Shared Flashcard Set

Details

Block 1
Class 34
89
Medical
Professional
05/20/2010

Additional Medical Flashcards

 


 

Cards

Term
Licensure
Definition
the process by which governmental agency grants permission to engage in a given occupation to an applicant who has attained the degree of competency required to ensure the public's protection.
Term
Certification
Definition
the process by which an agency or association grants recognition to an individual who has met its qualifications.
Term
Registration
Definition
the process of entering your name and essential information within a particular record. In EMS this is done in order for the state to verify the provider's initial certification and to monitor recertification.
Term
Medical Direction
Definition
medical policies, procedures, and practices that are available to providers either on-line or off-line.
Term
Protocols
Definition
the policies and procedures for all components of an EMS system.
Term
First Responder
Definition
general patient assessment, bleeding control, spinal stabilization, CPR; assist childbirth; if trained may apply O2, AED
Term
EMT B
Definition

general patient assessment, bleeding control, spinal stabilization, CPR; assist childbirth; if trained may apply O2, AED,

complex immobilization, restraints, work ambulance, assist medications; some endotracheal intubation

Term
EMT I
Definition

Same as EMT B plus advanced airway management, IV fluid therapy, other advanced skills; if trained may be cardiac technician, administer additional medications

Term
EMT P
Definition

Same as EMT I plus advanced patient assessment, trauma management, pharmacology, cardiology, other medical skills; courses in ACLS, PALS, BTLS, PHTLS

Term
Describe the benefits of Paramedic CE
Definition

The expansion of the paramedic's own personal knowledge and skills,

To keep up with an emergency health care delivery system that is constantly being updated with more technologically advanced equipment and procedures to provide the opportunity to review material & address weak points in patient care.

Term
National Associations
Definition
assist in the development of educational programs, operational policies/procedures, & implementation of EMS; establish guidelines with input from public & the profession; promote & enhance the status of EMS within the health care community; create unified voice for EMS providers
Term
National Registry Agency
Definition
prepares & administers standardized tests; establishes the qualifications for registration & biennial registration; establish a national minimum standard of competency; major tool for reciprocity; develops & evaluates EMT training programs
Term
What is the benefit of paramedics teaching their community?
Definition
Enhances the visibility of EMS; promotes a positive image; puts forth EMS personnel as positive role models; creates opportunity to improve integration of EMS with other heath care & public safety agencies
Term
Reflection
Definition

the repetition of the patients words to encourage additional responses.

i.e.:  "So you say your chest hurts"

Term
Confrontation
Definition

statements used to focus the patient's feelings attention on one specific factor of the interview.

i.e.:  "You say your chest doesn't hurt but you keep rubbing it."

Term
Clarification
Definition

is used to clarify ambiguous words or meanings.

i.e.:  "Stop  let me make sure I got this correct."

Term
Chief Complaint
Definition
the pain, discomfort, or dysfunction that caused your patient to request for help
Term
Inspection
Definition

process of informed observation

Term
Palpation
Definition
involves using your sense of touch to gather information
Term
Percussion
Definition
process of causing sound waves to detect density
Term
Auscultation
Definition
involves listening for sounds produced by the body for information
Term
Constitutional Law
Definition
law based on the U.S. Constitution
Term
Common Law
Definition

law that is derived from society's acceptance of customs and norms over time. Example: Miranda rights.

Term
Legislative or Statutory Law
Definition
law created by law-making bodies such as Congress and state assemblies. Takes precedence over common-law decisions.
Term
Administrative or Regulatory Law
Definition
law that is enacted by governmental agencies at either the federal or state level. Like OSHA.
Term
Criminal Law
Definition
division of the legal system that deals with wrongs committed against society or its members.  Punished by imprisonment, a fine, or a combination of the two.
Term
Civil Law
Definition

- the division of the legal system that deals with noncriminal issues and conflicts between two or more parties.

Term
Tort
Definition

a civil wrong committed by one individual against another. Tort law claims include negligence, medical malpractice, assault, battery, and slander.

Term
State Laws
Definition
** Most laws that affect EMS and paramedics are .....
Term
Scope of Practice
Definition

range of duties and skills paramedics are allowed and expected to perform

Term
Licensure
Definition
process used to regulate occupations-permission is granted to an individual who meets established qualifications to engage in a particular profession or occupation
Term
Certification
Definition
recognition granted to an individual who has met predetermined qualifications to participate in a certain activity
Term
Negligence
Definition
deviation from the accepted standards of care recognized by law for the protection of others against the unreasonable risk of harm.  
Term
Malfeasance
Definition
performance of a wrongful or unlawful act
Term
Misfeasance
Definition
performance of a legal act in a manner that is harmful or injurious
Term
Nonfeasance
Definition
- failure to perform a required act or duty
Term
Actual Damages
Definition
compensable physical, psychological, or financial harm
Term
Proximate Cause
Definition
the action or inaction of the paramedic immediately caused or worsened the damage suffered by the plaintiff
Term
res ipsa loquitur 
Definition

a legal doctrine invoked by plaintiffs to support a claim of negligence; "the thing speaks for itself"

Term
Defamation
Definition

an intentional false communication that injures another person's reputation or good name-written or verbal

