracticalbwaybofbmovingbhimborbher.
OnebEMTbwouldbliftbbybthebarmsbandbthebotherbbybtheblegs;bthebpatientbcouldbthenbbebm
ovedbtobablargerbworkingbarea.bTwobEMTsbshouldbbebablebtobsafelybliftba
150-
poundbpatient.bAblongbbackboardbwouldbclearlybnotbworkbinbthebcasebofbabnarrowborbsma
llbspacebbecausebtherebwouldbbeblittlebroombtobthebpatient'sbleftbor
rightbtobslidebthebboardbunderneathbhimborbher.bAbstairbchairbwouldbalsoblikelybnotbbebpos
sible,borbpractical,bbecausebofbsuchbabconfinedbspace.
Ab52-year-
oldbwomanbcrashedbherbminivanbintobabtree.bShebisbpinnedbatbtheblegsbbybthebsteeringbw
heelbandbisbsemiconscious.bAfterbgaining
accessbtobthebpatient,byoubshould:
A)bperformbabprimarybassessmentbandbprovidebanyblife-savingbcarebbeforebextrication.
B)bimmediatelybapplybhigh-flowboxygenbtobthebpatientbandballowbextricationbtobbegin.
C)brapidlybassessbherbfrombheadbtobtoe,bobtainbvitalbsigns,bandbapplybabcervicalbcollar.
,D)bhavebthebfirebdepartmentbdisentanglebthebpatientbandbquicklybremovebherbfrombthebc
ar.b-bcorrectbanswer-A)bperformbabprimarybassessmentbandbprovidebanyblife-
savingbcarebbeforebextrication.
Unlessbtherebisbanbimmediatebthreatbofbfire,bexplosion,borbotherbdanger,byoubshouldbperf
ormbabprimarybassessmentbandbbeginbanyblife-savingbcarebasbsoonbas
youbhavebgainedbaccessbtobthebpatient.bIfbyoubwaitbtobdobthisbuntilbafterbthebpatientbhasbb
eenbdisentangled,bitbmaybbebtooblate;bthebpatientbmaybalreadybbebdead.
Afterbyoubhavebassessedbthebpatientbandbtreatedbanybimmediatebthreatsbtoblife,ballowbex
tricationbtobcommence.bOncebthebpatientbhasbbeenbfreedbfrombthe
vehicle,bcontinuebanyblifesavingbcarebandbperformbabrapidbhead-tob-
toebassessmentbtobidentifybandbtreatbotherblife-bthreateningbinjuries.bAnotherbEMTbcan
obtainbvitalbsignsbasbyoubrapidlybassessbthebpatient.bPreparebforbimmediatebtransportbaf
terbthebrapidbhead-to-toebassessmentbhasbbeenbperformedbandbspinal
precautionsbhavebbeenbtakenb(ifbindicated).
Whenbarrivingbatbthebscenebofbabmotorbvehiclebcrashbatbnight,byoubdeterminebthatbthebsa
festbplacebtobparkbthebambulancebisbinbabdirectionbthat
facesboncomingbtraffic.bWhatbshouldbyoubdo?
A)bPositionbroadbflaresbaroundbthebfrontbofbthebambulance.
B)bTurnballbemergencyblightingboffbtobavoidbblindingbthebtraffic.
C)bTurnbthebhigh-beambheadlightsbonbtobalertboncomingbtraffic.
D)bTurnbyourbheadlightsboff,bbutbkeepbthebemergencyblightsbon.b-bcorrectbanswer-
D)bTurnbyourbheadlightsboff,bbutbkeepbthebemergencyblightsbon.
