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Name: EMR Ch. 1 Date: True/False Indicate whether the statement is true or false. 1. EMRs need to be professional and follow the legal and ethical scope of practice. Hour: 6. EMS professionals must put their patients’ safety first. 2. Most calls for medical assistance come via the 9-11 system. 7. Failure to continue care until a patient is transferred from an EMR’s care is a criminal offense. 3. Funding sources dictate the level of services provided by a public EMS. 8. EMS professionals are held to higher standards than regular citizens. 4. The practice of medicine is regulated by the federal government. 9. An EMR’s reckless behavior outside of work will ruin his or her reputation but will not affect the agency’s credibility. 5. Every EMS agency has a medical director who is an MD. 10. EMRs have legal standards to uphold in the performance of their duties. Multiple Choice Identify the choice that best completes the statement or answers the question. 11. The level of patient care provided by EMS en route 15. In which of the following organizations would an depends on all of the following except _____ . EMR most likely be part of an emergency response a. Friendliness of the patient team? b. Available resources a. Fire department c. Local protocols b. Public EMS d. Training of the provider c. Industrial setting d. Third service EMS 12. Which of the following types of EMS is provided by a city, county, or other political subdivision? 16. Which of the following would least likely have its a. Public own emergency call center? b. Fire-based a. Large city c. Private b. Neighborhood d. Third service c. Governmental service d. State agency 13. Which of the following types of EMS is not integrated with other agencies such as fire or 17. Which of the following technologies would most police, which may serve as the backup or primary likely have enhanced 9-1-1? responder? a. Hard-wired telephone a. Public b. Cellular phone b. Fire-based c. I-pad c. Private d. None of the above d. Third service 14. Which of the following types of EMS can be forprofit or not-for-profit operations that may or may not work in conjunction with public services? a. Public b. Fire-based c. Private d. Third service 18. EMRs can be certified to practice _____ . a. Globally b. In specific states, counties, or regions c. For specific EMS departments d. Within all of the North America 19. Which of the following duties does the medical director perform? a. Screens 9-1-1 calls to determine level of EMS needed b. Stays with patients during transport and continues care once the patient enters a medical facility c. Certifies EMRs prior to the employment selection process d. Grants variances to individual providers to allow them to exceed their standard scope and practice 20. _____ are medical guidelines established by an agency’s medical director or by a regulatory authority. a. SOPs b. Variances c. Protocols d. Certifications 21. _____ is the monitoring and evaluation of all aspects of EMS to ensure or improve the quality of care the EMS system provides. a. Quality assurance b. Standard of care c. Quality improvement d. Personnel evaluation 22. _____ is the formal review and analysis of performance and processes within the EMS agency with the goal of reducing medical errors and needless loss of life. a. Quality assurance b. Standard of care c. Quality improvement d. Personnel evaluation 23. Personal conduct, driving emergency vehicles, offduty behavior, and professional conduct would be examples of items for which an EMS agency would have a(n) _____. a. Sunset clause b. Procedure c. Exclusion d. Policy 24. Which of the following informs an EMR of what the EMS agency expects and what it does not allow? a. Sunset clause b. Procedure c. Exclusion d. Policy 25. _____ list the employer-required steps to follow when providing patient care, such as the proper use of specialized equipment, disposal of sharps, and how to report exposures. a. Sunset clauses b. Procedures c. Exclusions d. Policies 26. How often does a sunset clause require policies and procedures to be reviewed to keep them updated? a. Every three to five years or as they expire b. Yearly c. Every seven years unless an exposure or injury occurs d. Never 27. Which of the following EMR roles/responsibilities involves being physically fit, rested, and alert to meet the demands of the position? a. Safety b. Readiness c. Patient advocacy d. Professionalism 28. Which governmental agency published the minimum recommended educational guidelines for the various EMS training levels? a. NHTSA b. NFPA c. OSHA d. CDC 29. Which of the following EMS levels can provide invasive lifesaving procedures and interventions but is not trained in ALS cardiac monitoring? a. EMR b. EMT c. AEMT d. Paramedic 30. Which of the following training levels is recognized as the entry level for emergency medical services? a. EMR b. EMT c. AEMT d. Paramedic 31. Which of the following is ethical behavior that will protect your credibility and that of your agency? a. Ignoring core values b. Using alcohol and drugs recklessly only when not on duty c. Heeding core values only at work d. Doing what is right based on a set of moral principles and values 32. An error that occurs because the EMR does not have the information needed to accomplish the skill is called a _____ . a. Skill-based error b. Knowledge-based error c. Rule-based error d. Certification-based error 39. _____ occurs when an EMR begins emergency medical assistance to a patient and then leaves the patient, still in need of care, unsupervised. a. Assault and battery b. Failure to act c. Abandonment d. Negligence 33. A _____ occurs when an EMR fails to follow the correct procedure required to do the skill. a. Skill-based error b. Knowledge-based error c. Rule-based error d. Certification-based error 40. A ____ is meant to provide protection for certain people who voluntarily administer emergency assistance to an injured or ill person in good faith and with reasonable care. a. Hippocrates’ Law b. Good Samaritan Law c. Good Faith Doctrine d. Tort Law 34. What type of error can occur when policies and procedures are not followed? a. Skill-based error b. Knowledge-based error c. Rule-based error d. Certification-based error 35. _____ is the act of a competent adult or emancipated minor verbally advising a medical provider to proceed with treatment. a. Understood consent b. Implied consent c. Informed consent d. Expressed consent 36. Which of the following is consent given by a responsive patient after the EMR has provided an explanation of the risks and benefits of care or treatment to be given? a. Understood consent b. Implied consent c. Informed consent d. Expressed consent 37. The legal presumption that a patient who is unable to verbally express agreement to treatment would agree to be treated in certain circumstances, such as potentially life-threatening injuries, is called _____ . a. Understood consent b. Implied consent c. Informed consent d. Expressed consent 38. _____ is the doctrine authorizing an adult sibling, close relative, or school official to give consent for treatment of a minor when a parent or legal guardian is not on the scene. a. In loco parentis b. Componere lites c. Understood consent d. Ad verecundiam