Deck 2: Ems Systems

Question 1

A physician not affiliated with the responding EMS system who takes part in patient care with system paramedics at an emergency scene is called a(n):

A) surrogate medical director.
B) volunteer physician.
C) intervener physician.
D) interloper physician.

Answer 1

intervener physician.

Question 2

Which of the following best describes the practice of evidence-based medicine?

A) Basing all treatments on the patient's signs and symptoms
B) Combining clinical expertise with the best available clinical evidence
C) Using clinical judgment to know when you should deviate from protocols
D) Using published reports of research to change practice

Answer 2

Combining clinical expertise with the best available clinical evidence

Question 3

The person who is legally responsible for all clinical and patient care aspects of an EMS system is the:

A) quality improvement coordinator.
B) medical director.
C) system administrator.
D) battalion chief.

Answer 3

medical director.

Question 4

Which of the following situations is NOT typically addressed by EMS system protocols?

A) Triage
B) EMS system financing
C) Transfer to appropriate facilities
D) Mode of patient transportation

Question 5

What is the process by which an agency or association grants recognition to an individual who has the proper qualifications?

A) Registration
B) Qualification
C) Certification
D) Authorization

Question 6

The process by which a governmental agency grants permission to engage in a given occupation to an applicant who has attained the degree of competency required to ensure the public's protection is called:

A) reciprocity.
B) licensure.
C) registration.
D) certification.

Question 7

Which of the following elements of an EMS system is NOT needed to ensure the best possible patient care?

A) Resources management
B) Medical direction
C) Ambulance billing
D) Public information

Question 8

Which of the following National Highway Traffic Safety Administration (NHTSA) elements of EMS systems deals with issues of equal access to acceptable emergency care for all patients?

A) Human resources and training
B) Public information and education
C) Resources management
D) Trauma systems

Question 9

In which of the following ways can paramedics play a significant part in EMS research?

A) Collecting data accurately and completely
B) Changing patient care practices based on unique research outcomes
C) Volunteering their patients for drug trials
D) Experimenting with different ways of managing patients

Question 10

Direct access to medical consultation is a feature of:

A) a tiered response system.
B) off-line medical oversight.
C) the incident command system.
D) on-line medical direction.

Question 11

In 1980, the revision "KKK-A-1822A" involved:

A) primarily addressing electrical systems, signage, and safety.
B) guidelines to improve occupant protection in the patient compartment.
C) changes based on the National Institute for Occupational Safety and Health standards.
D) improving ambulance electrical systems by designing a low-amp lighting system to replace antiquated light bars and beacons.

Question 12

Which of the following is NOT typically a role of the medical director in an EMS system?

A) Participating in quality improvement
B) Educating and training personnel
C) Dispatching EMS personnel
D) Participating in personnel and equipment selection

Question 13

The process by which an agency in one state grants automatic certification or licensing to a paramedic who is certified or licensed by an agency in another state is called:

A) professional courtesy.
B) immunity.
C) recertification.
D) reciprocity.

Question 14

The National EMS Education Instructional Guidelines are divided into three domains of learning. The affective domain refers to which of the following?

A) Critical thinking and decision making
B) Recall of basic facts and information
C) Physical skills used for patient care
D) Attitudes, values, and emotions

Question 15

Which of the following certification levels is currently NOT recognized by the National EMS Scope of Practice model?

A) Paramedic
B) Emergency Medical Responder
C) Emergency Medical Technician
D) Critical Care Paramedic

Question 16

Few areas of the United States provided adequate prehospital care until:

A) after World War II.
B) after the Gulf War.
C) the late 1960s.
D) the mid-1950s.

Question 17

Medical policies, procedures, and practices that a system medical director has established in advance of a call are called:

A) automated medical direction.
B) off-line medical oversight.
C) remote medical direction.
D) on-line medical direction.

Question 18

The rules or standards that govern the conduct of members of a particular group or profession are called:

A) licensure.
B) norms.
C) protocols.
D) ethics.

Question 19

Paramedics carry out their tasks in the prehospital setting as designated agents of the:

A) EMS system director.
B) EMS system medical director.
C) EMS program director.
D) hospital nursing director.

Question 20

Components of a paramedic's education include all of the following, EXCEPT:

A) refresher courses.
B) continuing education.
C) initial education.
D) disciplinary action.

Question 21

Which of the following choices best explains the difference between an EMT-Intermediate and an EMT-Paramedic?

A) Licensure versus certification
B) Scope of knowledge
C) The legal requirement for medical direction
D) Scope of practice

Question 22

One area of EMS that will rely especially heavily on research is:

A) communications.
B) transportation.
C) human resources.
D) funding.

Question 23

As defined by the National Highway Transportation Safety Agency (NHTSA), which of the following is NOT a component of an EMS system?

A) System of quality improvement
B) Public information and education
C) Human resources and training
D) A public advisory council

Question 24

Which of the following pieces of legislation had a significant NEGATIVE impact on EMS funding?

A) The Emergency Medical Services Systems Act
B) The National Highway Safety Act
C) The Consolidated Omnibus Budget Reconciliation Act (COBRA)
D) The Emergency Medical Treatment and Active Labor Act (EMTALA)

Question 25

Although termed certification by many states, the governmental agency's permission to engage in a profession actually constitutes:

A) registration.
B) licensure.
C) authorization.
D) reciprocity.

Question 26

Entering a person's name and relevant information in a particular record maintained by an organization is best described as:

A) registration.
B) reciprocity.
C) certification.
D) licensure.

Question 27

No EMS system should be without which of the following items?

