Critical Care Transport Exam Questions With 100% Pass

Critical Care Transport Exam Questions With 100% Pass /. Perfusionist - Answer-What additional healthcare provider may become part of the transport team during the transport of a patient receiving extracorporeal membrane oxygenation (ECMO)? /.Igor Sikorsky - Answer-Who invented the helicopter? /.Resilience - Answer-A person's ability to withstand negative pressure or "bounce back" from difficulties is known as: /.Specialty Care Transport - Answer-CMS defines __________ as the use of specialized equipment and specialized training beyond the paramedic scope of practice to manage critically ill patients from facility to facility. /.The state agency responsible for licensure - Answer-What agency dictates CCTPs' scope of practice? /.1869 - Answer-When was the United States' first city ambulance service established? /.Intra-aoritic balloon pump (IABP) - Answer-Which of the following will indicate to dispatch that the interfacility transport requires critical care transport? /.Rotor-wing transport - Answer-A STEMI patient with three vasoactive medications infusing in a community hospital that is 10 miles away, 45 minutes with current traffic, would be a candidate for which mode of transportation? /.Stress - Answer-__________ is the reaction of the mind and body to demand for change. /.Bellevue Hospital - Answer-Who initiated the first ambulance service in a US major metropolitan area? /.Generate data and improve the service provided - Answer-What is the purpose of a quality assurance and improvement (QA&I) program? /.Get an understanding of the underlying issue - Answer-The three steeps of the QA&I process are to define quality, collect and gather data, and: /.Mandatory competency training - Answer-How do critical care transport services ensure that their providers maintain proficiency? /.Baltimore, Maryland - Answer-Where did the first public services medevac program start? /.Fixed-wing transport - Answer-A 3-month old patient in Louisville, Kentucky, has a unique heart condition that requires an intervention that is currently only performed at the Children's Hospital of Philadelphia. What is the best mode of transportation for this patient? /.Benchmarking - Answer-Providing data from your transport system and participating in a database that compares it to other transport systems is: /.Hot air balloon - Answer-What vehicle was utilized in 1870 during the Prussian Siege of Paris as the first documented case of air medical transport? /.NCLEX-RN - Answer-What exam must candidates pass in order to obtain nursing licensure? /.Specialty Care Transport - Answer-Which type of transport is the most expensive to operate? /.Two healthcare facilities - Answer-Interfacility transport is the transport of a patient between: /.Continuous monitoring and drugs of equipment required to sustain life - AnswerCritical care is the management of patients with life-threatening conditions that requires: /.The 11th century, during the Crusades - Answer-When was the movement of injured patients first recorded? /.Denver, Colorado - Answer-Where was the first hospital-based air ambulance program developed? /.The dispatcher - Answer-What is the first point of contact for the rotor-wing critical care team? /.Arab and Greek Physicians - Answer-Who taught the Knights of St. John first aid procedures? /.Contact the receiving facilities physician - Answer-How do you manage a patient when a sending physician refuses to allow you to treat a patient appropriately according to your protocols? /.Medical command physician orders - Answer-What is necessary for a CCTP to act outside of his or her protocols? /.Perform basic resuscitation, then seek clarification - Answer-During the hand-off report from the transferring nurse, he tells you that the patient has a DNR and only wants comfort measures performed. En-route, the patient codes but you are unable to find the patient's DNR in the chart. How do you manage the cardiac arrest? /.Laboratory and diagnostic tests - Answer-__________ may be disclosed for payment and insurance reasons. /.EMTALA - Answer-What guidelines determine the appropriate level of care for transportation? /.Receiving facility physician - Answer-In preparation for transport, the sending facility physician must have identified and communicated with a __________ in order to initiate the patient transfer. /.The physician assistant - Answer-The transferring neonatal orders a neonatal physician assistant to your transport team for the transfer of an 1,800-g neonate with an intraventricular hemorrhage and hydrocephalus. What dictates the management of the patient's care during this transport? /.The sending facility cannot perform the needed interventions - Answer-When is it acceptable to transfer an unstable patient from a facility? /.When a patient arrives on hospital property - Answer-When is a hospital bound by EMTALA regulations? /.Battery - Answer-What did you witness if you see a patient's spouse strike the patient's face with an open hand across the cheak? /.Patient rights - Answer-What allows individuals to accepts or refuse treatment, to receive appropriate care, and to receive care without interruption? /.The plaintiff - Answer-Who is responsible for the burden of proof in an negligence case filed against a CCTP? /.Obtain written orders to transport