Emergencyboperationsbonbthebhighwaybatbnightbcanbbebespeciallybdangerousbforbrespo
nders;bitbisbimportantbtobpositionbemergencybvehiclesbcorrectly,bwhilebat
thebsamebtimebensuringbvisibilitybforboncomingbtrafficbwithoutbblindingbthem.bFirstbofball,b
roadbflaresbnearbanbautomobilebcrashbarebdangerousbbecausebleaking
fluidsb,bsuchbasbgasoline,bmaybnotbbebimmediatelybapparent;bsafetybtrianglesbarebsafer.b
Ifbyourbemergencybvehiclebisbfacingboncomingbtraffic,byoubshouldbkeep
yourbemergencyblightsbon,bbutbturnbyourbheadlightsboff.bBrightblights,bsuchbasbhigh-
beambheadlights,bcanbeffectivelybblindbandbdisorientbanboncomingbdriver,
andbcouldbcausebthembtobcrashbintobthebscene.
Ab72-year-
oldbwomanbfellbandbhasbabhipbinjury.bShebisbonbthebsecondbfloorbofbherbhome.bWhichbofbt
hebfollowingbdevicesbshouldbyoubusebto
movebherbdownbthebflightbofbstairs
A)bStairbchair
B)bLongbbackboard
C)bWheeledbstretcher
D)bScoopbstretcherb-bcorrectbanswer-D)bScoopbstretcher
Ofbtheboptionsblisted,bthebscoopbstretcher,balsobcalledbanborthopaedicbstretcherborbsplitbli
tter,bwouldbbebthebmostbappropriatebtobuse.bThebscoopbstretcherbis
contouredbandballowsbforbthebplacementbofbstrapsbtobsecurebthebpatient;bitbalsoballowsby
oubtobplacebpaddingbaroundbandbunderbthebpatient.bTheblongbbackboard,
unlikebthebscoopbstretcher,bisbflat;btherefore,bthebpatientbcanbslidebfrombsidebtobsideborbto
pbtobbottom,bevenbwhenbstrapsbarebplaced.bThebwheeledbambulance
,stretcherbisbtopbheavybandbisbnotbsafebforbpatientbmovementbdownbabflightbofbstairsborbac
rossbroughbterrain.bBecausebthebpatientbhasbabhipbinjury,bthebstairbchairbwouldbnotbbebap
propriatebtobuse.
Whenbcallingbinbyourbradiobreportbtobthebreceivingbhospital,byoubshould:
A)bincludebthebpatient'sbname.
B)bbebbrief,bconcise,bandbfactual.
C)bgivebyourbreportbonlybtobabphysician.
D)bbreakbyourbreportbintob60-secondbincrements.b-bcorrectbanswer-
B)bbebbrief,bconcise,bandbfactual.
Abradiobreportbshouldbbebbrief,bconcise,bandbfactual.bItbshouldbincludebthebpatient'sbageb
andbsex,bhisborbherbchiefbcomplaint,bassociatedbassessmentbfindings,
vitalbsigns,btreatmentbthatbyoubprovided,bandbthebpatient'sbresponsebtobyourbtreatment.b
Avoidbspeculativebstatementsbregardingbthebpatient'sbcondition;breport
onlybwhatbyoubknowbtobbebfact.bLongerbradiobreportsbshouldbbebbrokenbintob30-
secondbincrements;bafterb30bseconds,bpausebandbensurebtheblistenerbheard
yourbpreviousbtraffic.bThebpatient'sbnamebisbnotbvitalbtobyourbreport;bthus,btherebisbnobne
edbtobdisclosebit.bUnlessbyoubarebrequestingbmedicalbdirection,bitbis
acceptable,bandbroutinebpractice,btobgivebyourbreportbtobabregisteredbnurse.
Atbthebscenebofbabmass-
casualtybincident,byoubnoticebabbystanderbwhobisbemotionallybupset.bAnbappropriatebact
ionbtobtakebwouldbbebto:
A)btellbthebbystanderbtobleavebthebscenebatbonce.
B)bhavebthebbystanderbassistbyoubwithbpatientbcare.
C)bnotifybthebpolicebandbhavebthebbystanderbremoved.
D)bassignbthebbystanderbabsimple,bnon-patient-carebtask.b-bcorrectbanswer-
D)bassignbthebbystanderbabsimple,bnon-patient-carebtask.
