EMR Practice Exam with Complete Solutions

What is a medical director? What is their role? - ANSWER-A physician who assumes the ultimate responsibility for medical oversight of the patient care aspects of the EMS system What is the difference between scope of practice and standard of care? - ANSWER-Scope of Practice: care the responder is allowed to provide and supposed to provide Standard of Care: doing the care to the best of your ability Differentiate between the 4 levels of EMS training. Which one is the minimum level of training for working on an ambulance? - ANSWER-EMR, EMT, AEMT, and Paramedics. Must be at least an EMT to work on an ambulance. What can an EMT do? - ANSWER-Their training emphasizes assessment, care, & transportation of the ill of injured patient. EX: starting IVs, inserting advanced airways, & administer some medications. How would you deal with an angry patient who yells random insults? - ANSWER-I would keep my coll and not let myself be manipulated by the patients anger. What technology improvements have improved response time to an emergency scene? - ANSWER-GPS and enhanced 911 systems Define specialty hospitals. List 3 examples. - ANSWER-A hospital that is capable of providing specialized services EX: trauma care, cardiac care, and stroke care Explain what protocol is. - ANSWER-Written guidelines that direct the care EMS personnel provide for patients. Explain the difference between online and off-line medical direction. - ANSWER-online: orders given directly in person off-line: orders that have been written down (protocol) What is your first priority when responding to emergencies? - ANSWER-Make sure that I'm not putting myself in harm. Explain evidence-based practice. List one examples. - ANSWER-Process used to review, analyze, and translate the latest scientific evidence EX: giving oxygen to patients with COPD Define battery - ANSWER-an intentional & offensive touching that violates that patient's bodily integrity Define negligence - ANSWER-This is the failure to exercise the standard of care that a reasonable person would give under similar circumstances and someone suffers injury because of another's failure to live up to a required duty of care. Define abandonment - ANSWER-The discontinuation of medical care without proper notice Describe a patient who would be able to provide implied consent. - ANSWER-A patient who lacks competency or capacity Describe a patient who would be able to provide informed consent. - ANSWER-A patient who is about to have a procedure Describe a patient who would be able to give expressed consent. - ANSWER-A legal adult who is alert and competent. If a patient tells you they have a DNR order, what do you do? - ANSWER-Provide appropriate comfort & care within the bounds of the DNR. Describe how you would assess whether or not a patient is competent to provide consent. Include signs/symptoms would suggest a patient was not competent. - ANSWER-Ask them questions (where are you?, name? time?) If they can't answer those questions they most likely aren't competent. Once you start caring for someone, can you leave the patient? If so, when? - ANSWER-Yes, after someone with equal of higher training that you shows up. You must obtain _____ to treat a patient before toughing/helping them, or you have committed _____. - ANSWER-Consent & Battery What should EMR do if a person refuses care? - ANSWER--try to persuade the patient -identify reasons for refusal -document the refusal What is the EMRs role in patient confidentiality? Who can an EMR share patient information with? - ANSWER-EMRs must keep patient info confidential at all times. The only reasons EMRs should share patient info is when transfering care to someone else. Explain how to care for patients who are organ donors. - ANSWER-The same way you would care for any other patient. Explain the Good Samaritan Law. - ANSWER-this law gives legal protection to people who provide emergency care to ill or injured persons as long as they are providing care within their scope of practice and they're working to the best of their ability. Explain what duty to act is. How is it different from standard of care? - ANSWER-Duty to Act: A requirement that EMR, at least while on duty must provide care to set standards. Its different because duty to act is a requirement and standard of care is the quality of the requirement What is a mandated reporter? What are EMRs mandated to report? - ANSWER-Any person required by law to report whenever financial, physical, sexual, or other types of abuse or neglect have been observed or suspected. EMRs must report exposure to certain diseases, injuries from crimes, child/elder abuse, domestic violence, & rape. Which vaccine is required for employees with reasonable risk of being exposed to blood or other infectious materials? - ANSWER-Hepatitis B Explain standard of care - ANSWER-Steps to take to protect against exposure to body fluids. (PPE) What are BSI precautions? - ANSWER-Equipment such as gloves, mask, eye wear, gown, turnout gear, and helmets that protect rescuers from infection and/or from exposure to hazardous materials and the dangers of rescue operations. Routes of exposure: ingestion - ANSWER-by swallowing Routes of exposure: inhalation - ANSWER-breathed in through lungs Routes of exposure: absorption - ANSWER-through the skin Routes of exposure: injection - ANSWER-through needle stick, sting, or bite What PPE should be worn with every patient? - ANSWER-Gloves and possible a mask List 2 conditions/scenarios that would require you to wait for law enforcement before entering a scene. - ANSWER--if there are weapons present -if there is hazardous materials present