-jkCORRECTjkANSWER✔re
ThejkultimatejkgoaljkofjkanyjkEMSjkqualityjkimprovementjkprogramjkisjkto:
•jkA:recognizejkalljkEMTsjkwhojkdemonstratejkconsistencyjkinjkprovidingjkco
mpetentjkpatientjkcare.
•jkB:providejkprotocolsjktojkalljkEMTsjkandjkholdjkthemjkaccountablejkifjkproto
colsjkarejknotjkfollowed.
•jkC:deliverjkajkconsistentlyjkhighjkstandardjkofjkcarejktojkalljkpatientsjkwhojkarejk
encountered.
•jkD:ensurejkthatjkalljkpersonneljkreceivejkanjkadequatejknumberjkofjkcontinuin
gjkeducationjkhours.jk-
jkCORRECTjkANSWER✔YoujkselectedjkC;jkThisjkisjkcorrect!
Reason:jkProvidingjkcontinuingjkeducationjktojkalljkpersonnel,jkrecognizingjkt
hosejkwhojkconsistentlyjkprovidejkcompetentjkpatientjkcare,jkandjkholdingjkalljk
personneljkaccountablejkforjkadheringjktojkthejkEMSjkprotocolsjkarejkalljkcomp
onentsjkofjkanyjkEMSjkqualityjkimprovementjkprogram.jkThejkultimatejkgoal,jk
however,jkisjktojkprovide,jkasjkajksystem,jkajkconsistentlyjkhighjkstandardjkofjkca
rejktojkalljkpatientsjkwhojkarejkencountered.
Ajksetjkofjkregulationsjkandjkethicaljkconsiderationsjkthatjkdefinejkthejkextentjkor
jklimitsjkofjkanjkEMT'sjkjobjkisjkcalled:
•jkA:thejkMedicaljkPracticesjkAct.
•jkB:confidentiality.
,•jkC:ajkdutyjktojkact.
•jkD:scopejkofjkpractice.jk-
jkCORRECTjkANSWER✔YoujkselectedjkD;jkThisjkisjkcorrect!
Reason:Thejksetjkofjklegaljkregulationsjkandjkethicaljkconsiderationsjkthatjkdefi
nejkthejkjobjkofjkthejkEMTjkisjkcalledjkthejkscopejkofjkpractice.jkThejkscopejkofjkpr
acticejkprovidesjkajkclearjkdelineationjkofjkthejkEMT'sjkrolesjkandjkresponsibilit
ies.jkDutyjktojkactjkisjkdefinedjkasjkajklegaljkobligationjktojkrespondjktojkeveryjkcal
ljkforjkhelpjkwhilejkonjkdutyjkandjkinjkyourjkjurisdiction,jkwhetherjkyoujkarejkpaidj
kforjkyourjkservicesjkorjknot.jkConfidentialityjkentailsjknotjkreleasingjkanyjkpatie
ntjkinformationjktojkthosejknotjkdirectlyjkinvolvedjkinjkthejkcarejkofjkthejkpatient.j
kThejkMedicaljkPractices jkActjkdescribesjkthejkminimumjkqualificationsjkofjkth
osejkwhojkmayjkengagejkinjkemergencyjkmedicaljkcarejkandjkestablishesjkajkmea
nsjkofjkcertification.
Thejkscenejksize-upjkincludesjkalljkofjkthejkfollowingjkcomponents,jkEXCEPT:
•jkA:evaluatingjkthejkmechanismjkofjkinjury.
•jkB:determiningjkifjkthejkscenejkisjksafe.
•jkC:assessingjkthejkneedjkforjkassistance.
•jkD:donningjkpersonaljkprotectivejkgeajk-
jkCORRECTjkANSWER✔YoujkselectedjkA;jkThejkcorrectjkanswerjkisjkD;
Reason:jkThejkcomponentsjkofjkthejkscenejksize-
upjkincludejkdeterminingjkscenejksafety,jkassessingjkthejkmechanismjkofjkinjur
yjk(MOI)jkorjknaturejkofjkillnessjk(NOI),jkdeterminingjkthejknumberjkofjkpatient
s,jkandjkrequestingjkadditionaljkhelpjkifjkneeded.jkPersonaljkprotectivejkequipm
entjk(PPE)jkshouldjkbejkdonnedjkpriorjktojkbeginningjkthejkscenejksize-up.