Onebofbthebmostbeffectivebwaysbtobreducebstressbinbabbystanderbatbthebscenebofbabmass-
casualtybincidentbisbtobassignbthebbystanderbabtaskbthatbisbnotbrelatedbto
patientbcare.bThisbmaybinvolvebassistingbotherbbystandersbwhobarebhavingbdifficultiesba
sbwellborbprovidingbwaterbtobthebrescuers.bAnbobviouslybdistressed
bystanderbshouldbnotbsimplybbebsentbawaybfrombthebscene,bbutbshouldbbeblookedbatbasb
abpatientbasbwell.bClearly,bifbthebbystanderbbecomesbaggressiveborbviolent,
lawbenforcementbpersonnelbshouldbgetbinvolved.
Uponbarrivingbatbabmass-
casualtybincident,bthebEMTbisbassignedbtobthebtreatmentbarea.bUponbcompletionbofbduti
esbinbthebtreatmentbarea,bthe
EMTbshould:
A)bnotifybthebincidentbcommanderbandbreturnbtobservice.
B)breportbtobthebtreatmentbofficerbforbfurtherbinstructions.
C)breportbtobthebtransportationbareabtobassistbwithbtransport.
D)breportbtobthebtriagebsectionbtobcheckbforbremainingbpatients.b-bcorrectbanswer-
B)breportbtobthebtreatmentbofficerbforbfurtherbinstructions.
, Organizedboperationsbatbthebscenebofbabmass-
casualtybincidentbarebcrucialbinborderbtobachievebthebbestbpossibleboutcomebandbmaximi
zebthebnumberbofblives
saved.bWhenbthebEMTbisbgivenbanbassignment,bheborbshebshouldbcompletebthebassign
mentbandbthenbreturnbtobthebindividualbwhobgavebthebassignmentbfor
furtherbinstructions.bSelf-
assigningbatbthebsceneb(freelancing)bisbdangerousbandbcanbcompromisebthebeffectiven
essbofbtheboverallboperation.
Abpatientbinjuredbhisbarmbandbasksbtobbebtransportedbtobabspecificbhospitalbbecausebheb
hasbbeenbtherebbefore.bThebEMTbstatesbthatbhebdoes
notbfeelbthebdoctorsbtherebarebcompetentbandbrecommendsbabdifferentbhospital.bThebE
MT'sbbehaviorbis:
A)blegalbandbethical.
B)bethical,bbutbillegal.
C)blegal,bbutbunethical.
D)billegalbandbunethical.b-bcorrectbanswer-C)blegal,bbutbunethical.
ThebEMT'sbactionsbinbthisbcasebarebnotbillegal;bhebcannotbgobtobjailbforbmakingbsuchbcom
ments.bHowever,bhisbactionsbarebclearlybunethicalbandbunprofessional,
andbcouldbleadbtoballegationsbofbslanderbbybthebphysician;bthisbwouldbbebabcivilbcase,bnot
babcriminalbone.bYoubmustbnotballowbyourbpersonalbfeelingsbtobinfluence
abpatient'sbdecisionbasbtobwhobtreatsbhimborbher,borbwherebheborbshebisbtreated.
Youbarrivebatbthebscenebofbanb80-year-
oldbwomanbwhobisbweakbandblightheaded.bHerbson,bwhobcalledb911,bisbpresentbandbask
sbyoubtobtransport
hisbmotherbtobthebhospital.bYoubshould:
A)badvisebthebsonbthatbhebcanbprobablybdrivebhisbmotherbtobthebhospital.
B)bcomplybwithbthebson'sbrequestbandbtransportbthebwomanbtobthebhospital.
C)btakebthebwoman'sbvitalbsignsbandbapplybsupplementalboxygenbifbnecessary.
D)bassessbthebwomanbandbdeterminebifbshebwishesbtobbebtreatedbandbtransported.b-
bcorrectbanswer-
D)bassessbthebwomanbandbdeterminebifbshebwishesbtobbebtreatedbandbtransported.
