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RC 77 EMT-B Chapter 1


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Quality Improvement
Continuous self-review with the purpose of identifying aspects of the system that require improvement.
911 system
A system for telephone access to report emergencies. A dispatcher takes the information and alerts EMS or the fire or police departments as needed.
Responsibilities of the EMT-B
Personal safety, safety of the crew, patient, and bystanders, patient assessment, patient care, lifting and moving, transport, transfer of care, patient advocacy.
Off-line Medical Direction
"Behind the scenes" medical direction. These are standing orders that allows the EMT-B to give certain medical attntion without speaking to the Medical Director or another physician.
Physical traits of the EMT-B
Good health, lift and carry 125 lbs., good eyesight, able to differintiate between colors, give and receive oral and written instructions.
On-line Medical Direction
Orders from the on-duty physician given by radio or phone. Can be requested at any time you feel that medical advice would be beneficial to patient care.
Standing orders
A policy or protocol issued by a Medical Director that authorizes EMT-Bs and others to perform particular skills in certain situations.
Enhanced 911
The capability of automatically identifying the caller's phone number and location.
Personal traits of the EMT-B
Pleasant, sincere, cooperative, resourceful, self-starter, emotionally stable, able to lead, neat and clean, respectful, good moral character, control of personal habits, able to listen.
National Registry of Emergency Medical Technicians-establish and maintain national standards for EMTs
Lists of steps for assessment and interventions to be performed in different situations.
Designated Agent
An EMT-B or other person authorized by a Medical Director to give medications and provide emergency care. The transfer of such authorization to a designated agent is an extension of the Medical Director's license to practice medicine.
Educational traits of the EMT-B
Maintain up-to-date knowledge and skills, refresher training, continuing education.
Medical Direction
Oversight of the patient-care aspects of the EMS system.
Special designations that hospitals may have
Trauma center, burn center, pediatric center, poison control center.
Levels of EMS Training
First Responder, EMT-B, EMT-Intermediate, EMT-Paramedic
How can you work toward quality care?
Keep careful written documentation, be involved in the quality process, obtain feedback from patients and hospital staff, maintain equipment, continue education.
Medical Director
Physician who assumes the ultimate responsiblity for medical direction.

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