AAOS EMT EXAM 1 || Questions & Solutions (100% Correct)
AAOS EMT EXAM 1 || Questions & Solutions (100% Correct)
Understand EMT scope of practice, what are we allowed to do with permission/direction? What requires special permission? - ANSWER - A. Outlines the care you are able to provide
B. ...
, AAOS EMT EXAM 1 || Questions &
Solutions (100% Correct)
Understand EMT scope of practice, what are we allowed to do with
permission/direction? What requires special permission? - ANSWER - A. Outlines
the care you are able to provide
B. Usually defined by state law
C. The medical director further defines scope of practice by developing protocols or
standing orders
EMT: training in BLS, AED, use of airway adjunct, and assisting patients with certain
medications
Who regulates EMT training/certifications/guidelines? - ANSWER - National registry.
State laws determine scope of practice.
What is the role of a medical director? - ANSWER - Physician who authorizes or
delegates to the EMT the authority to provide medical care in the field.
Also responsible for quality control.
Acts as liaison between the medical community, hospitals, and the EMTs in the
service.
Sets standing orders and protocols:
a. Protocols are described in a comprehensive guide delineating the EMT's scope of
practice.
b. Standing orders are part of protocols and designate what the EMT is required to
do for a specific complaint or condition
Lay person training or EMR training? - ANSWER - EMR: A trained professional such
as a police officer, firefighter, or lifeguard, who may arrive first at the scene of
emergency to provide initial medical assistance.
Provides care before ambulance arrives
Immediate BLS
May assist in ambulance
How should you handle scene safety? - ANSWER - 1. Begin protecting yourself as
soon as you are dispatched.
a. Wear seat belts.
b. Don appropriate PPE.
,2. Continue to protect yourself once on scene.
a. Make sure the scene is well marked.
b. Place warning devices to alert other motorists of the scene.
c. Park at a safe distance from the scene.
d. Make sure there is plenty of light if it is dark.
e. Wear reflective clothing if it is dark.
Scene Size-up - ANSWER - A. The scene size-up refers to your evaluation of the
conditions in which you will be operating.
1. Situational awareness is necessary throughout the entire call to ensure safety.
2. Dispatch provides basic information about the request for assistance.
a. Scene size-up combines information and observations to help ensure safe and
effective operations.
i. An understanding of the situation and conditions prior to responding
ii. The dispatcher's information
iii. An observation of the scene
What is the purpose and duties of OSHA? - ANSWER - Occupational Safety and
Health Administration
Develops guidelines concerning reducing hazards in the workplace.
Responsible for enforcing guidelines.
CDC vaccine guidelines. Is there any difference when working in medical field? -
ANSWER - The CDC recommends the following immunizations for health care
workers:
i. Hepatitis B (required by OSHA)
ii. Influenza (yearly)
iii. Measles, mumps, and rubella (MMR)
iv. Varicella vaccine or having had the chickenpox
v. Tetanus, diphtheria, pertussis (Tdap) (every 10 years)
vi. Skin test for tuberculosis prior to hire and annually
Employer required to offer haptitis B vaccine at no cost
What is PPE? When should you wear certain types of equipment (gloves, gowns,
masks, certain types of masks)? - ANSWER - Personal Protective Equipment
Gloves:
-Before touching patient
-For touching blood, body fluids, secretions, excretions, or contaminated items
Gown:
-Provide protection from extensive blood splatter
-May be worn in situations such as aerosol-generating procedures, field delivery of a
baby or major trauma
Eye Protection/Face Shield:
, -Protects from blood spatter, vomit, etc. May be worn in situations such as aerosol-
generating procedures, field delivery of a baby or major trauma
-Suctioning, intubation
Masks:
Protects from blood spatter, vomit, etc. May be worn in situations such as aerosol-
generating procedures, field delivery of a baby or major trauma
Ambulance cleaning procedures - ANSWER - -Clean the ambulance after each run
and on a daily basis.
-Whenever possible, cleaning should be done at the hospital.
a. Any medical waste should be placed in a red biohazard bag and disposed of at
the hospital.
b. Contaminated equipment left at the hospital should be cleaned by hospital staff or
placed in a red bag for transport and cleaning at the station.
c. Use a bleach and water solution at a 1:10 dilution to clean the unit.
d. A hospital-approved disinfectant that is effective against Mycobacterium
tuberculosis can also be used,
e. Remove contaminated linen and place it into an appropriate bag for handling.
f. Reusable medical equipment should be properly cleaned and sterilized per your
department's standard operating procedure.
Hand hygiene procedures (soap and water vs. non water based) - ANSWER - Soap
and water:
Always wash before and after patient contact, even with gloves. Rinse hands using
warm water. Dry hands with paper towel and use to turn off faucet.
Non-water based:
When soap and water not available. Can prevent bacterial infections but wash with
soap and water as soon as available.
Infection control plans and monitoring - ANSWER - 1. If you are exposed to a
patient's blood or bodily fluids:
a. Turn over patient care to another EMS provider.
b. Clean the exposed area with soap and water.
c. If your eyes were exposed, rinse your eyes for 20 minutes.
d. Activate your department's infection control plan.
2. You will have to complete an exposure report and be screened to determine
whether there was a significant exposure to bloodborne pathogens.
3. If you were exposed to a highly communicable airborne disease such as COVID-
19 without proper PPE, you may be required to quarantine for a predetermined
period of time.
4. Post-exposure prophylaxis and treatment for significant exposure
5 stages of grief - ANSWER - 1. Denial
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