Youbmustbobtainbconsentbfrombanybmentallybcompetentbadultbpatientbpriorbtobinitiatingbtr
eatment.bJustbbecausebthebpatientbisb80byearsboldbdoesbnotbmeanbthat
shebdoesbnotbhavebdecision-
makingbcapacity.bAlso,bjustbbecausebherbsonbwantsbherbtobbebtransportedbdoesbnotbme
anbthatbshebagreesbwithbthisbrequest.bAskbher
ifbshebwishesbtobbebtreatedbandbtransportedbtobthebhospital.bIfbshebdoes,bthenbyoubhaveb
obtainedbconsentbandbshouldbproceedbaccordingly.bIfbshebdoesbnot,byou
shouldbdeterminebifbshebhasbdecision-makingbcapacity--
thatbis,bwhetherbshebisbmentallybcompetent.bIfbshebisbdeterminedbtobhavebdecision-
makingbcapacity,
thenbyoubcannotblegallybtreatborbtransportbher.bIfbshebdoesbnotbhavebdecision-
makingbcapacityb(eg,bshebisbconfused,bshebisbunderbthebinfluencebofbdrugsbor
alcohol),bthenbyoubmaybtreatbandbtransportbunderbtheblawbofbimpliedbconsent.bItbisbnotbth
ebEMT'sbdecisionbtobdetermine,bletbalonebrecommend,bthatbabpatientbbe
ANSWERS
Abpatientbisbfoundbunresponsivebinbhisbsmallbbathroom.bHebisbnotbbreathingbandbisbsittin
gbinbthebcorner.bTwobEMTsbarebablebtobreachbhim,bbutbtheybarebunablebtobstandbsidebbyb
side.bHebappearsbtobweighbaboutb150bpoundsbandbtherebisbnobevidencebthatbhebhasbbee
nbinjured.bWhichbofbthebfollowingbwouldbbebthebquickestbandbMOSTbpracticalbwaybofbmo
vingbhimboutbofbthebbathroom?
A)bExtremityblift
B)bLongbbackboard
C)bDirectbgroundblift
D)bStairbchairbdeviceb-bcorrectbanswer-A)bExtremityblift
Whenbmovingbanybpatient,byoubshouldbdobsobinbthebsafest,bmostbefficientbwaybpossible.b
Ifbabpatientbisbinbabnarrowbspaceb(ie,bsmallbbathroom,bnarrowbhallway)
andbyoubandbyourbpartnerbcannotbstandbsidebbybsidebtobperformbabdirectbgroundblift,btheb
extremitybliftbwouldbbebthebmostbpracticalbwaybofbmovingbhimborbher.
OnebEMTbwouldbliftbbybthebarmsbandbthebotherbbybtheblegs;bthebpatientbcouldbthenbbebm
ovedbtobablargerbworkingbarea.bTwobEMTsbshouldbbebablebtobsafelybliftba
150-
poundbpatient.bAblongbbackboardbwouldbclearlybnotbworkbinbthebcasebofbabnarrowborbsma
llbspacebbecausebtherebwouldbbeblittlebroombtobthebpatient'sbleftbor
rightbtobslidebthebboardbunderneathbhimborbher.bAbstairbchairbwouldbalsoblikelybnotbbebpos
sible,borbpractical,bbecausebofbsuchbabconfinedbspace.
Ab52-year-
oldbwomanbcrashedbherbminivanbintobabtree.bShebisbpinnedbatbtheblegsbbybthebsteeringbw
heelbandbisbsemiconscious.bAfterbgaining
accessbtobthebpatient,byoubshould:
A)bperformbabprimarybassessmentbandbprovidebanyblife-savingbcarebbeforebextrication.
B)bimmediatelybapplybhigh-flowboxygenbtobthebpatientbandballowbextricationbtobbegin.
C)brapidlybassessbherbfrombheadbtobtoe,bobtainbvitalbsigns,bandbapplybabcervicalbcollar.
