EMS System
An individual trained in basic life support, including AED, definitive airway adjunct, and assistance with certain medications
Emergency Medical Technician
The active pursuit of a good state of health
Wellness
In order to provide expressed consent, a patient must demonstrate decision making capacity. Two assesement tools, AVPU and GCS help determine this. Should we establish the patient does not have decision making capacity, we assume
implied consent
If it wasn't written,
It wasn't done
Consistent patient care across the entire health care team from initial patient contact to discharge. All members working in unity towards goals
Continuum of care
This approach to medicine looks at studies and data to determine what practices are most beneficial. An example is the recent removal of long spine boards from protocol
Evidence based medicine
Protective measures for use when dealing with potential pathogens and other potential risks of exposure to disease
Standard Precautions
Respect of autonomy not only ethical, it also protects providers from legal ramifications. Providing care without consent, even placing a pulse ox on a finger is
Battery
sloppy documentation suggests
sloppy care
The er is busy and you haven't found anyone to give report to after moving your patient to an ED bed. Dispatch clears you for end of shift, so you leave the ED without providing report. Not only does this disrupt contiunity of care, you have also commited
abandonment
Online medical control is when a provider contacts a physician for instruction. Offline medical control are standing orders preauthorized by the medical director. These offline orders are called
Protocol
Irritabilty, insomnia, nightmares, isolation, chronic pain, feelings of sadness, anxiety or hopelessness, and possible drug and alcohol use are warning signs of
Cumulative Stress
The care you are legally able to provide for a patient
Scope of Practice
10 golden rules of communication allow you to establish a therapuetic
rapport
1. Eye contact 2. Provide your name 3. Tell the truth 4. Use language the pt understands 5. Guard what you say about the pt to others 6. Body language 7. Clear, distinct speech 8. Face pt for lip reading 9. allow time for response 10. Act and speak with calm and confindence
Knowledge of your surroundings while recongnizing potential risks
Situational Awareness
Healthcare provided in the community rather than at a hospital
Mobile Intergrated Healthcare- community paramedicine
The stages of grief can be expierenced in any order or all at once, over any period of time when facing death. The stages are
Denial, anger, bargaining, depression, acceptance
When determining death all of these things must be observed and documented: Absent carotid pulse, apnea, fixed-dilated pupils, no shock advised and
Unresponsiveness
True or false: 10 codes are perferred for radio communications
False- 10 codes aren't standard therefore may create confusion
The person who assigns roles and oversight
Team leader
Who is ultimately responsible for patient care
Medical director
Self reflection combined with a commitment to learning about and respecting others with openess and respect
Cultural Humility
To determine negligence, it must be proven that there was duty to act, a breach of duty, damages were suffered and
Causation
The first "first responder"
Dispatch
Wars and wounded soldiers developed modern EMS, and still impact our trauma interventions. While our beginnings are traced beyond WW1, the first curriculum for EMT training wasn't published until
1971
Three ways to prevent injury and accidents on the job
Always don appropriate PPE, use proper lifting techniques, operate ambulance with due regard
Transporting a coherent patient despite them refusing care subjects the providers to charges of
Kidnapping and false imprisonment
ETA