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You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child’s parents will be at the scene in approximately 15 minutes. What should you do? |
Transport the child immediately and have the parents meet you at the hospital. |
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During your monthly internal quality improvement (QI) meting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient’s name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you ___. |
are in violation of HIPAA because you did not remove the PHI from the PCR beforehand. |
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You are called to attend to an elderly patient with an extensive medical history who is now in cardiac arrest. The patient’s family tells you that the patient had a DNR order. There is no paperwork available but the patient does have a MedicAlert bracelet indicating Do Not Resuscitate. You should ___. |
confirm the patient identity and then confirm the DNR by calling the MedicALERT Foundation number on the bracelet |
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Which of the following components are needed to prove negligence: abandonment, breach of duty, damages, and causation; duty to act, breach of duty, injury/damages, and causation; breach of duty, injury/damages, abandonment, and causation; duty to act, abandonment, breach of duty, and causation. |
duty to act, breach of duty, injury or damages, and causation |
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When is forcible restraint permitted? |
When the patient poses significant threat to self or others |
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In which of the following circumstances can the EMT legally release confidential patient information: the patient is competent and signs a release form, a police officer requests a copy to place on file, a media representative inquires about the patient, the family requests a copy for insurance purposes. |
the patient is competent and signs a release form |
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In which of the following situations does a legal duty to act clearly exist: a call is received 15 minutes prior to shift change, the EMT hears of a cardiac arrest after his or her shift ends, A bystander encounters a victim who is not breathing, The EMT witnesses a vehicle rash while off duty. |
A call is received 15 minutes prior to shift change |
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To help protect patients, EMS agencies are required to have ___. |
a privacy officer to answer questions |
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When performing his or her duties, the EMT is generally expected to ___. |
exercise reasonable care and act prudently |
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The EMT’s scope of practice whithin his or her local response area is defined by the ___. |
medical director |
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Putrefaction is defined as ___. |
decomposition of a body’s tissues |
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Which of the following general statements regarding consent is correct: expressed consent is valid only if given in writing by a family member, a patient can consent transport but legally refuse to be treated, all patients older than 18 years can legally refuse treatment or transport, patients who are intoxicated are generally allowed to refuse treatment. |
A patient can consent to transport but legally refuse to be treated |
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You respond to the home of a 59-year-old man who is unconscious; has slow, shallow breathing; and has a weak pulse. The family states the patient has terminal brain cancer and does not with to be resuscitated. They further state that there is a DNR order for the patient, but they are unable to locate it. You should ___. |
begin treatment and contact medical control as needed |
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Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) most affects EMS personnel? |
protecting patient privacy |
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You and your partner arrive at the scene of a major motor vehicle crash. The driver, a young male, is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, is not breathing, and does not have a palpable carotid pulse. You should ___. |
have your partner check for a pulse to confirm the patient is deceased. |
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Maintaining the chain of evidence at the scene of a crime should include: making brief notes at the scene and then completing them later, not cutting through holes that were caused by weapons, quickly moving any weapons out of the patient’s sight, placing the patient in a private area until police arrive. |
not cutting through holes in clothing that were caused by weapons |
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Which type of consent is involved when a 39-year-old mentally competent female with a severe headache ask you to take her to the hospital? |
Expressed |
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As an EMT, the standards of emergency care are often partially based on: incomplete reports are common and accepted in EMS, EMTs are not liable for any actions that are accurately documented, it is difficult to prove actions were performed if they are not included in the report, patient care cannot be discredited based on poor documentation. |
it is difficult to prove actions were performed if they are not included on the report |
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Which of the following statements about the patient care report is correct: patient care cannot be discredited based on poor documentation, it is difficult to prove actions were performed if they are not included on the report, EMTs are not liable for any actions that are accurately documented, incomplete reports are common and accepted in EMS. |
It is difficult to prove actions were performed if they are not included on the report |
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Where would you most likely find information regarding a patient’s wishes to be an organ donor? |
driver’s license |
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