EMR First Responder Principles 2

Question 1

What does the term 'Standard Precautions' mean in the context of EMS?

Accepted Answer

Assuming all patients may carry infectious pathogens and using appropriate PPE for every patient encounter

Answer

Treating only patients who consent to care

Answer

Wearing gloves only when blood is visibly present

Answer

Using sterile technique for all wound dressings

Question 2

An EMR is dispatched to a scene involving a chemical spill with multiple casualties. What is the FIRST priority upon arrival?

Accepted Answer

Establish scene safety, ensure no one enters the hot zone without appropriate hazmat PPE

Answer

Begin triage and treatment of the most critically injured patient

Answer

Request additional ambulances from dispatch

Answer

Attempt to identify the chemical by reading container labels

Question 3

Which of the following is an example of expressed consent?

Accepted Answer

A patient who verbally or physically agrees to receive treatment

Answer

An unconscious patient who cannot respond but would likely want care

Answer

A minor receiving emergency care without parental consent present

Answer

Providing care to a patient who was confused but did not refuse

Question 4

A patient with chest pain and diaphoresis asks the EMR what is wrong with him. The EMR suspects a myocardial infarction but is not certain. What is the most appropriate response?

Accepted Answer

Explain the symptoms that are concerning and that he needs further evaluation at the hospital

Answer

Tell the patient he is definitely having a heart attack

Answer

Withhold all information to prevent patient panic

Answer

Reassure him that everything is fine and there is nothing to worry about

Question 5

Which document establishes a patient's right to refuse resuscitation in the out-of-hospital setting?

Accepted Answer

A Do Not Resuscitate (DNR) order or POLST form signed by a physician

Answer

A living will alone is sufficient to stop CPR

Answer

A family member's verbal statement that the patient did not want CPR

Answer

Any written note from the patient indicating their wishes

Question 6

What is the MOST appropriate action when an EMR suspects elder abuse during a patient assessment?

Accepted Answer

Document observations objectively and report to appropriate authorities per protocol

Answer

Confront the suspected abuser at the scene

Answer

Do not document suspicions to avoid false accusations

Answer

Ask the patient directly if they are being abused in front of the family