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EMT Operations and Procedures
Guide
EMT Operations Exam Study Guide
Personal Protective Equipment (PPE)
Medical Conditions or Pathogens Requiring N95 Mask :
Patients suspected or confirmed to have an airborne transmissible disease, such as:
Tuberculosis (TB) Chickenpox (Varicella) Measles
Conditions Requiring Face Shield :
Suspecting blood or fluid splatter, such as during a labor and delivery call.
Proper Handwashing Techniques :
Wet hands thoroughly Use soap Wash hands thoroughly for at least 15 seconds Rinse hands thoroughly Leave water running if non-auto to dry hands Close water with paper towel to prevent picking up germs
EMT Responsibilities and Procedures
Shift Preparation and Responsibilities : Prep: Check ambulance and equipment Check in with dispatch Response: Always drive safely Scene Management: Consider safety Patient Assessment and Care Management and Disposition Patient Transfer and Report Documentation
Return to Service
Safe Driving Habits with Lights and Sirens :
Applying the rights of way and due regard
Approaching a School Bus with Lights and Sirens :
Slow down and turn down siren
Stop until the school bus is clear, then cautiously pass
Patients Benefiting from Helicopter Transport :
Patients not in immediate need of life-saving interventions
Techniques to Improve Radio Communication :
Listen to the channel before transmitting Press transmit for 1 second Speak slowly and clearly Be brief
Avoid slang or profanity
Components Assessed During Scene Size-up :
BSI and PENMAN
Resources to Identify Unknown Hazardous Materials
Additional Resources that May Be Required :
Requesting ALS, AED, Airway bag for cardiac/respiratory failure
Patient Management at a Crime Scene :
Only move objects if necessary Get aid from law enforcement if items need to be moved Place items found in a crime scene in a paper bag to prevent mold formation
Scene Findings Indicating Presence of Weapon of Mass Destruction
Patient Assessment and Care
Primary Assessment and Treatment :
PENMAN - Treat immediate life-saving treatment ABC's in that order
Order of Operations on the Scene :
PENMAN AVPU, A/Ox4 Questions, Chief Complaint ABC's Stay and Play or Load and Go
Proper Technique for Lifting and Moving a Patient
The patient is not in immediate danger
Definitive Care and its Relation to the EMT
Best Defense for EMTs in Court :
Good Samaritan Law EMTs are acting in good faith and without bad intent
Components of a Patient Care Report :
C - Chief Complaint H - History (past and present) A - Assessment R - Rx or Treatment T - Transport S - Subjective O - Objective A - Assessment P - Plan
Protocols and Certifications
Medical Director Protocol :
A policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations
Applying for Another State's License :
Based on current national EMS certification
Certification vs. Licensure :
Certification is usually issued by a non-governmental agency, while licensure must be issued by a government agency.
Libel and Slander :
Libel: Written defamation of an individual Slander: Verbal defamation of an individual
Correcting or Modifying a Handwritten Patient Care Report
Techniques to Overcome Language Barriers and Patients Who Are Deaf or Blind :
Deaf: Use pen and paper, gestures Blind: Explain everything before doing
Triage
START Triage Categories :
Green Tag Yellow Tag Red Tag Black Tag
Characteristics of START Triage Categories :
Green: Ambulatory patients (P3) Yellow: Patients with stable ABC's but not ambulatory, need to be alert (P2) Red: Patients with compromised ABC's and not ambulatory (P1) Black: Patients with compromised ABC's with no sign of improvement (P0)
Critical Incident Stress Management :
Should be conducted after experiencing calls with critical incidents, such as: Injury or death of an infant or child Disasters Injury or death of a civilian caused by EMS operations Prolonged incidents that draw stress