,D)bhavebthebfirebdepartmentbdisentanglebthebpatientbandbquicklybremovebherbfrombthebc
ar.b-bcorrectbanswer-A)bperformbabprimarybassessmentbandbprovidebanyblife-
savingbcarebbeforebextrication.
Unlessbtherebisbanbimmediatebthreatbofbfire,bexplosion,borbotherbdanger,byoubshouldbperf
ormbabprimarybassessmentbandbbeginbanyblife-savingbcarebasbsoonbas
youbhavebgainedbaccessbtobthebpatient.bIfbyoubwaitbtobdobthisbuntilbafterbthebpatientbhasbb
eenbdisentangled,bitbmaybbebtooblate;bthebpatientbmaybalreadybbebdead.
Afterbyoubhavebassessedbthebpatientbandbtreatedbanybimmediatebthreatsbtoblife,ballowbex
tricationbtobcommence.bOncebthebpatientbhasbbeenbfreedbfrombthe
vehicle,bcontinuebanyblifesavingbcarebandbperformbabrapidbhead-tob-
toebassessmentbtobidentifybandbtreatbotherblife-bthreateningbinjuries.bAnotherbEMTbcan
obtainbvitalbsignsbasbyoubrapidlybassessbthebpatient.bPreparebforbimmediatebtransportbaf
terbthebrapidbhead-to-toebassessmentbhasbbeenbperformedbandbspinal
precautionsbhavebbeenbtakenb(ifbindicated).
Whenbarrivingbatbthebscenebofbabmotorbvehiclebcrashbatbnight,byoubdeterminebthatbthebsa
festbplacebtobparkbthebambulancebisbinbabdirectionbthat
facesboncomingbtraffic.bWhatbshouldbyoubdo?
A)bPositionbroadbflaresbaroundbthebfrontbofbthebambulance.
B)bTurnballbemergencyblightingboffbtobavoidbblindingbthebtraffic.
C)bTurnbthebhigh-beambheadlightsbonbtobalertboncomingbtraffic.
D)bTurnbyourbheadlightsboff,bbutbkeepbthebemergencyblightsbon.b-bcorrectbanswer-
D)bTurnbyourbheadlightsboff,bbutbkeepbthebemergencyblightsbon.
Emergencyboperationsbonbthebhighwaybatbnightbcanbbebespeciallybdangerousbforbrespo
nders;bitbisbimportantbtobpositionbemergencybvehiclesbcorrectly,bwhilebat
thebsamebtimebensuringbvisibilitybforboncomingbtrafficbwithoutbblindingbthem.bFirstbofball,b
roadbflaresbnearbanbautomobilebcrashbarebdangerousbbecausebleaking
fluidsb,bsuchbasbgasoline,bmaybnotbbebimmediatelybapparent;bsafetybtrianglesbarebsafer.b
Ifbyourbemergencybvehiclebisbfacingboncomingbtraffic,byoubshouldbkeep
yourbemergencyblightsbon,bbutbturnbyourbheadlightsboff.bBrightblights,bsuchbasbhigh-
beambheadlights,bcanbeffectivelybblindbandbdisorientbanboncomingbdriver,
andbcouldbcausebthembtobcrashbintobthebscene.
Ab72-year-
oldbwomanbfellbandbhasbabhipbinjury.bShebisbonbthebsecondbfloorbofbherbhome.bWhichbofbt
hebfollowingbdevicesbshouldbyoubusebto
movebherbdownbthebflightbofbstairs
A)bStairbchair
B)bLongbbackboard
C)bWheeledbstretcher
D)bScoopbstretcherb-bcorrectbanswer-D)bScoopbstretcher
Ofbtheboptionsblisted,bthebscoopbstretcher,balsobcalledbanborthopaedicbstretcherborbsplitbli
tter,bwouldbbebthebmostbappropriatebtobuse.bThebscoopbstretcherbis
contouredbandballowsbforbthebplacementbofbstrapsbtobsecurebthebpatient;bitbalsoballowsby
oubtobplacebpaddingbaroundbandbunderbthebpatient.bTheblongbbackboard,
unlikebthebscoopbstretcher,bisbflat;btherefore,bthebpatientbcanbslidebfrombsidebtobsideborbto
pbtobbottom,bevenbwhenbstrapsbarebplaced.bThebwheeledbambulance
,stretcherbisbtopbheavybandbisbnotbsafebforbpatientbmovementbdownbabflightbofbstairsborbac
rossbroughbterrain.bBecausebthebpatientbhasbabhipbinjury,bthebstairbchairbwouldbnotbbebap
propriatebtobuse.
