Florida Basic Recruit Training Program High Liability (First Aid)

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Terms in this set (...)

EMS system
The ___ is a network of trained professionals linked to provide advanced, out-of-hospital care for victims of sudden traumatic injury or illness.
The Division
of Emergency Medical Services and Community Health Resources
___ provide leadership to local jurisdictions and municipalities.
Equal
Florida law mandates that all patients have ___ access to the EMS system.
State
Each ___ regulates its EMS system.
National Highway Traffic Safety Administration and the United States Department of
Transportation (USDOT)
Although each state regulates its EMS system, the ___ and ___ sets the standard.
United States Department of
Transportation
USDOT stands for ___.
Emergency Medical Technicians
EMTs stands for ___.
Cardiopulmonary resuscitation
CPR stands for ___.
First aid provider
• airway care
• patient assessment
• cardiopulmonary resuscitation (CPR)
• bleeding control
• stabilization of injuries to the spine and extremities or limbs
• care for medical and trauma emergencies
• use of limited amount of equipment
• assistance to other EMS providers
• cannot administer medications
First Responder
• airway care with use of adjunctive equipment
• patient assessment
• CPR
• bleeding control
• stabilization of injuries to the spine and extremities
• care for medical and trauma emergencies
• use of limited amount of equipment
• assistance to other EMS providers
• other skills or procedures as local or state regulations permit
EMT—Basic
• performs all techniques of a first aid provider and a first responder
• performs complex immobilization procedures
• restrains patients
• staffs and drives ambulance
EMT—Paramedic
• performs all functions of previous two levels
• administers medications
• performs advanced techniques, including cardiac monitoring
Patient
Your primary concern as a first aid provider is the ___.
Airway, Breathing, and Circulation
ABCs stands for ___.
duty to act
___ is "a duty to take some action to prevent harm to another and for the failure
of which one may be liable depending on the relationship of the parties and
the circumstances." (Garner, 1999)
Good Samaritan Act
Any person, including those licensed to practice medicine, who gratuitously and in good faith renders emergency care or treatment at the scene of an emergency outside of a hospital, doctor's office, or other place having proper medical equipment, without objection of the injured victim or victims thereof, shall not be held liable for any civil damages as a result of such care or treatment or as a result of any act or failure to act in providing or arranging further medical treatment where the person acts as an ordinary reasonably prudent man would have acted under the same or similar circumstances.
Law enforcement Officer
___ means any person who
is elected, appointed, or employed full time by any municipality or the state or any political subdivision
thereof; who is vested with authority to bear arms and make arrests; and whose primary responsibility is the
prevention and detection of crime or the enforcement of the penal, criminal, traffic, or highway laws of the state. This definition includes all certified supervisory and command personnel whose duties include, in whole or in part, the supervision, training, guidance, and management responsibilities of full-time law enforcement officers, part-time law enforcement officers, or auxiliary law enforcement officers but does not include support personnel employed by the employing agency.
Webster v. State
In ___, the district court held that the right of officers of the sheriff's department to enter and to investigate in an emergency situation, without an accompanying intent to seize or arrest, "is inherent in the very nature of their duties as peace officers and derives from the common law."
Peace Officer
A ___ is generally defined to "include[s] sheriffs and their deputies, constables, marshals, members of the police force of cities, and other officers whose duty is to enforce and preserve the public peace."
24/7
As a law enforcement officer, you have a duty to act ___ within your
jurisdictional boundaries.
Breach of duty
___ occurs when you either fail to act or act inappropriately.
Black's Law Dictionary
___ defines standard or scope of care as the following:
"In the law of negligence, the degree of care that a reasonable person should exercise; under the law
of negligence, the conduct demanded of a person in a given situation. Typically, this involves a
person's giving attention both to possible dangers, mistakes, and pitfalls and to ways of ensuring that
these risks do not materialize." (Garner, 1999)
Standard or scope of care
is care that you are expected to provide to the same patient under the same conditions as would any criminal justice first aid provider who received the same level of training.
1959; California
Good Samaritan Act was enacted in ___ in the state of ___.
Physicians
Enacted in 1959 in California, the first Good Samaritan Act provides protection from civil suits to ___ who render emergency care.
