Question 1

Paramedics provide care in the community,both emergency and non-emergency,with an ever-increasing scope of practice.This expanding scope of practice includes the ability to:&#10;A)perform falls assessments.&#10;B)order medical imaging.&#10;C)prescribe medications.&#10;D)'treat and not transport' or refer patients to different health care providers or services.

Accepted Answer

Paramedics now have the ability to assess a patient and determine whether or not they need to be transported to the hospital or if they can receive appropriate care from a different healthcare provider or service, known as "treat and not transport" or referral. While paramedics can perform falls assessments and order medical imaging, they are not able to prescribe medications as this falls under the jurisdiction of physicians and nurse practitioners.

Question 2

Paramedics have responded to the current pressures in the health care system by up-skilling and targeting their specialised services:&#10;A)to include work in the community through expanding their scope of practice.&#10;B)to maintain their scope of practice with the boundaries of the ambulance service.&#10;C)thereby enhancing professionalism within the industry.&#10;D)none of the above.

Accepted Answer

Paramedics have responded to the current pressures in the health care system by expanding their scope of practice, which includes work in the community. This allows them to better serve patients outside of the traditional hospital setting and alleviate some of the burden on emergency departments. This expansion of their service also enhances their professionalism within the industry.

Question 3

In 2017-18 how many patients were assessed,treated and transported to emergency departments by ambulance?&#10;A)Over 3.7 million&#10;B)7 million&#10;C)10 million&#10;D)15 million

Accepted Answer

According to the information given, the closest option is "Over 3.7 million". No other option is supported by the given data.

Question 4

Growth in the number of patients transported each year is related to:&#10;A)free ambulance transport.&#10;B)the greater availability of ambulances.&#10;C)a combination of changing health demographics,increased accessibility and increased awareness.&#10;D)a growing number of patients being able to be 'treated and not transported' or being referred to other pathways of care.

Accepted Answer

The answer of Growth in the number of patients transported...

Question 5

When 'ramping' occurs,who is responsible for patient care?&#10;A)The consultant in the emergency department&#10;B)The triage nurse&#10;C)The paramedic crew who transported the patient&#10;D)The patient's referring doctor

Accepted Answer

The consultant in the emergency department is responsible for patient care when 'ramping' occurs.

Question 6

Which of the following statements related to the paramedic role is the most correct?&#10;A)The paramedic role is constantly developing,with the recognition that targeted prehospital interventions can affect patient outcomes.&#10;B)Paramedics are not really expected to provide high-level care;their main role is to transport patients to hospital.&#10;C)Paramedics provide emergency care only to patients in need of hospital transfer.&#10;D)Doctors,nurses and paramedics essentially have the same role.

Accepted Answer

The statement A is the most correct as it highlights the fact that the paramedic role is constantly developing and that they provide targeted prehospital interventions that can have a significant impact on patient outcomes. The other options (B, C, and D) are either inaccurate or do not fully capture the scope of the paramedic role.

Question 7

Which of the following statements regarding educational reform in the prehospital industry is most correct?&#10;A)The paramedic role is primarily practical,so competency-based training is best suited to this industry.&#10;B)University-based training for paramedics has resulted in very knowledgeable graduates with little 'hands-on' experience.&#10;C)University-based paramedicine programs continue to develop to reflect the unique nature and operational demands of the environment and role.&#10;D)The curricula of paramedic health-science degrees are a combination of units from allied health,nursing and medical degrees.

Accepted Answer

This statement correctly recognizes that university-based paramedicine programs are improving and evolving to properly reflect the distinct nature of the prehospital environment and role. Option A is incorrect because although practical competency-based training is valuable in the prehospital setting, it is not the only method of training that is effective or suitable. Option B is also incorrect as it assumes that university-based training results in knowledgeable graduates with limited hands-on experience, which is not always accurate. Option D is partly true, but it does not reflect the complete picture, as paramedic health-science degree curriculum also includes courses specifically tailored to the prehospital industry.

Question 8

To cope with increasing demands on ambulance resources,a number of service delivery innovations have been considered.These include:&#10;A)the introduction of private-sector ambulance providers.&#10;B)up-skilling of paramedics.&#10;C)out-sourcing of non-emergency transfers.&#10;D)all of the above.

Accepted Answer

All of the above options have been considered to cope with increasing demands on ambulance resources. The introduction of private-sector ambulance providers can increase the number of available ambulances, up-skilling of paramedics can improve the quality and efficiency of care provided, and outsourcing of non-emergency transfers can free up resources for emergency situations. Therefore, all of these options can be effective in improving ambulance service delivery.

Question 9

In moving from competency-based training to higher education,paramedic students are required to understand which two processes?&#10;A)The 'how' and the 'why' of patient care&#10;B)The evidence and response&#10;C)The assessment and planning&#10;D)The primary and secondary assessment

Accepted Answer

Moving from competency-based training to higher education requires a deeper understanding of the 'how' and the 'why' of patient care, which involves critical thinking, complex decision-making, and integrative learning. The other options (B, C, D) are specific processes within patient care, but do not address the broader scope of knowledge and skills required for higher education in paramedic studies.

Deck 25: The Continued Professionalisation of Paramedics and Prehospital Care