Term
Libel
Definition
the act of injuring a person's character, name, or reputation by false statements made in writing or through the mass media with malicious intent or reckless disregard for the falsity of those statements
Term
Slander
Definition
act of injuring a person's character, name, or reputation by false or malicious statements spoken with malicious intent or reckless disregard for the falsity of those statements
Term
Informed Consent
Definition

consent for treatment that is given based on full disclosure of information

Term
Expressed Consent
Definition
verbal, nonverbal, or written communication by a patient that he wishes to receive medical care
Term
Implied Consent
Definition

consent for treatment that is presumed for a patient who is mentally, physically, or emotionally unable to grant consent.  Also called emergency doctrine

Term
Involuntary Consent
Definition

Most commonly encountered with pt. who must be held for mental-health evaluation or as directed by law enforcement personnel

Term
Abandonment
Definition
termination of the paramedic-patient relationship without assurance that an equal or greater level of care will continue
Term
Advanced Directive
Definition
a document created to ensure that certain treatment choices are honored when a pt. is unconscious or otherwise unable to express his choice of treatment.
Term
Living Will
Definition

a legal document that allows a person to specify the kinds of medical treatment he wishes to receive should the need arise

Term
DNR
Definition

- legal document, usually signed by the pt and his physician, whichindicates to medical personnel which, if any, life-sustaining measures should be taken when the pt.'s heart and respiratory functions have ceased.

Term
peer review of pt care
Definition

An example of a quality improvement activity in EMS is:

Term
Accidental Death and Disability: The Neglected Disease of Modern Society
Definition

Which of the following is the publication that first focused attention on the problem of motor vehicle deaths?

Term
with the best interests of their patients in mind
Definition

Paramedics should always provide care:

Term
research
Definition
traditional EMS treatments and practices have been abandoned or refined due to:
Term

Acceptance of a code of professional ethics and etiquette

Definition

Which of the following best describes the paramedic's professional obligation?

Term

The National Highway Traffic Safety Administration

Definition

Which of the following agencies developed and published the 1998 Paramedic National Standard Curriculum?

Term
Index of Suspicion
Definition

Your anticipation of possible injuries based on your analysis of the events

Term
Assault
Definition

An act that unlawfully places a person in apprehension of immediate bodily harm without his consent.

Term
AVPU
Definition

Alert, Verbal, Painful, Unresponsive.  Used to establish alertness

Term
Beneficence
Definition

The principle of doing good for the patient

Term
Burnout
Definition

Occurs when coping mechanisms no longer buffer job stressors, which can compromise personal health and well being.

Term
Defemation
Definition
An intentional false communication that injures another person’s reputation or good name
Term
Differential Diagnosis
Definition

List of possible causes for your patient’s symptoms

Term
Empathy
Definition

Identification with and understanding of another’s situations, feelings, and motives.

Term
Ethics
Definition
The rules or standards that govern the conduct of members of a particular group or profession
Term
False Imprisonment
Definition

Intentional and unjustifiable detention of a person without his consent  or other legal authority.

Term
HIPPA
Definition

Health Insurance Portability and Accountability act of 1996.  It changed the methods EMS providers use and file for insurance and Medicare payments.  Adds new layer to privacy protection.  Focuses on protecting patient confidentiality

Term
Negligence
Definition

Deviation from accepted standards of care recognized by law for the protection of others against unreasonable risk of harm.

4 elements of negligence

1.         Duty to act

2.         Breach of that duty

3.         Actual damages

4.         Proximate cause

Term
Patient Advocacy
Definition

Advocate for the patient by defending them, protecting them, and acting in their best interest.  Place the needs of your patient over your own self interest.

Term
PRIMUM NON NOCERE
Definition

Latin for “first do no harm”.  Another word for nonmaleficence

Term
Initial Assessment
Definition

To identify and correct any immediate life threatening airway, breathing or circulation problems.  Should take less than a minute

Term
Reciprocity
Definition

The process by which an agency grants automatic certification or licensure to an individual who has comparable certification or licensure from another agency

Term
Standard Of Care
Definition

The degree of care, skill, and judgement that would be expected under like or similar circumstances by a similarly trained, reasonable paramedic in the same community

Term
Broncho Vesicular
Definition
normal breath sounds
Term
Adventitious
Definition
bad lung sounds
Term
wheezes
Definition
broncho spasm or broncho constriction
Term
Rales
Definition

fluid in the lungs

Most common CHF

Sounds like "crackles"

Term
Ronchi
Definition

"gunky" lung sounds

Mucus and infectious material

Chronic Bronchitis patients

 

Term
Cheyenne Stokes
Definition
when you have an increase in rate and depth due to ICP
Term
Cullen's Sign
Definition
bruising around the umbilicus. Usually from necrosis of the pancreas and ectopic pregnancy.
Term
Grey-Turners Sign
Definition
bruising around the flanks from bleeds
Term
Petechiae
Definition
little pin dots, like little capillary hemorrahages
Term
Purpurae
Definition
little bloches or mottled skin
Term
Kortokoff Sounds
Definition
The sounds made when you auscultate a blood pressure
Term
Bruits
Definition
When you hear turbulence in a vessel.
Term
Fremitus
Definition
a palpable vibration.. say 99
Term
Isometric exercises
Definition
holding an object still, like during a squat
Term
Becks Triad
Definition
combination of a narrowed pulse pressure, muffled heart tones, JVD associated with cardiac tamponade, usually from chest trauma.
Term
Cushings Reflex
Definition
combination of a slowing pulse, rising BP and erratic respiratory patterns. When Pts have head trauma.
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