Good Samaritan Act
____, based on s. 768.13, F.S., , protects a civilian first aid provider from liability for medical care performed in good faith or medical care similar to that expected of
another first aid provider with equal training. Medical care includes using an automated external defibrillator
(AED) as provided for in s. 768.1325, F.S. It does not stop someone from filing a lawsuit; however, it does provide a defense if you performed according to the standard of care for a first aid provider. Always render care to the best of your ability. Do not go beyond the scope and level of your training.
Maintain the patient's best interests.
Abandonment
___ is: "The relinquishing of a right or interest with the intention of never again claiming it." (Garner, 1999) You abandon the patient when you stop providing care without ensuring that the patient continues or begins to receive the same or better care. You must continue providing emergency first aid until another medical professional with the same or higher-level training replaces you, or you are unable to continue.
Negligence
___ is: "The failure to exercise the standard of care that a reasonably prudent person would have exercised
in a similar situation; any conduct that falls below the legal standard established to protect others
against unreasonable risk of harm, except for conduct that is intentionally, wantonly, or willfully
disregardful of other's rights." (Garner, 1999)
Duty to act
Breach of standard of care
Causation
Damages
Negligence occurs if all these conditions are present:
Duty to act
___ is when "You were supposed to be there."
Breach of standard of care
___ is "What you did was wrong."
Causation
What you did caused the injury.
Damages
The patient suffered an injury; the injury is additional to the original injury.
Battery
is: "The use of force against another resulting in harmful or offensive contact; an intentional and offensive
touching of another without lawful justification—also termed tortuous battery" (Garner, 1999)
Consent
"Agreement, approval, or permission as to some act of purpose, especially given voluntarily by a competent person" (Garner, 1999)
competent and the consent informed
For consent to be valid, the
patient must be ___ and ___.
competent
A ___ adult is one who can make an informed
decision about medical care.
incompetent
Consider an adult ___ if he or she is under the influence of alcohol or drugs and meets the criteria for a Marchman Act, Baker Act or if he or she is seriously ill,
has an injury that affects judgment, or is mentally ill or mentally challenged.
expressed consent
"Consent that is clearly and unmistakably stated" (Garner, 1999).
expressed consent
___ is affirmative consent, such as verbal or physical assertion of the affirmative.
implied consent
"Consent inferred from one's conduct rather than from one's direct expression"
(Garner, 1999).
implied consent
___ is when the unresponsive patient is at risk of death, disability, or deterioration of condition and would agree to care if able to consent. It may also apply to conscious patients who do not stop you from providing treatment, refuse care, and then
become unresponsive and are not competent to refuse care.
informed consent
"A person's agreement to allow something to happen made with full knowledge
of the risks involved and the alternatives" (Garner, 1999).
informed consent
___ is when a patient chooses a treatment or a procedure, he or she makes this choice after a physician or other healthcare provider discloses whatever
information a reasonably prudent provider in the medical community would provide to a patient about
the risks involved in the proposed treatment.
18
In Florida, children under age ___ are minors.
Implied Consent
If the parent or legal guardian is not available in life-threatening or disabling emergencies, provide emergency care based on the principle of ___.
emancipated minor
An ___ is one
who is married, an active member of the military, or financially independent or lives away from home with
court permission.
Do Not Resuscitate (DNR) Order (DNRO) or an advanced directive
A terminally ill patient may have a directive in place, written in advance, and signed by both the patient and
a physician. Commonly known as a ___, ___, or ___.
Do Not Resuscitate
DNR stands for ___.
Do Not Resuscitate Order
DNRO stands for ___.
advanced directive
An ___ documents the patient's request to withhold specific medical care.
Criminal justice first aid providers
Who do not have authorization to honor a DNR Order or an advanced directive?
DH Form 1896
Florida Do Not
Resuscitate Order Forms is a commonly named form for a ___
yellow
The Do Not Resuscitate Order form shall be printed on ___ paper and have the words "DO NOT RESUSCITATE
ORDER" printed in black and displayed across the top of the form.
patient identification device
A ___ is a miniature version of DH Form 1896 and is incorporated by reference as part of the DNRO form. It is voluntary and is intended to provide a convenient and portable DNRO which travels with the patient.
medic alert
You may have a patient who wears an identification bracelet or necklace or carries a card in his or her wallet
that alerts you to a specific medical condition such as an allergy, epilepsy, or diabetes. On the jewelry or card,
you may find a telephone number to call for detailed information about the patient. This bracelet, necklace, or card is known as a ___.
