COMPLETE SOLUTIONS GRADED A++ LATEST UPDATE
Off-line medical direction
an EMS system's written standing orders and protocols which authorized personnel to
perform particular skills in certain situations without actually speaking to the medical
director
On line medical direction
orders to perform a skill or administer care from the on- duty physician, given to the
rescuer in person by radio or by phone
Duties of the EMR
Size up the scene, determine patient's chief complaint, lift move or reposition only when
necessary, transfer patient and patient information, protect privacy, be the advocate
Levels of EMS personnel
EMR--> EMT --> AEMT --> Paramedic
EMT
minimum level of certification for ambulance personnel, training emphasizes
assessment and the care and transportation of the ill or injured patient
AEMT (advanced Emergency medical Technician)
has received specific additional training in specific areas, allowing some level of
advanced life support such as starting IV lines, inserting advanced airways, and
administering medications
,Paramedic
trained to perform what is commonly refereed to as advanced life support care, such as
inserting endotracheal tubes and starting IV lines, administer medications, interpret
electrocardiograms, monitor cardiac rhythms
Scope of Practice
identifies the duties and skills an EMS provider is legally allowed to perform
What is the minimum BSI
Disposable protective gloves
What is BSI
Body substance isolation
when might we need more BSI
when the patient is bleeding proficiently, vomiting
Continuous Quality Improvement (CQI)
submit accurate, complete patient care reports
Ensure quality of life by
monitoring health of population, providing health care, educating community about
disease and injury prevention
Good Samaritan laws
minimize exposure to liability; encourage bystanders to provide emergency care
standard of care
what one is supposed to do for any given situation
Ethical responsibilities
, provide highest standard of care, attend continuing education, be honest in reporting
care provided, errors should be reported immediately
Consent
legal term to give formal permission for something to happen
Capacity
patient's legal rights and ability to give consent for his or her own care
who doesn't have legal capacity to give consent
less than 18 years old, incarcerated or mental illness
competence
patient's ability to understand what is going on around him, your questions, and the
implications of the decisions he makes
Patient who may not be competent to make medical decisions
being a minor, intoxication, drug ingestion, serious injury, mental illness
Expressed Consent
competent adults informed decision to accept emergency care provided by an EMR
informed consent
consent granted by a patient after he has been appropriately informed of the care being
suggested and associated consequences
Advise patient of following:
your level of training, why you think care may be necessary, what care you plan to
provide, any consequences related to refusing care
Implied consent