Deck 2: Ems Systems

Question 1

In a growing number of states the certification of the National Registry of Emergency Medical Technicians (NREMT) is accepted as proof positive that the individual being licensed is minimally competent to provide that level of care.

Answer 1

True

Question 2

The credit for the concept of the modern ambulance is generally given to Clara Barton.

Answer 2

False

Question 3

In 1960, Asmund S. Laerdal, a Norwegian dollmaker, created the first "resusci-annie," a manikin for CPR practice.

Answer 3

True

Question 4

The Paramedic is an EMT with basic lifesaving skills.

Question 5

Currently, the majority of health care is provided on a fee for service basis, or pay as you go, with a certain amount of medical care provided gratis to the poor or uninsured.

Question 6

The federal Public Health Service evolved out of the need for health care for the maritime fleet.

Question 7

Modern EMS in the armed forces can be traced back to Clara Barton's efforts to establish a system of ambulances.

Question 8

While medicine has been in existence since the beginning of recorded time, Emergency Medical Services (EMS) is a relative newcomer to the field of medicine.

Question 9

The United States Public Health Service (PHS) consists of five agencies.

Question 10

Many consider the flight Paramedic as the lowest trained level of EMS provider.

Question 11

The evolution of EMS in the healthcare system prompted the development of an EMS Agenda for the Future that establishes a clear vision for the future of EMS.

Question 12

Before the 1800s, health care was largely delivered by physicians who traveled by mule to the homes of the sick and injured.

Question 13

The EMS Agenda for the Future suggests that EMS will be more intimately intertwined with public health, as well as public safety, and continue to evolve along with health care.

Question 14

Medical oversight is present whenever a physician is involved in the quality assurance/quality improvement process and provides direction, either in the form of protocols or education, to Paramedics.

Question 15

Medical care in the majority of the world is a private-operated enterprise.

Question 16

In the 1970s, the majority of ambulance service was provided by a variety of tow truck operators, hospital supply companies, and funeral homes.

Question 17

This unique blend of different approaches to healthcare delivery has resulted in a healthcare system that provides numerous opportunities, as well as remarkable efficiencies.

Question 18

The FarMedic® course teaches how to care for a patient under an overturned tractor and a number of other rural emergencies.

Question 19

Modern EMS, with its specially trained EMS providers and a systems approach, is generally considered to have started in the late 1950s and early 1960s.

Question 20

The Public Health Service roots can be traced to the creation of the United States Public Health Service in 1879.

Question 21

____ involves placing vehicles and personnel in a position to provide the most expeditious response to an emergency.

A) Resource discovery
B) Resource management
C) Resource allocation
D) Resource development

Question 22

Preauthorized medical orders are often given to Paramedics in a flowchart format called a(n) ____.

A) practice
B) algorithm
C) protocol
D) standard

Question 23

The ____ provided for federal funds as well as other improvements in highway safety.

A) National Highway Accident Act
B) National Highway Safety Act
C) National Highway Sponsorship Act
D) National Highway Relief Act

Question 24

A(n) ____ is a modified fee-for-service schedule, that permits patients to choose their healthcare provider from amongst a roster.

A) HMO
B) POS
C) PPO
D) HDPPO

Question 25

The physician's authority can be exercised either on-scene or over-the-air at the time of an emergency, referred to as ____.

A) on-line medical control
B) on-line information control
C) on-line gateway control
D) on-scene medical control

Question 26

The ____ curriculum was created in 1969 and is a national standard curriculum for the training of ambulance drivers/attendants in new skills and life-saving techniques.

A) Emergency Medical Technician-Ambulance
B) Emergency Medical System-Ambulance
C) Emergency Medical System-Technician
D) Emergency Medical Technician-System

Question 27

The ____ is an EMS provider who is expected to render lifesaving care with minimal equipment.

A) emergency medical supplier
B) emergency medical responder
C) emergency medical practitioner
D) emergency medical expert

Question 28

A(n) ____ provides payments to healthcare providers at a negotiated annual per capita rate.

A) HMO
B) POS
C) PPO
D) HDPPO

Question 29

Among its many precepts, the ____ established the neutrality of all ambulance workers who wore the "Red Cross."

A) Geneva Treaty
B) Letterman Plan
C) Public Health Service
D) White Paper

Question 30

The ____ has placed conditions upon all healthcare providers that protect patient privacy during claims processing, data analysis, utilization review, quality assurance, and practice management.

A) FERPA
B) CMS
C) HIPAA
D) SSM

Question 31

The ____ defines and divides EMS into four groupings.

A) scope of practice
B) core content
C) level of duty
D) EMS standard

Question 32

The physician's authority is exerted through a written set of instructions, called ____.

A) practices
B) standards
C) protocols
D) tenants

Question 33

The ____ delineated the 15 aspects of an EMS system that needed improvement including education (both public as well as provider), improved communications (including public access), and system evaluation but offered little money to help make those improvements.

A) EMS Act of 1955
B) EMT Act of 1973
C) EMS Act of 1973
D) EMT Act of 1975

Question 34

A constant throughout the development of EMS is the close working relationship of EMS with other parts of the healthcare system, particularly the ____ department.

A) emergency
B) nursing
C) critical care
D) human resources

Question 35

The ____ simply places the proverbial "average person" in the situation and asks if that average person would reasonably think, under those conditions, that this problem was an emergency.

A) critical care rule
B) non-professional rule
C) good samaritan standard
D) prudent layperson standard

Question 36

____ is the founder of the American Red Cross.

A) Jonas Salk
B) Florence Nightingale
C) Peter Safer
D) Clara Barton

Question 37

In a(n) ____ program, the patient is allowed to choose a healthcare provider from amongst a list of preferred care providers (PCP) but may elect to see another "out of system" provider, without a referral, at a substantially higher copayment and/or deductible, similar to a fee-for-service arrangement.

A) HMO
B) POS
C) PPO
D) HDPPO

Question 38

During the early and mid-1900s, scientists used ____ to identify the sources of many infectious diseases and developed crude but effective treatments.

A) telescopes
B) microscopes
C) magnifying lenses
D) x-rays

Question 39

The physician in the 1800s, armed with only limited experience and even more limited education-or no formal education at all-dealt largely with ____.

A) injuries
B) non-infectious diseases
C) infectious diseases
D) childhood illnesses

Question 40

The predominant means of delivering EMS in the United States is via ____.

A) police-based EMS
B) standalone EMS
C) hospital-based EMS
D) fire-based EMS

Question 41

____________________ is a system where there is a purchaser of services, such as a large corporation or the government.

Question 42

During the American Civil War, army surgeon Major Jonathan Letterman completely reorganized the military field medical service, called the ____________________ plan, into what was to be the forerunner of the modern trauma system.

Question 43

The 1981 ____________________ Act took monies previously earmarked for EMS and placed them under a broader rubric of preventive health money.

Question 44

The fundamental mission of EMS is exemplified in the ____________________ of life.

Question 45

A(n) ____________________ is a logic tree that simply states: if this, then do that; if not this, then do this other thing.

Question 46

EMS at its core is a(n) ____________________ service.

Question 47

Preauthorized medical orders are also known as ____________________.

Question 48

The highest level of EMS provider is the ____________________.

Question 49

____________________ providers are trained on how to provide care to the wounded while in hostile surroundings as well as maintain the health of the SWAT team members on prolonged operations.

Question 50

During the Spanish crusade of Ferdinand and Isabella against the Moors in the late fifteenth century, the use of ____________________, or mobile military hospitals, came into being.