FISDAP Operations EMT Exam Questions With Complete Solutions.

Do Not Resuscitate (DNR) - a designation placed on a patient's medical record indicating that in the case of cessation of circulation and breathing, artificial resuscitation (CPR) is not to be done. DOES NOT MEAN DO NOT TREAT. Definitive Care - Care rendered to conclusively manage a patient's condition, such as full range of preventive, curative acute, convalescent, restorative, and rehabilitative medical care Reciprocity - Ability to transfer state to state as an EMT START Triage System - Simple Triage and Rapid Treatment. First, call out ambulatory patients and direct them to a landmark. Next, assess nonwalking patients respiratory, perfusion and neuro status. Patients who are hysterical and disruptive should be handled as immediate priority. Transport in order of immediate, delayed, slightly injured and then expectant patients who are still alive. Traige Category: Red - First Priority, immediate. Airway/breating compromise, uncontrolled bleeding, shock, severe burns, open chest or abdominal wounds. Respiratory rate greater than 30, cap refill greater than 2 seconds or no radial pulse Triage Category: Yellow - Second priority, delayed. Burns without airway compromise, major or multiple bone/joint injuries. back injuries with or without SC injury. Cap refill less than 2 seconds, resp rate less than 30 obeys commands Triage Category: Green - minor fractures and soft tissue injury. Walking wounded. Triage Category: Black - expectant. obvious death. nonreversible major injury. cardiac arrest.HIPPA - Health Insurance Portability and Accountability Act. Contains section on patient privacy, strengthens privacy laws and safeguards patient confidentiality. Failure to abide can result in civil or criminal actions. Body Substance Isolation - Abbreviated BSI; a system of precautions developed by a Seattle hospital in 1987 to prevent contact with bodily substances and fluids by using protective apparel to prevent the spread of communicable disease. Good Samaritan Law - If you reasonably help another person, you will not be held liable for errors or omissions. Criteria: good faith, without expectation of $$, within scope of training, did not act in grossly negligent manner Decontamination - 1. Strip linens 2. Discard disposable items, anything with blood goes to appropriate container. 3. Wash contaminated areas with soap and water. 4. Disinfect all nondisposable. 5. Clean stretcher and ambulance with germicidal or bleach solution at 1:100. Documentation Procedures - DOCUMENT EVERYTHING. As you find it, do not make assumptions. PCR serves six functions: continuity of care, legal documentation, education, administrative information, essential research record, evaluation and continuous quality improvement. Procedures for EMS Research - What is ICS? - Breaks down into Command, Finance, Logistics, Operations, Planning, and Command Staff. One supervisor for three to seven workers. Avoids Duplication of effort and freelancing.Incident Commander - Person in charge of the overall incident. Larger MCI require unified command system.