chapter 1

You and another new EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on-line medical control, but you must get an on-line order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on-line medical control while others do not. What is the best answer to give him?

The physician does not trust EMTs.
The physician wants to be sure it is appropriate for the patient.
The patient’s nitroglycerin might be expired.
Glucose is only sugar so it cannot hurt the patient.

You have just come on duty. The EMT on the previous shift complains to you that the QI manager was giving him grief because he did not document three sets of vital signs on the patient record. The EMT is angry and does not understand why documenting three sets of vital signs is so important. What is the best answer you could give him?

It is important you show the QI manager that you are a team player.
Vital signs are something you have to fill out because the state requires it.
The recording of three sets of vital signs demonstrates that you were trending the patient’s condition.
The report looks better when all the boxes are filled out.

You and your EMT partner are assigned to spend a day at the senior center where you are to provide free blood pressure screenings for the community. Your partner is upset that he is not in the ambulance where the "action is." He complains that taking blood pressures is a waste of his time. What would be the best response to his complaints?

It minimizes the number of 911 calls late at night.
It is good practice for the next emergency call.
It makes the taxpayers happy.
Illness prevention is an important component of EMS.

During the new employee orientation, the training officer meets with the new EMTs and explains to them the monthly training schedule and the classes they must attend for EMT recertification. One of the new EMTs asks the training officer why they have to keep taking EMT courses if they already passed the EMT examination. What is the best answer?

The state requires the training.
It looks good to a jury should the service be sued.
EMTs forget everything once they pass the EMT exam.
EMS is constantly evolving in response to evidence-based research.

A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that the neighboring ambulance service is carrying special clotting bandages for serious bleeding wounds. The special bandages cost five times as much as the regular bandages, but the EMT claims they work ten times better. The EMT wants the Medical Director to approve the bandages for use in their ambulances. The Medical Director responds to the EMT by saying he will not approve the bandages until he can prove they are worth the additional cost. How can the EMT best do this?

Order a small number of the special bandages and compare them side by side to the regular bandages.
Call the manufacturer of the special bandage and request literature to give to the Medical Director.
Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director.
Have a member of the other ambulance service call the Medical Director to provide firsthand information on how the special bandages are much better.

Thomas March 8, 2023

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