Part 800
NYS EMS protocol. Everything you must keep in the ambulance is included.
Medical director
The physician who authorizes or delegates to
... [Show More] the EMT the authority to provide medical care in the field.
Reciprocity
Ability to transfer state to state as an EMT
Scene Safety
steps taken to ensure the safety and well-being of the EMT, his partners, patients, and bystanders
Proper body substance isolation
PPE (gowns, gloves, protective masks)
What do you do if the scene is not safe?
Contact police
Sharps Container
A puncture-proof container designed specifically to safely dispose of needles, scalpels, and other sharp disposable medical instruments
Handwashing
Step 1: Wet Hands. Wet your hands and apply enough liquid soap to create a good lather. ...
Step 2: Rub Palms Together. ...
Step 3: Rub the Back of Hands. ...
Step 4: Interlink Your Fingers. ...
Step 5: Cup Your Fingers. ...
Step 6: Clean the Thumbs. ...
Step 7: Rub Palms with Your Fingers.
Wellbeing of the EMT
Recognizing stressors, taking up a healthy diet and exercise, coping with death and dying
CISM
Critical Incident Stress Management - A process that confronts the responses to critical incidents and defuses them, directing the emergency services personnel toward physical and emotional equilibrium.
Evidence at a crime scene
blood, DNA, fingerprints, shoeprint, hair
Signs of Obvious Death
Rigor Mortis, Dependent Lividity, Putrefication, Evidence of non-survivable injury
Restraining a Patient
-do not restrain in prone position
-restrain of patient becomes dangerous to self or you
-use humane restraints and do so in the supine position
Unsafe scene procedures
...
Expressed Consent (actual consent)
Type of consent given when patient verbally or otherwise acknowledge that he or she wants you to provide care or transport.
Implied consent
Type of consent in which a patient who is unable to give consent is given treatment under the legal assumption that he or she would want treatment.
Informed consent includes
Risks, benefits, complications, alternatives
DNR
do not resuscitate order
MOLST
medical orders for life sustaining treatment- a medical order form that tells others the patient's medical orders for life-sustaining treatment
Informed refusal
Occurs when the patient refuses treatment after he/she has been fully educated regarding the consequences of not receiving the treatment.
RMA
The refusal of medical assistance, or RMA, ensures the continuum of care that ambulance squads have a responsibility towards. In a typical emergency call, the ambulance service will assess and transport the patient to an appropriate facility. [Show Less]