GUIDE CLASS 55 QUESTIONS AND
ANSWERS 100% PASS
"A Leadership Guide to Quality Improvement for Emergency Medical Services
Systems." - ✔✔-A book published by NHTSA as a guide for quality improvement in
EMS.
"Accidental Death and Disability: The Neglected Disease of Modern Society." - ✔✔-
White Paper
-Published in 1966 by the National Academy of Sciences
-Consider a landmark in the development of the emergency medical services system in
the U.S.
"borrowed servant" doctrine - ✔✔-A principal under which the party usually liable for a
person's actions.
-States the party (aka paramedic) is usually liable for another party's action (aka emt-b)
KKK-A-1822" - ✔✔-Requested by DOT, Developed by General Service Admin to specify
specifications for ambulances in 1974
-"Star of Life" located on all certified ambulances
-1985 NIOSH mandated reduced noise
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,-2002 Occupant protection improved
Administrative law (regulatory law) - ✔✔-Law that is enacted by governmental
agencies at either the federal or state level. Ex: OSHA
Ambulance construction requirements (KKK ambulance specs) - ✔✔Type 1:
Conventional cab and chassis with a module body; no passageway between driver and
patient
Type 2: Standard van, body, and cab
Type 3: Specialty van with forward cab, has a passageway between the driver and
patient.
Attributes of a paramedic - ✔✔-Comforms to the standards of other medics, Provides
quality patient care, pride in profession, strive for high standards, meets high social
standards on and off duty.
Beneficence - ✔✔-The concept of doing good for the patient
Benefits of physical fitness, cardiac risk factors, flexibility - ✔✔Decreased resting HR &
BP.
Increased O2 carrying capacity.
Increased muscle mass and metabolism.
Increased resistance to illness and injury.
Enhanced quality of life.
Breach of duty - ✔✔-An action or inaction that violates the standard of care expected
from a paramedic
BSI - what and when - ✔✔The CDC developed a set of universal precautions for health
care workers to use in treating patients. EMS follows standard precautions rather than
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,relying on universal precautions. Standard precautions differ from universal
precautions in that they are designed to approach all body fluids as being potentially
infectious. In observing universal precautions only, you are assuming that only blood
and certain body fluids pose only a risk for infectious diseases.
Gloves are to be used for touching blood, body fluids, secretions, excretions, or
contaminated items. Also, mucous membranes and nonintact skin.
Gowns are to be used during procedures and patient care activities when contact of the
health care provider's clothing/exposed skin to blood, body fluids, secretions,
excretions, or contaminated items is anticipated.
Mask, eye protection, and face shields are indicated during procedures and patient care
activities likely to generate splashes or sprays of blood, body fluids, secretions, or
excretions. Examples include suctioning or endotracheal intubation. During intubation,
a face shield may offer better protection.
HEPA respirator should be used when working with a patient with tuberculosis.
Hand hygiene should be performed after touching blood, body fluids, secretions,
excretions, or contaminated items. Also, immediately after removing globes and
between patient contacts. If potential exposure has occurred (accidental sticking with a
needle), immediately wash the area with soap and warm water
Burnout - ✔✔Burnout is the exhaustion of physical or emotional strength. May be a
consequence of chronic, unrelieved stress. Symptoms include chronic fatigue and
irritability; cynical, negative attitudes; lack of desire to report to work; emotional
instability (crying easily, flying off the handle without provocation, laughing
inappropriately); changes in sleep patterns (insomnia or sleeping more than usual), and
walking without feeling refreshed; feelings of being overwhelmed or being helpless or
hopeless; loss of interest in hobbies; decreased ability to concentrate; declining health—
having frequent colds, stomach upsets, and muscle aches and pains (especially
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, headaches or backaches); constant tightness in your muscles; overeating, smoking, or
abusing drugs or alcohol. Paramedics who do not experience burnout are those who
have learned to respect and value themselves.
Brownout - ✔✔Brownout refers to workers who are not in obvious crisis, who seem to
be performing fine but are often operating in a silent state of continual overwhelm, and
the predictable consequence is disengagement. They are often putting in massive hours
in meetings and calls, grinding out work while leading or contributing to teams, and
saying all the right things (though not in side-bar conversations).
Macro's. - ✔✔Protein = 4cal; Carbs = 4cal; Fat = 9cal.
Circadian rhythms, sleep cycles as they pertain to well being of the PM - ✔✔EMS
imposes schedules on paramedics that conflict with the body's circadian rhythms, or
natural timing system. These rhythms are controlled by special areas of the brain, called
the suprachiasmatic nuclei, which govern a person's "internal clock." Ignoring your
circadian rhythms can cause you to experience consistent difficulty with sleep, higher
thought functions, physical coordination,
Criminal prosecution - ✔✔Criminal prosecution is an action taken by the government
against a person the prosecutors feel has violated criminal laws.
Civil Suit - ✔✔is an action instituted by a private person or corporation (the plaintiff)
against another private person or corporation (the defendant).
Common law - ✔✔Law that is derived from Society's acceptance of customs and norms
over time. Ex: Miranda rights
Components of paramedic health (flexibility, strength, endurance)
Components of the food pyramid
Constitutional law - ✔✔-Law based on the U.S constitution
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