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1) Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? A) Quality improvement B) System effectiveness management C) Process Improvement Plan (PIP) D) Total quality system - A) CORRECT. Quality improvement (QI) consists of continuous self-review with the purpose of identifying aspects of the EMS system that require improvement, with subsequent action plans to make subsequent changes. B) INCORRECT. System effectiveness management does not refer to a program of evaluating and improving an EMS system. C) INCORRECT. A program or process for evaluating and improving the effectiveness of an EMS system is not referred to as a Process Improvement Program. D) INCORRECT. The term "total quality system" does not refer to a program for improving the effectiveness of EMS systems. 2) Which of the following groups is credited with developing the earliest documented emergency medical service?
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Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
Edward T. Dickinson Test Bank
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and Edward T. Dickinson Test Bank
Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? A) Quality improvement B) System effectiveness management C) Process Improvement Plan (PIP) D) Total quality system - A) CORRECT. Quality improvement (QI) consists of continuous self-review with the purpose of identifying aspects of the EMS system that require improvement, with subsequent action plans to make subsequent changes. B) INCORRECT. System effectiveness management does not refer to a program of evaluating and improving an EMS system. C) INCORRECT. A program or process for evaluating and improving the effectiveness of an EMS system is not referred to as a Process Improvement Program. D) INCORRECT. The term "total quality system" does not refer to a program for improving the effectiveness of EMS systems.
Which of the following groups is credited with developing the earliest documented emergency medical service? A) The Spanish B) The Egyptians C) The Mayans D) The French - Explanation: A) INCORRECT. The Spanish did not develop the first documented emergency medical service; the French did in the 1700s. B) INCORRECT. Although known for progress in technical areas, the Egyptians
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
D) CORRECT. The earliest documented emergency medical service was in 1790 when the French began transporting wounded soldiers from the scenes of battle to waiting physicians.
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
Which of the following agencies is responsible for establishing EMS system assessment programs? A) Department of Health and Human Services (HHS) B) National Transportation Safety Board (NTSB) C) National Highway Traffic Safety Administration (NHTSA) D) United States Health Services Agency (HSA) - Explanation: A) INCORRECT. The Department of Health and Human Services (HHS) is not responsible for EMS system assessment programs. B) INCORRECT. The National Transportation Safety Board (NTSB) does not establish EMS system assessment programs. C) CORRECT. The National Highway Traffic Safety Administration (NHTSA) Technical Assistance Program has established assessment programs with set standards for EMS systems. D) INCORRECT. The United States Department of Health and Human Services has no oversight of EMS systems.
Centralized coordination of emergency medical access, transportation, and care most refers to which of the following? A) Emergency preparedness plan B) Trauma system C) Resource management D) Central deployment - Explanation: A) INCORRECT. Emergency preparedness plans are usually developed to guide the actions of a specific group of people at the outset of an emergency, with the goal of protecting people and/or property. They generally will not address the specifics of medical care or transport.
B) INCORRECT. A trauma system is an organized, coordinated effort between facilities and responders within a defined geographic area to deliver a full range of
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
C) To have trained personnel understand the limitations of their training and "do no harm," while providing prompt transport to the hospital D) To have trained personnel knowledgeable in all aspects of prehospital care - Explanation: A) CORRECT. The modern Emergency Medical Services (EMS) system has been developed to get trained personnel to patients as quickly as possible and to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff. B) INCORRECT. In addition to having trained personnel able to help patients on scene, the modern Emergency Medical Services (EMS) system also aims to provide that same assistance while en route to the hospital and at the hospital until hospital staff can take over care. C) INCORRECT. Although understanding limitations and doing "no harm" are important aspects of an emergency care provider's job, the modern Emergency Medical Services (EMS) system was developed to get trained personnel to patients as quickly as possible and to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff. D) INCORRECT. Although knowledge is an important aspect of an emergency care provider's job, the modern Emergency Medical Services (EMS) system was specifically developed to get trained personnel to patients as quickly as possible and to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff.
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
C) INCORRECT. Safe emergency transportation is only part of what modern EMS systems were developed for.
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
What is the minimum level of certification required of ambulance personnel responsible for direct patient care? A) Emergency Medical Technician B) Emergency Medical Responder C) Advanced EMT D) Emergency Ambulance Driver - ✔✔ Correct answer : A) CORRECT. In most areas, the Emergency Medical Technician (EMT) is considered the minimum level of certification for ambulance personnel. B) INCORRECT. An Emergency Medical Responder (EMR) is below the EMT certification level, and below the minimum usually expected for ambulance personnel. C) INCORRECT. Advanced EMTs have a higher level of certification than what is commonly required as the minimum for ambulance personnel. D) INCORRECT. Most ambulance personnel are expected to be at the EMT level or higher.