Whenbcallingbinbyourbradiobreportbtobthebreceivingbhospital,byoubshould:
A)bincludebthebpatient'sbname.
B)bbebbrief,bconcise,bandbfactual.
C)bgivebyourbreportbonlybtobabphysician.
D)bbreakbyourbreportbintob60-secondbincrements.b-bcorrectbanswer-
B)bbebbrief,bconcise,bandbfactual.
Abradiobreportbshouldbbebbrief,bconcise,bandbfactual.bItbshouldbincludebthebpatient'sbageb
andbsex,bhisborbherbchiefbcomplaint,bassociatedbassessmentbfindings,
vitalbsigns,btreatmentbthatbyoubprovided,bandbthebpatient'sbresponsebtobyourbtreatment.b
Avoidbspeculativebstatementsbregardingbthebpatient'sbcondition;breport
onlybwhatbyoubknowbtobbebfact.bLongerbradiobreportsbshouldbbebbrokenbintob30-
secondbincrements;bafterb30bseconds,bpausebandbensurebtheblistenerbheard
yourbpreviousbtraffic.bThebpatient'sbnamebisbnotbvitalbtobyourbreport;bthus,btherebisbnobne
edbtobdisclosebit.bUnlessbyoubarebrequestingbmedicalbdirection,bitbis
acceptable,bandbroutinebpractice,btobgivebyourbreportbtobabregisteredbnurse.
Atbthebscenebofbabmass-
casualtybincident,byoubnoticebabbystanderbwhobisbemotionallybupset.bAnbappropriatebact
ionbtobtakebwouldbbebto:
A)btellbthebbystanderbtobleavebthebscenebatbonce.
B)bhavebthebbystanderbassistbyoubwithbpatientbcare.
C)bnotifybthebpolicebandbhavebthebbystanderbremoved.
D)bassignbthebbystanderbabsimple,bnon-patient-carebtask.b-bcorrectbanswer-
D)bassignbthebbystanderbabsimple,bnon-patient-carebtask.
Onebofbthebmostbeffectivebwaysbtobreducebstressbinbabbystanderbatbthebscenebofbabmass-
casualtybincidentbisbtobassignbthebbystanderbabtaskbthatbisbnotbrelatedbto
patientbcare.bThisbmaybinvolvebassistingbotherbbystandersbwhobarebhavingbdifficultiesba
sbwellborbprovidingbwaterbtobthebrescuers.bAnbobviouslybdistressed
bystanderbshouldbnotbsimplybbebsentbawaybfrombthebscene,bbutbshouldbbeblookedbatbasb
abpatientbasbwell.bClearly,bifbthebbystanderbbecomesbaggressiveborbviolent,
lawbenforcementbpersonnelbshouldbgetbinvolved.
Uponbarrivingbatbabmass-
casualtybincident,bthebEMTbisbassignedbtobthebtreatmentbarea.bUponbcompletionbofbduti
esbinbthebtreatmentbarea,bthe
EMTbshould:
A)bnotifybthebincidentbcommanderbandbreturnbtobservice.
B)breportbtobthebtreatmentbofficerbforbfurtherbinstructions.
C)breportbtobthebtransportationbareabtobassistbwithbtransport.
D)breportbtobthebtriagebsectionbtobcheckbforbremainingbpatients.b-bcorrectbanswer-
B)breportbtobthebtreatmentbofficerbforbfurtherbinstructions.