Health insurance portability and
accountability act of 1996
Hipaa stands for ___.
Health insurance portability and
accountability act of 1996
protects the rights of patients and
the release of patient information.
another
health care provider needs patient information in order to continue medical care or you receive a request to
provide patient information as part of a criminal investigation.
Do not release patient health information without a signature unless ___ or ___.
Nonverbal
___ communication such as offering a tissue or a warm blanket or placing your hand on the patient's shoulder comforts patients and families.
Empathy
___ is one of the most helpful tools you can use to deal with a crisis.
Nutrition
___ is a healthy, well-balanced diet helps prevent and reduce stress. Maintaining
regular meal schedules and having healthy food available improves eating habits. Certain foods, such as sugar, caffeine, and alcohol, elevate the body's response to stress. Alcohol, tobacco products, and other kinds of self-medication actually increase stress levels.
Relaxation
____ takes many forms: meditation, religion, sports, hobbies, or other activities. Your schedule should also allow for adequate sleep and rest.
Exercise
___ is a great stress reliever. Its many benefits include a release for pentup
emotions. Criminal justice officers should incorporate regular ____ programs in
their daily schedules.
denial
feeling that the death is not happening or did not happen; refusing to
accept reality
anger
acting out, perhaps in ways that endangers others
bargaining
trying to make a deal to postpone the inevitable
depression
feeling and acting unusually silent, distant, and withdrawn
acceptance
unhappy, but resigned to reality
The Center for Disease Control & Prevention
CDC stands for ___.
universal precautions
___ is a set of procedures designed to prevent transmission of human immunodeficiency virus (HIV), hepatitis B virus, and other bloodborne pathogens to first aid or health care providers.
infectious
The new CDC standard instructs providers to assume that all blood and body fluids are ___.
Body Substance Isolation
BSI stands for ___.
Body Substance Isolation
Called ___ , the new standard requires using a form of infection control with all
patients. Isolating body substances from yourself and other patients is critical in preventing disease and infection
transmission. It includes two basic behaviors: use of medical personal protection equipment and personal
behaviors that reduce risk.
Personal Protective Equipment
PPE stands for ___.
Personal Protective Equipment
It serves as a barrier against infection. Medical ___ includes eye
protection, gloves, protective clothing (i.e., gown or coveralls, sleeves, shoe covers), masks or shields, and biohazard
bags.
15
When washing your hands with soap and water, first wet them with water. Then apply soap and rub your hands together vigorously for at least ___ seconds.
filter masks and CPR masks
There are two different types of masks: ___ and ___.
filter
A ___ mask can provide protection
against airborne diseases.
CPR
___ masks are barrier devices with one-way valves used when performing
ventilations.
Occupational Safety and Health Administration
The procedures you use to handle biomedical or biohazardous wastes must comply with federal ___ requirements for identifying and segregating blood or waste material saturated with body fluids.
Occupational Safety and Health Administration
OSHA stands for ___.
Methicillin-Resistant Staphylococcus Aureus
MRSA stands for ___.
Methicillin-Resistant Staphylococcus Aureus
___ is a type of bacteria that is highly contagious and resistant to certain antibiotics.
A, B, and C
There are multiple strains of hepatitis; the most common ones are hepatitis _, _, and _ that can all cause liver
disease.
HIV
___ is a virus that attacks the immune system.
Hepatitis A
___ is technically not a bloodborne disease; it is found in food and waste, and is passed on when a person swallows infected matter.
Hepatitis C
According to CDC reports, ___ is the most common chronic bloodborne infection in the United States
one-third
Of all persons infected with the hepatitis C virus in America, approximately ___ pass through jails and prisons each year.