A) An independent communication system
B) One reserve ambulance for every active ambulance in the fleet
C) A large network of volunteers
D) A disaster plan

Question 28

Guidelines developed by the National Highway Traffic Safety Administration (NHTSA) for quality improvement in EMS systems include all of the following, EXCEPT:

A) regulation and policy.
B) financial auditing.
C) communications.
D) human resources training.

Question 29

As a rule, which of the following services should be present in trauma systems within an EMS system?

A) Trauma center
B) Burn center
C) Pediatrics
D) Orthopedics

Question 30

When you complete your paramedic course and pass the National Registry examination, you will:

A) be certified to practice as a paramedic in your state.
B) be certified to practice as a paramedic in any state.
C) be licensed to practice as a paramedic in your state.
D) still need to complete your state's certification or licensure process.

Question 31

Which of the following best describes a comprehensive network of personnel, equipment, and resources established to deliver aid and emergency medical care to the community?

A) Trauma system
B) EMS system
C) Medical direction
D) ALS system

Question 32

With regard to medical authorization, which of the following best describes the role of a paramedic in providing prehospital care?

A) He relies on the delegated practice of a licensed physician medical director.
B) He relies on the delegated practice of any licensed health care practitioners, such as physician assistants, nurse practitioners, nurses, and dentists.
C) He relies on the delegated practice of a licensed nurse.
D) He relies on the autonomous medical practitioner.

Question 33

The future enhancement of EMS is strongly dependent on:

A) the ability to outline the logistics affecting research.
B) obtaining approval for patient consent procedures.
C) availability of quality research.
D) the collection of raw data.

Question 34

Reasons to be involved with a professional membership organization include all of the following, EXCEPT to:

A) stay abreast of changes within the profession.
B) share ideas with other providers.
C) interact with members from other parts of the country.
D) conform to National Institute for Occupational Safety and Health (NIOSH) standards.

Question 35

Key events in the historical development of EMS include all of the following, EXCEPT the:

A) 1973 EMS Systems Act.
B) 1988 Statewide EMS Technical Assistance Program.
C) 1975 Cater-Benson Reform Act.
D) 1981 COBRA Act.

Question 36

Which of the following are likely subjects of standing orders or protocols?

A) How to handle DNR orders
B) Procedures that can be done only with a direct order
C) When to use air transport versus ground transport
D) All of the above

Question 37

The established policies and procedures of an EMS system that provide a standardized approach to common patient problems and a consistent level of medical care are known as:

A) codes of action and response.
B) clinical protocols.
C) standard operating procedures.
D) standing orders.

Question 38

Paramedics can improve their knowledge and skills through an evaluation by others of equal rank and skills, known as:

A) tenure tracking.
B) debriefing.
C) peer review.
D) performance appraisal.

Question 39

Which of the following is the publication that first focused attention on the deficiencies in prehospital emergency care?

A) KKK-A-1822
B) Injury in America: A Continuing Public Health Problem
C) Accidental Death and Disability: The Neglected Disease of Modern Society
D) A Leadership Guide to Quality Improvement for Emergency Medical Services Systems

Question 40

Which of the following best describes the purpose of the KKK specifications?

A) To standardize EMS dispatching terminology
B) To specify quality improvement procedures
C) To state the physical standards required of paramedics
D) To standardize the design of ambulances

Question 41

Which of the following is NOT one of the three basic elements of citizen involvement in EMS?

A) Recognizing an emergency
B) Providing financial support for EMS agencies
C) Initiating basic life support procedures
D) Accessing the EMS system

Question 42

Categorization of EMS-receiving hospitals was initially developed to identify which of the following?

A) trauma care capability
B) stroke care capability
C) burn care capability
D) chest pain care capability

Question 43

The Institute of Medicine published Emergency Medical Services for Children in:

A) 1993.
B) 1984.
C) 1969.
D) 1977.

Question 44

Which of these documents recommended that EMS of the future should have the ability to identify and modify illness and injury risks, provide acute illness and injury care and follow-up, and contribute to treatment of chronic conditions and community health monitoring?

A) Injury in America: A Continuing Public Health Problem
B) The EMS Agenda for the Future
C) Emergency Medical Services: At the Crossroads
D) The Ontario Prehospital Advanced Life Support (OPALS) study

Question 45

The first use of a prehospital system of triage and transport took place:

A) in large cities in the 19th-century United States.
B) during the U.S. Civil War.
C) during the Napoleonic Wars.
D) in ancient Mesopotamia.

Question 46

An example of a quality improvement activity in EMS is:

A) peer review of patient care.
B) displaying the "Star of Life" symbol.
C) disciplinary action for patient care issues.
D) using a Type II or III ambulance.

Question 47

An occupation in which the practitioners have a competence in a specialized body of knowledge or skills that has been recognized by some organization or agency is called a:

A) profession.
B) career.
C) vocation.
D) trade.

Question 48

Which of these is NOT an issue facing EMS providers, according to Emergency Medical Services: At the Crossroads?

A) Insufficient coordination
B) Disparities in response times
C) Limited evidence base
D) Medical malpractice

Question 49

Sending multiple levels of emergency care personnel to the same incident is called a:

A) mass casualty incident.
B) helicopter EMS.
C) tiered response.
D) chain of survival.

Question 50

Which of the following is a knowledge-based failure of patient safety?

A) A stressed EMS provider applies the wrong rule, resulting in patient injury.
B) A distracted paramedic fails to perform a routine skill correctly.
C) A tired EMS provider fails to follow a relevant rule, resulting in patient injury.
D) A narcissistic paramedic makes a bad decision based on insufficient information.