,Youjkarejkcalledjktojktransportjkajkpatientjkwithjkterminaljklungjkcancerjkfromjkajk
skilledjknursingjkfacilityjktojkthejkemergencyjkdepartmentjkforjkevaluationjkofjk
possiblejkpneumonia.jkAsjkyoujkarejkreviewingjkthejktransferjkpaperwork,jkyou
jkseejkthatjkthejkpatientjkhasjkajkvalidjk"dojknotjkattemptjkresuscitation"jkorder.jkD
uringjktransport,jkyoujkshould:
•jkA:monitorjkthejkpatientjkbecausejkajkDNARjkorderjkprohibitsjkyoujkfromjkpro
vidingjkcare.
•jkB:providejksupportivejkcare,jksuchjkasjkoxygen,jkandjkkeepjkthejkpatientjkcom
fortable.
•jkC:performjkCPRjkforjkonlyjk2jkminutesjkifjkthejkpatientjkdevelopsjkcardiacjkarr
est.
•jkD:disregardjkthejkDNARjkorderjkbecausejkitjkisjkonlyjkvalidjkinjkthejkhospitaljk
setting.jk-jkCORRECTjkANSWER✔YoujkselectedjkB;jkThisjkisjkcorrect!
Reason:Ajkvalidjkdojknotjkattemptjkresuscitationjk(DNAR)jkorderjkgivesjkyoujkt
hejklegaljkauthorityjknotjktojkinitiatejkresuscitativejkeffortsjkifjkthejkpatientjkdeve
lopsjkcardiacjkarrest.jkBecausejklawsjkvaryjkfromjkstatejktojkstate,jkyoujkmustjkbej
kfamiliarjkwithjkthejkDNARjklawsjkinherentjktojkthejkstatejkinjkwhichjkyoujkworkj
kasjkanjkEMT.jkManyjkstatesjkhavejkadoptedjkout-of-
hospitaljkDNARjkorders;jkthesejkarejklegaljkdocumentsjkandjkshouldjkbejkadher
edjktojkifjktheyjkarejkvalid.jkGenerallyjkspeaking,jkajkvalidjkDNARjkorderjkmustjk
clearlyjkstatejkthejkpatient'sjkmedicaljkproblem(s),jkbejksignedjkbyjkthejkpatientjk
orjklegaljkguardian,jkandjkbejksignedjkbyjkonejkorjkmorejkphysicians.jkInjksomejks
tates,jkDNARjkordersjkhavejkanjkexpirationjkdate,jkwhilejkinjkothers,jknojkexpira
tionjkdatejkisjkincluded.jkContactjkmedicaljkcontroljkforjkguidancejkifjkthejkvalid
ityjkofjkajkDNARjkorderjkisjkquestionable.jkEvenjkinjkthejkpresencejkofjkajkvalidjk
DNARjkorder,jkyoujkarejkstilljkobligatedjktojkprovidejksupportivejkmeasures,jks
, uchjkasjkoxygen,jkpainjkrelief,jkandjkcomfort.jkDNARjkdoesjknotjkmeanjkdojknotjk
treat.
WhichjkofjkthejkfollowingjkstatementsjkBESTjkdescribesjkajkmass-
casualtyjkincident?
•jkA:Thejknumberjkofjkpatientsjkoverwhelmsjkyourjkresources.
•jkB:Morejkthanjkthreejkvehiclesjkarejkinvolvedjkinjkthejkincident.
•jkC:Morejkthanjkfivejkpatientsjkarejkinvolved.
•jkD:Atjkleastjkhalfjkofjkthejkpatientsjkarejkcriticallyjkinjured.jk-
jkCORRECTjkANSWER✔YoujkselectedjkA;jkThisjkisjkcorrect!
Reason:Ajkmass-
casualtyjkincidentjk(MCI)jkoccursjkanyjktimejkthejknumberjkofjkinjuredjkpatient
sjkoverwhelmsjkyourjkavailablejkresources.jkItjkisjknotjknecessarilyjkdefinedjkby
jkthejknumberjkofjkpatients,jkbutjkratherjkyourjkability jktojkeffectivelyjkmanagejkt
hem.jkForjkexample,jkifjkyoujkandjkyourjkpartnerjkarrivejkatjkajkscenejkandjkfindjkt
wojkcriticallyjkinjuredjkpatients,jkyoujkhavejkanjkMCIjk(albeitjkajksmall-
scalejkMCI)jkbecausejktwojkEMTsjkandjkonejkambulancejkcanjkonlyjkcarejkforjko
nejkcriticallyjkilljkorjkinjuredjkpatientjkeffectively.
Whilejkcaringjkforjkajktraumajkpatient,jkbloodjksplashesjkintojkanjkEMT'sjkeyes.jk
Thisjkisjkanjkexamplejkof:
•jkA:infection.
•jkB:indirectjkcontact.
•jkC:transmission.
•jkD:exposure.