Airborne Infection
Any infection spread from person to person through the air is an ___
skeletal
The ___ system is the supporting framework for the body, giving it shape and protecting vital organs. It attains mobility from the attached muscles and manufactures
red blood cells.
six
The skeletal system has ___ main components.
skull
The ___ houses and protects the brain. It also gives shape and function to the face.
hinged jawbone
The ___ attached to the skull permits the jaw to move.
spinal column
The ___ protects the spinal cord
and is the primary support for the entire body.
vertebrae
The spinal column consists of separate bones called ___ that stack one on top of each other and are held together by muscles.
collarbone and shoulder blades
The shoulder girdle consists of the ___ and ___.
breastbone (sternum) and ribs
The chest consists of the
___ and ___. It protects the heart, lungs, liver, and spleen.
pelvis
The ___ protects the reproductive organs and supports the organs in the lower abdominal cavity.
lower extremities
The ___ consist of the upper leg, lower leg, ankle, and foot.
femur
The upper leg consists of the longest, strongest bone in the human body, the thighbone (or ____).
muscular
The ___ system gives the body shape, protects internal organs, and provides body movement.
3
The body contains ___ different types of muscles.
voluntary muscles
Muscles used for deliberate acts, such as chewing, bending, lifting, and running, are ___. These are muscles attached to the skeleton and under the control of the nervous system and brain. The individual can contract and relax these muscles.
Involuntary muscles
____, or smooth muscles, carry out many automatic body functions. They are in the walls of the tube-like organs, such as ducts, blood vessels, and the intestinal wall. The individual does not normally control these muscles.
cardiac muscles
Found only in the heart, the ___ work constantly to expand and contract the heart.
nervous
The ___ system controls voluntary and involuntary body activity. It also supports higher mental functions, such as thought and emotion. It lets the individual be aware of and react to the environment and keeps the rest of the body's systems working together.
central nervous
The ___ system is located in the brain and in the spinal cord. Its components are the body's mainframe computer. This is where all communication and control
originate.
peripheral nervous
The ___ system includes nerves that connect to the spinal cord and branch out to every other part of the body. These nerves serve as a two-way communication system. Some carry information from the brain and spinal cord to the body. Others carry information from the body back to
the brain.
respiratory
The ___ system delivers oxygen to and removes carbon dioxide from the blood.
windpipe (trachea)
The passage that connects the upper airway with the lower airway is the
___.
epiglottis
At the upper end of this passageway is a small leaf-shaped flap, called the ___, that keeps food and other foreign objects from entering the windpipe.
diaphragm
The ___ is a large muscle below the lungs at the bottom of the chest cavity assists in moving air in and out of the lungs.
circulatory
The ___ system pumps blood throughout the body. It functions to deliver oxygen and nutrients to and remove waste from the body's tissues.
heart
veins
capillaries
arteries
blood.
Basic parts of the circulatory system are the ___.
heart
Positioned behind the sternum, slightly to the left in the chest cavity, the ___ is a hollow, muscular organ about the size of your fist. It functions like a two-sided pump.
right; left
The ___ side pumps blood to the
lungs, which pick up oxygen, and returns the oxygenated blood to the ___ side of the heart.
left; right
The ___ side delivers the oxygenated blood throughout the body and returns the blood to the ___ side of the heart.
Blood Vessels
___ are a system of tubes through which blood flows.
Blood Vessels
___ called arteries carry blood away from the heart to the rest of the body.
carotid
major artery in the neck, felt on either side of the neck
femoral
major artery in the thigh, felt in the groin area
radial
major artery in the lower arm, felt at the thumb side of the wrist
brachial
major artery in the upper arm, felt on the inside of the upper arm
veins
Vessels called ___ carry blood back to the heart.
capillaries
Small vessels called ___ connect
arteries to veins.
Plasma
is a clear, straw-colored fluid.
Red blood
cells carry oxygen
from the lungs to the body and bring carbon dioxide back to the lungs.
White blood
cells fight infection and
destroy bacteria and other disease organisms.
Platelets
initiate the blood-clotting process.
digestive
The ___ system has two main functions: ingesting and digesting food and
nutrients. Mainly in the abdomen, this system's organs include the stomach, pancreas,
liver, gallbladder, and small and large intestines.
endocrine
The system regulates body systems by secreting hormones directly into the
bloodstream from glands.
genitourinary
The system is responsible for reproduction and waste removal.
skin
The serves as the protective covering for the inside of the body. It provides a barrier
against bacteria and other harmful substances and organisms.
12-20 breaths per minute
Normal breathing rates:
• adult:
15-30 breaths per minute
Normal breathing rates:
• child:
25-50 breaths per minute
Normal breathing rates:
• infant: