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Questions & Answers (Grade A+)
What additional healthcare provider may become part of the transport team during the transport of a patient receiving extracorporeal membrane oxygenation (ECMO)? - correct answer ✅Perfusionist Who invented the helicopter? - correct answer ✅Igor Sikorsky A person's ability to withstand negative pressure or "bounce back" from difficulties is known as: - correct answer ✅Resilience CMS defines __________ as the use of specialized equipment and specialized training beyond the paramedic scope of practice to manage critically ill patients from facility to facility. - correct answer ✅Specialty Care Transport What agency dictates CCTPs' scope of practice? - correct answer ✅The state agency responsible for licensure
Questions & Answers (Grade A+)
When was the United States' first city ambulance service established? - correct answer ✅ 1869 Which of the following will indicate to dispatch that the interfacility transport requires critical care transport? - correct answer ✅Intra-aoritic balloon pump (IABP) A STEMI patient with three vasoactive medications infusing in a community hospital that is 10 miles away, 45 minutes with current traffic, would be a candidate for which mode of transportation? - correct answer ✅Rotor-wing transport __________ is the reaction of the mind and body to demand for change. - correct answer ✅Stress Who initiated the first ambulance service in a US major metropolitan area? - correct answer ✅Bellevue Hospital
Questions & Answers (Grade A+)
Providing data from your transport system and participating in a database that compares it to other transport systems is: - correct answer ✅Benchmarking What vehicle was utilized in 1870 during the Prussian Siege of Paris as the first documented case of air medical transport? - correct answer ✅Hot air balloon What exam must candidates pass in order to obtain nursing licensure? - correct answer ✅NCLEX-RN Which type of transport is the most expensive to operate? - correct answer ✅Specialty Care Transport Interfacility transport is the transport of a patient between: - correct answer ✅Two healthcare facilities
Questions & Answers (Grade A+)
Critical care is the management of patients with life- threatening conditions that requires: - correct answer ✅Continuous monitoring and drugs of equipment required to sustain life When was the movement of injured patients first recorded? - correct answer ✅The 11th century, during the Crusades Where was the first hospital-based air ambulance program developed? - correct answer ✅Denver, Colorado What is the first point of contact for the rotor-wing critical care team? - correct answer ✅The dispatcher Who taught the Knights of St. John first aid procedures? - correct answer ✅Arab and Greek Physicians
Questions & Answers (Grade A+)
What guidelines determine the appropriate level of care for transportation? - correct answer ✅EMTALA In preparation for transport, the sending facility physician must have identified and communicated with a __________ in order to initiate the patient transfer. - correct answer ✅Receiving facility physician The transferring neonatal orders a neonatal physician assistant to your transport team for the transfer of an 1,800-g neonate with an intraventricular hemorrhage and hydrocephalus. What dictates the management of the patient's care during this transport? - correct answer ✅The physician assistant When is it acceptable to transfer an unstable patient from a facility? - correct answer ✅The sending facility cannot perform the needed interventions
Questions & Answers (Grade A+)
When is a hospital bound by EMTALA regulations? - correct answer ✅When a patient arrives on hospital property What did you witness if you see a patient's spouse strike the patient's face with an open hand across the cheak? - correct answer ✅Battery What allows individuals to accepts or refuse treatment, to receive appropriate care, and to receive care without interruption? - correct answer ✅Patient rights Who is responsible for the burden of proof in an negligence case filed against a CCTP? - correct answer ✅The plaintiff How do you manage the ground transport of a patient on an infusion unaddressed in your protocols but that you received education on during the recruit academy? - correct answer ✅Obtain written orders to transport the medication infusion
Questions & Answers (Grade A+)
under: - correct answer ✅Online medical control When does an adult patient of sound mind have the right to refuse treatment by a CCTP? - correct answer ✅At any point the CCTP is present Minors who have assumed most adult responsibilities before reaching the age of majority, such as those who are married, pregnant, in the armed forces, or financially independent and living away from home, are known as: - correct answer ✅Emancipated minors __________ is the intentional and unjustifiable detention of a person without his or her consent or other legal authority. - correct answer ✅False imprisonment The CCTP has an obligation to obtain __________ consent for air medical transport, including a written statement that the patient understands the risks and benefits of transport. - correct answer ✅Informed
Questions & Answers (Grade A+)
