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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