, Organizedboperationsbatbthebscenebofbabmass-
casualtybincidentbarebcrucialbinborderbtobachievebthebbestbpossibleboutcomebandbmaximi
zebthebnumberbofblives
saved.bWhenbthebEMTbisbgivenbanbassignment,bheborbshebshouldbcompletebthebassign
mentbandbthenbreturnbtobthebindividualbwhobgavebthebassignmentbfor
furtherbinstructions.bSelf-
assigningbatbthebsceneb(freelancing)bisbdangerousbandbcanbcompromisebthebeffectiven
essbofbtheboverallboperation.
Abpatientbinjuredbhisbarmbandbasksbtobbebtransportedbtobabspecificbhospitalbbecausebheb
hasbbeenbtherebbefore.bThebEMTbstatesbthatbhebdoes
notbfeelbthebdoctorsbtherebarebcompetentbandbrecommendsbabdifferentbhospital.bThebE
MT'sbbehaviorbis:
A)blegalbandbethical.
B)bethical,bbutbillegal.
C)blegal,bbutbunethical.
D)billegalbandbunethical.b-bcorrectbanswer-C)blegal,bbutbunethical.
ThebEMT'sbactionsbinbthisbcasebarebnotbillegal;bhebcannotbgobtobjailbforbmakingbsuchbcom
ments.bHowever,bhisbactionsbarebclearlybunethicalbandbunprofessional,
andbcouldbleadbtoballegationsbofbslanderbbybthebphysician;bthisbwouldbbebabcivilbcase,bnot
babcriminalbone.bYoubmustbnotballowbyourbpersonalbfeelingsbtobinfluence
abpatient'sbdecisionbasbtobwhobtreatsbhimborbher,borbwherebheborbshebisbtreated.
Youbarrivebatbthebscenebofbanb80-year-
oldbwomanbwhobisbweakbandblightheaded.bHerbson,bwhobcalledb911,bisbpresentbandbask
sbyoubtobtransport
hisbmotherbtobthebhospital.bYoubshould:
A)badvisebthebsonbthatbhebcanbprobablybdrivebhisbmotherbtobthebhospital.
B)bcomplybwithbthebson'sbrequestbandbtransportbthebwomanbtobthebhospital.
C)btakebthebwoman'sbvitalbsignsbandbapplybsupplementalboxygenbifbnecessary.
D)bassessbthebwomanbandbdeterminebifbshebwishesbtobbebtreatedbandbtransported.b-
bcorrectbanswer-
D)bassessbthebwomanbandbdeterminebifbshebwishesbtobbebtreatedbandbtransported.
Youbmustbobtainbconsentbfrombanybmentallybcompetentbadultbpatientbpriorbtobinitiatingbtr
eatment.bJustbbecausebthebpatientbisb80byearsboldbdoesbnotbmeanbthat
shebdoesbnotbhavebdecision-
makingbcapacity.bAlso,bjustbbecausebherbsonbwantsbherbtobbebtransportedbdoesbnotbme
anbthatbshebagreesbwithbthisbrequest.bAskbher
ifbshebwishesbtobbebtreatedbandbtransportedbtobthebhospital.bIfbshebdoes,bthenbyoubhaveb
obtainedbconsentbandbshouldbproceedbaccordingly.bIfbshebdoesbnot,byou
shouldbdeterminebifbshebhasbdecision-makingbcapacity--
thatbis,bwhetherbshebisbmentallybcompetent.bIfbshebisbdeterminedbtobhavebdecision-
makingbcapacity,
thenbyoubcannotblegallybtreatborbtransportbher.bIfbshebdoesbnotbhavebdecision-
makingbcapacityb(eg,bshebisbconfused,bshebisbunderbthebinfluencebofbdrugsbor
alcohol),bthenbyoubmaybtreatbandbtransportbunderbtheblawbofbimpliedbconsent.bItbisbnotbth
ebEMT'sbdecisionbtobdetermine,bletbalonebrecommend,bthatbabpatientbbe