the medication infusion - Answer-How do you manage the ground transport of a patient on an infusion unaddressed in your protocols but that you received education on during the recruit academy? /.Complete utilization of the facilities available resources - Answer-What must a transferring facility do in order to stabilize a patient prior to transport, according to EMTALA? /.Ask the physician to adjust the order or to send appropriate personnel - Answer-While reviewing the physician's written orders, you notice PRN interventions that exceed your scope of practice. How do you manage the transport? /.Informed consent - Answer-What type of consent is obtained after you discuss the treatment and transport plan with the patient and patient's family? /.Current diagnosis and interventions - Answer-What information must be sent with a patient during all interfacility patient transfers? /.Online medical control - Answer-While a CCTP contacts their medical director for additional medication doses, he or she is operating under: /.At any point the CCTP is present - Answer-When does an adult patient of sound mind have the right to refuse treatment by a CCTP? /.Emancipated minors - Answer-Minors who have assumed most adult responsibilities before reaching the age of majority, such as those who are married, pregnant, in the armed forces, or financially independent and living away from home, are known as: /.False imprisonment - Answer-__________ is the intentional and unjustifiable detention of a person without his or her consent or other legal authority. /.Informed - Answer-The CCTP has an obligation to obtain __________ consent for air medical transport, including a written statement that the patient understands the risks and benefits of transport. /.The patient's spouse - Answer-Who must receive a privacy statement prior to transport of a chemically sedated and paralyzed patient if no power of attorney has been made and numerous family members are present? /.Discuss the concerns with the family and sending physician - Answer-Your pediatric CCT unit arrives at a regional hospital to transport a 3-day old infant with atrioventricular septal defect that is extremely unstable. As you enter the room of the level I NICU, the parents are alarmed and agitated. Uninformed and confused about the transport, the father says, "This hospital is the best in the state," and declines the transport. How do you manage this patient? /.Implied - Answer-What type of consent is granted for a patient found unresponsive and seizures? /.Adverse drug event - Answer-You've administered vecoronium and realized you forgot to administer midazolam. Your partner pushes the midazolam but the patient's heart rate continues to rise. You notice the line was clamped and the bolus went into the bag. What type of incident occurred? /.All of these are correct (ensure that the patient is securely fastened to the stretcher; remain seated and secured with seatbelt applied as much as possible; and, ensure all loose equipment is secured and equipment lockers are closed) - Answer-During ground transport of a critically injured patient, a CCTP should be mindful to: /.Scope creep - Answer-Requiring EMS providers to make decisions they are not trained to make, based on the availability of new procedures, interventions, and diagnostic tools, is known as a type of: /.A universal time-out - Answer-Once everything is in place for an RSI, what can be done to improve team communication prior to performing the RSI? /.Root-cause analysis - Answer-What is a systematic approach to understanding the causes of serious adverse events and helps identify system flaws that must be corrected in order to mitigate future incidents? /.Simulation - Answer-The use of __________ allows health care providers to hone their skills in a safe environment without risk of patient harm. /.A near miss - Answer-The patient's IV line gets caught on the transferring facility's bed as you're leaving and the RT adjusts the tubing so you can leave without an issue. What is this considered? /.Handoff reports - Answer-Issues with communication with __________ have resulted in loss of key patient information. /.Just culture - Answer-Medical errors during critical care transport regularly result in harm or potential harm to patients. Viewing these errors as the outcomes of humanerror, at-risk behavior, or reckless behavior is a concept designed to differentiate the different types of error, and is also known as: /.A highly reliable organization - Answer-What type of organization focuses on managing its inevitable failures, helping to reduce their effects on patient care? /.Slip - Answer-What is a lapse in concentration that occurs in the face of distraction? /.A medical error - Answer-What occurs when a planned action fails to be completed as intended? /.Emergency Medical Services - Answer-Which of the following is recognized as a medical subspecialty by the American Board of Emergency Physicians? /.Immediately (within 24 hours) - Answer-A huddle to determine what happened, to address staff concerns, and to ensure the patient is stabilized should take place within what timeline after a serious adverse event? /.Efficiency - Answer-When a clinician utilizes premixed infusions instead of mixing their own infusion, they are meeting the Institution of Medicine's __________ Quality Aim.