FISDAP operations Questions and Answers 2023

FISDAP operations Questions and Answers 2023 When using PCR for research or quality assurance. What should you delete? Pt's name/ emt's name/ response times/ treatments rendered PTS name 6 yo child fell at the park. No adult around. Type of consent? Implied/ legal/ expressed/ pediatric Implied First to arrive. Using START, you should identify pts who? Ambulatory/ deceased/ unresponsive/ breathing Ambulatory Partner comes to work dirty and leaves trash. Best describe these actions? Unethical/ unprofessional/ dangerous/ negligent Unprofessional Verbal consent to treatment is called? Expressed/ implied/ defined/ legalized Expressed Elderly pt cut her hand, bleeding is controlled. She answers questions slowly and often pauses. Vitals are BP 110/80, 64, 14. What should you do? Allow adequate time unless condition worsens/ yes or no ?/ document altered mental/ direct questions to someone else Allow adequate time MCI, pt asks for help. Disoriented and R 32. According to START, you should? Immediate MCI, how should report info to trans ambulance? Neuro status and vitals/ medical and SAMPLE/ pt's hospital pref/ MOI and who was at fault Neural status and vitals Pt cond should be corrected during Pri survey? 12 yo dyspnea from allergic reaction/ 28 yo rapid pulse stung by several bees/ 22 yo ab pain baseball bat/ 45 yo mod chest pain, no palp BP 12 yo dyspnea from allergic reaction 58 yo heavy chest pressure. Ask you what is cause. You should? Hospital staff will explain/ heart not getting enough O2/ acute MI/ can't explain bc HIPAA Hospital staff will explain Legal case against you. What is your best defense in court? Complete and thorough report/ dispatch records/ partner's supporting testimony/ immediate recollection of events Complete and thorough report Alert 67 yo refuses care and requests to release form? What should you do? Explain risks/ restrain and trans/ provide supportive care and allow refusal/ ask PD to place in protective custody Explain risk Pt shot in head no signs of life. Brain matter on floor. You should? Cover pt and contact coroner/ leave scene untouched and contact PD/ resus measures and tran/ permit fam to view and emotional support Leave scene untouched and contact PD Most effective way to stop spread of infectious diseases? Gloves all pts/ good hand washing/ avoid bodily fluids/ face shield all calls Good hand washing START, open airway, he begins breathing and is unresponsive. This pt should be classified? Immediate Finalizing PCR, notice incorrect pulse reading. What should you do? Single horizontal line, correct, initial Arrive large fight, pointed to stab victim. You should? Drive away and stage/ quickly load and tran/ treat and request ALS/ treat and request police Drive away and stage Pt dead when you arrive. Rigor mortis already set in. you should? Direct fam to contact coroner and leave scene/ *tell bad news and emotional supp/ pt dead nothing you can do/ fam sign refusal and clear scene tell bad news and emotional supp Honor DNR when? Given appropriate paperwork/ fam requests/ confirm with physician/ pt's cond is irreversible Given appropriate paperwork Upon entering home elderly called 911 for chest pain you should? Gen impress/ check BP/ collect meds/ load and go Gen impression A medical director issues permanent written orders that allow you to treat patients under certain circumstances. This is known as: Standing order/ online medical direction/ advance directive/ designated agent Standing order When approaching unsafe scene, you should: Park ambulance so that you can easily make a quick retreat/ wear Kevlar vest to reduce threat of gunshot wound or stabbing/ leave on lights and sirens to scare off perpetrators/ stand clear view so that you can be identified as medical personal Park ambulance so that you can easily make a quick retreat Suspect a chemical of mass destruction? 75 people become sick with sudden onset of vomiting and diarrhea at parade/ you smell an unfamiliar bitter odor at scene of multi vehicle collision/ 20 ppl complain of abdominal cramping at triathlon/ 100 people evacuated with nausea from office building with a new furnace 75 people become sick with sudden onset of vomiting and diarrhea at parade Pt's wife called for medical emergency. On arrival, pt is upset and refusing care. He wants to go back to bed. You should: Evaluate mental status/ treat pt according to wife wishes/ advise that you need his permission to treat/ let police handle patient Evaluate mental status Pt has several open sores on arm. The pt states that they haven't healed despite taking antibiotics. Have pt wear surgical mask/ admin o2 via nasal/ apply a sterile dressing or bandage/ don gloves and gown immediately Don gloves and gown immediately Upon arrival for shift, what would you do? Check ambulance supplies/ repair broken equipment/ decontaminate ambulance/ copy previous crew checklist Check ambulance supplies 2 yo F with flu like symptoms. She is in care of a babysitter and her parents can't be reached by phone. What should you do? Treat and release with babysitters consent/ contact law enforcement for temporary custody/ stay on scene until parents can be contacted/ *trans under implied consent trans under implied consent You need pts agreement in order to share treatment info when you are? Giving condition info to pts roommate/ speaking to reporting agency about victim of elder abuse/ providing info to hospital for treatment purposes/ notifying family member of pt location Giving condition info to pts roommate/ 14 yo shooting victim is pulseless and apneic. Pupils are fixed and lividity is present. What should you do? Protect against scene intrusion/ CPR/ search for pt identification/ search for other victims Protect against scene intrusion Cpr in progress and family member state's pt didn't wish to be revived. You should? Continue with resuscitation/ call pts physician/ cease resus effort/ contact medical control Continue with resuscitation Pt trapped in vehicle upside down and showing signs of hypoperfusion. You can only access left arm and head. Medical treatment should begin after? Scene safety/ get pt GCS/ rapid trauma survey/ pt is freed from vehicle pt is freed from vehicle scene safety? 2 days after a call you realize you forgot to document that you checked a pts blood glucose prior to him refusing trans and signing refusal form. You should? Add an addendum to report with correct info, current date and initials/ disregard the mistake since the pt was not transported to hospital and medical director knew about reading/ inform supervisor of error and let him know that it won't happen again/ complete now refusal and return to pt residence to have him resign Add an addendum to report with correct info, current date and initials What criteria does the START triage system use to determine pt priority Pulse rate, respiratory rate, mental status/ mental status, pulse rate, blood pressure/ bp, mental status, peripheral pulse/ pulse rate, respiratory rate, bp Pulse rate, respiratory rate, mental status Organization best suited to deal with a downed power line Electric company/ ambulance crew/ construction company/ fire department Electric company Pt with leukemia and obviously near death. A valid DNR is present. You should: Provide o2 and any other supportive care/ ask family if they are sure about DNR order/ attempt resuscitation if pt appears to be viable/ clear scene and explain nothing can be done Provide o2 and any other supportive care While responding to a call with lights and sirens, you approach a school bus that is displaying warning flashers. You should: Wait until the warning flashers are turned off and the bus pulls to the side of the road/ change the tone of the siren and drive around the bus with extreme caution/ turn off your siren temporarily and proceed past the bus before activating again/ announce on the PA speaker that you are going to pass the bus and then proceed carefully Wait until the warning flashers are turned off and the bus pulls to the side of the road