What BEST describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems? A) Emergency Medical Dispatcher B) Cardiac care responder C) EMT D) Emergency Medical Responder - ✔✔ Correct answer : A) INCORRECT. The Emergency Medical Dispatcher is responsible for coordinating the appropriate EMS response and potentially providing important instructions to the person calling for assistance. B) INCORRECT. A cardiac care responder is not a recognized level of EMS training. C) INCORRECT. EMTs provide basic-level medical and trauma care and transportation to a medical facility. D) CORRECT. The emphasis of an Emergency Medical Responder is on activating the EMS system and providing immediate care for life-threatening injuries, controlling the scene, and preparing for the arrival of the ambulance.
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
A) Protect and stabilize the patient B) Communicate with other responders on the scene C) Maintain personal health and safety D) Provide emergency care - ✔✔ Correct answer : A) INCORRECT. Although protecting and stabilizing the patient is an important aspect of the EMT's job, maintaining personal health and safety first is the priority. B) INCORRECT. Communicating with other emergency responders is necessary for effective scene safety and coordination, but the first priority for any EMT is to ensure their own health and safety. C) CORRECT. It is not possible to help a patient if you are not physically capable or are injured while performing your job, so your first responsibility is to keep yourself healthy and safe. D) INCORRECT. Providing emergency care is the EMT's purpose, but maintaining her own personal health and safety is the EMT's primary responsibility.
What BEST defines the evaluation of the patient's condition in order to provide emergency care? A) Patient access B) Patient assessment C) Medical intervention D) Patient advocacy - ✔✔ Correct answer : A) INCORRECT. Patient access means getting to the patient's location. B) CORRECT. Patient assessment is used to find out enough about what is wrong with your patient to be able to provide the appropriate emergency care. C) INCORRECT. A medical intervention is the care provided once what is wrong with the patient has been determined. D) INCORRECT. Patient advocacy is speaking up for the patient.
Upon arrival at the hospital, the EMT advises hospital personnel of the patient's condition, observations from the scene, treatment rendered, and other pertinent data to assure continuity of care. This process is known as which of the following?
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
C) Definitive care D) End of tour - ✔✔ Correct answer : A) CORRECT. Providing the receiving hospital staff with information on the patient's condition, observations of the scene, and other pertinent data so that there will be continuity of care is part of the transfer of care process. B) INCORRECT. A breach of duty occurs when an EMT has a responsibility to care for a patient and does not follow through. C) INCORRECT. Definitive care refers to the type of care ultimately needed by a patient, not to the process of transferring the patient to hospital staff. D) INCORRECT. The end of tour generally refers to the end of a scheduled EMS shift and is not related to patient care.
Which of the following is a component of patient advocacy? A) Immobilizing the neck of a patient with a possible spinal injury B) Granting patient wishes and not reporting spousal abuse to the authorities C) Building rapport with the patient during transport to the hospital D) Providing oxygen to a patient that is short of breath - ✔✔ Correct answer : A) INCORRECT. This is simply an example of patient care. Advocacy is working to understand the patient so that the EMT can speak up for them and promote their needs. B) INCORRECT. Patient advocacy is not supporting a patient whose wishes will ultimately be harmful or against the law. C) CORRECT. Building rapport with the patient is a critical component of advocacy. Without it, the EMT won't be able to know the patient's needs or challenges enough to effectively speak on their behalf. D) INCORRECT. Advocacy is about truly understanding the patient and speaking up for them to promote the best care possible, not simply providing an intervention.
Who is responsible for on-scene safety of EMS providers? A) Traffic director B) Law enforcement C) All crew members
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
D) Triage officer - ✔✔ Correct answer : A) INCORRECT. The on-scene safety of EMS providers is not the responsibility of a traffic director.
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
examples of being pleasant.
Edward T. Dickinson Test Bank
Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
C) INCORRECT. Being nonjudgmental and fair means treating all patients equally regardless of race, religion, or culture. D) INCORRECT. Emotional stability is the ability to overcome the unpleasant aspects of an emergency so that needed care may be rendered and any uneasy feelings that exist afterward may be resolved.
Which of the following is a physical trait necessary for performing the duties of an EMT? A) Nonjudgmental and fair B) Ability to lift and carry 200 pounds C) Ability to speak clearly D) Ability to remain calm in stressful situations - ✔✔ Correct answer : A) INCORRECT. Being nonjudgmental and fair are important personal attributes for an EMT to have, but they are not physical traits. B) INCORRECT. An EMT would not be expected to lift or carry over 125 pounds, so it would not be considered a necessary ability to carry 200 pounds. C) CORRECT. An important requirement of an EMT is to have the physical ability to give and receive oral and written instructions. D) INCORRECT. An EMT's ability to remain calm in stressful situations is a critical personal trait.
Which of the following is a personality trait required of EMTs? A) Ability to lift and carry 125 pounds B) Awareness of problems with color vision C) Ability to dominate the patient D) Control of personal habits - ✔✔ Correct answer : A) INCORRECT. A physical ability is not a personality trait. B) INCORRECT. Awareness of a physical problem, such as color vision, is not related to the qualities that make up a person's character. C) INCORRECT. Although the ability to dominate others may be considered a personality trait, it is not one required to be an EMT. D) CORRECT. To reduce the chances of providing improper care or causing patient discomfort, EMTs should be able to control their personal habits