Who must receive a privacy statement prior to transport of a chemically sedated and paralyzed patient if no power of attorney has been made and numerous family members are present? - correct answer ✅The patient's spouse Your pediatric CCT unit arrives at a regional hospital to transport a 3-day old infant with atrioventricular septal defect that is extremely unstable. As you enter the room of the level I NICU, the parents are alarmed and agitated. Uninformed and confused about the transport, the father says, "This hospital is the best in the state," and declines the transport. How do you manage this patient? - correct answer ✅Discuss the concerns with the family and sending physician What type of consent is granted for a patient found unresponsive and seizures? - correct answer ✅Implied You've administered vecoronium and realized you forgot to administer midazolam. Your partner pushes
Questions & Answers (Grade A+)
What is a systematic approach to understanding the causes of serious adverse events and helps identify system flaws that must be corrected in order to mitigate future incidents? - correct answer ✅Root-cause analysis The use of __________ allows health care providers to hone their skills in a safe environment without risk of patient harm. - correct answer ✅Simulation The patient's IV line gets caught on the transferring facility's bed as you're leaving and the RT adjusts the tubing so you can leave without an issue. What is this considered? - correct answer ✅A near miss Issues with communication with __________ have resulted in loss of key patient information. - correct answer ✅Handoff reports Medical errors during critical care transport regularly result in harm or potential harm to patients. Viewing these errors as the outcomes of human-error, at-risk
Questions & Answers (Grade A+)
behavior, or reckless behavior is a concept designed to differentiate the different types of error, and is also known as: - correct answer ✅Just culture What type of organization focuses on managing its inevitable failures, helping to reduce their effects on patient care? - correct answer ✅A highly reliable organization What is a lapse in concentration that occurs in the face of distraction? - correct answer ✅Slip What occurs when a planned action fails to be completed as intended? - correct answer ✅A medical error Which of the following is recognized as a medical subspecialty by the American Board of Emergency Physicians? - correct answer ✅Emergency Medical Services
Questions & Answers (Grade A+)
empowerment is the decision of: - correct answer ✅Whether to accept a flight A(n) __________ is a patient safety event in which an error reaches a patient and results in death. - correct answer ✅Sentinel event Which portion of the SBAR technique is the appropriate time for the CCTP to inform the receiving nurse of the patient's pertinent history? - correct answer ✅Background Overtriage of rotor-wing air medical utilization would go against which IOM Quality Aim? - correct answer ✅Efficiency What system encourages self-reporting of errors that will be free from disciplinary action and aid in corrections of the overall system? - correct answer ✅Just culture In the 1990s, the Harvard Medical Practice Study reported that almost __________ of hospitalized
Questions & Answers (Grade A+)
patients suffered from significant adverse events during their care. - correct answer ✅4% A CCTP reports a medical error where he administered midazolam instead of fentanyl. When the incident was investigated, the crew member claimed responsibility and stated that he didn't realize the label for the fentanyl had changed to brown after the last supply order. How should this incident be managed? - correct answer ✅The officer responsible for ordering should try to order the same brand When a CCTP transports a patient from a scene to the appropriate facility, they are meeting the Institute of Medicine's __________ Quality Aim? - correct answer ✅Effectiveness What is a potential contraindication for aeromedical transportation? - correct answer ✅Sterile cockpit The area of the atmosphere that contains the oxygen and barometric pressure needed for a normal, healthy
Questions & Answers (Grade A+)
Which of the following transport modes is safest for the transport of a patient from the scene of a MVC when weather conditions are poor? - correct answer ✅Ground CCT unit One ounce (295 mL) of alcohol is the physiologic equivalent of __________ of altitude. - correct answer ✅2,000 feet (0.6 km) A pilot is required to don supplemental oxygen if flying at 10,000 feet ( 3 km) to 12,000 (3.7 km) for greater than __________ minutes. - correct answer ✅ 30 Per the Federal Aviation Regulations (FAR), no person may attempt to operate as a crew member of a civil aircraft until __________ hours after consumption of any alcohol beverage. - correct answer ✅ 8 The layer of the atmosphere above 10,000 feet is known as the: - correct answer ✅Physiologically deficient zone
Questions & Answers (Grade A+)
The single greatest hazard to HEMS operations is: - correct answer ✅weather Barotitis media generally presents: - correct answer ✅During an aircraft's descent from altitude After a rapid decompression in a fixed-wing aircraft, the flight crew becomes hypoxic. After applying high- flow oxygen, they rapidly regain clear cognition followed by a period of dizziness. This condition is known as: - correct answer ✅Oxygen paradox Most humans can survive forces between __________ g and __________ g. - correct answer ✅-3, 9 Air medical transport improves mortality when: - correct answer ✅The HEMS crew's clinical capabilities exceed those of ground providers
