OPS/Legal I
When lifting heavy objects, how should your back be positioned?
Locked and straight
Which law protects patient confidentiality?
HIPAA- health insurance portability and accountability act
How is the best way for a citizen to access the EMS system?
Call 911
Why should you request additional resources early on within your incident?
To improve efficiency of pt care and decrease scene times.
Who is the best person to ask for information about the complaint of a conscious adult patient?
The patient
If someone is drunk and unstable while ambulating, what is the best way to move the patient down stairs?
Stair chair
When caring for a behavioral patient, how may you calm them down?
Be patient, take your time, active listening, avoid conflict
Why and when do we ensure scene safety?
To quickly determine the safety of the scene for all providers.
If a patient is concerned about an injury, how do we instill trust in them and convince transport?
Not give false hope, let them know that no answer is for certain until a DR is able to verify.
What part of your patient run report is confidential for those not involved with pt care?
If you make a written mistake on the report, how can you fix it?
Any details.
Strike through it with a single line, initial and correct it.
If you are performing CPR on a patient and family states there is a DNR but does not have it present, what should you do?
Continue performing CPR until a physical DNR is presented
List 3 appropriate things to consider and do as a team before lifting a patient from the floor, considering positioning and body physics.
Prepare/plan
Position yourself close to the patient
Lock your lower back
Lift with your legs
What 4 things must we have for a DNR to honor it?
Date, signature, original, patient information
For a mobile employer, how may they reduce opportunity for serious injuries of the employees?
Driving safety training
Which patient may likely require you to contact medical control for online direction?
Pediatric choking pt
Hazardous materials spill
Psychiatric pt hallucinating
Diabetic pt that refuses transport
Pediatric choking pt
Hazardous materials spill
Psychiatric pt hallucinating
Diabetic pt that refuses transport
When you transfer care of a patient, how can you verify appropriate communication is fulfilled and transfer is seamless?
Clarify and make sure that the receiving care personnel understand what you communicated with them.
If a patient that is verbally aggressive spits on you or your partner, is the scene unsafe? Also, how should you move forward with PPE?
No it is not, there is no physical harm.
Have everyone provide face/eye protection and continue care.
Describe an EMS System
Healthcare professional team that cares for out-of-hospital patients
You are caring for a patient in a large building and hear shots fired, what should you do?
Take cover and contact law enforcement or make a May Day call for the scene no longer being secured.
List two other incidents or types of calls that scene security may be a large concern.
Is your patient documentation a legal document? Yes/No
and
What must be included in the patient documentation?
Yes
Chief Complaint, interventions, times/date
Define "Scope of Practice"
What you are licensed, authorized, and trained to do.
Explain implied consent and provide an example?
Implied consent is the legal assumption that a patient would consent to treatment if they were able to do so, particularly when they are unconscious, incapacitated, or otherwise unable to communicate their wishes.
A child or adult that is unconscious and critically injured with no adult or family member on scene to provide consent.
If you have a patient that sexual assault is suspected, what should you consider and ask the patient to do?
Not shower, place clothes in a paper bag.
What are four things that MUST be present for negligence to occur?
Breach of Duty
Damage
Duty to Act
Proximate Cause
List 3 reasons that an EMS system may review records and call reports
Identify weaknesses
Determine necessity for units
Locate CME topics
Improve quality
Determine specific call volumes