EMTB9e: Assessment in Action: All Chapters

Link: AAOS

Link: Jones and Bartlett Publishers

Interactivities: Assessment in Action: All Chapters

Interactive Ready for Review

Interactive Skill Drills

Assessment in Action

Ambulance Calls

9-1-1 Scenarios

Videos: Skills in Action

Cover

Read the scenario and ask yourself, What would I do?

Scenario:

You are dispatched to a "woman with difficulty breathing" at a farm. About 10 minutes later, you pull up in front of a small farmhouse.

You ring the doorbell and knock loudly several times but there is no response, so you decide to find out whether the door is open. It is, so you tentatively enter and shout, "We are here with an ambulance, did somebody call us? Is anybody home?" You enter the house and see an elderly woman lying in the middle of the floor. Your partner starts to assess her level of consciousness.

1: Which of the following regarding duty to act is true?
	A: You have been sent to her home, therefore you have a duty to act.
	B: Once you have established that she needs resuscitation, you have a duty to act.
	C: The duty to act is a personal choice so you can choose to treat or not.
	D: Because you are an EMT-B you have a legal duty to act.

2: Under what type of consent can you treat this patient and attempt resuscitation?
	A: Undue
	B: Informed
	C: Referred
	D: Implied

3: This patient had been asleep and, upon awakening, was alert and oriented to person, place, and time, but stated that she didn't wish to go to the hospital. After completion of an initial assessment, what would be the most appropriate course of action?
	A: Inform her of the possible consequences and have her sign a refusal form.
	B: Threaten legal action if she chooses not to go.
	C: Secure her to the stretcher and then transport her to the hospital.
	D: Call law enforcement so they can place her under protective custody.

4: You have established unresponsiveness, pulselessness, and apnea, and are beginning resuscitation procedures when a young man rushes into the room stating, "Don't do that, she doesn't want CPR!" What should you do?
	A: Continue treatment because you have already started, and transport.
	B: Immediately stop what you are doing and ask who he is.
	C: Ask if there is any written documentation such as a DNR or advance directive.
	D: Stop your procedures and have him sign a refusal of care form.

5: If, during your assessment, you had found regular respirations and a weak pulse and the relative produced a DNR order, what would be appropriate measures to take?
	A: Document the presence of DNR orders and have the relative sign the refusal of care.
	B: Continue all treatment because DNR orders are not legal outside a hospital.
	C: There is no further action to take; you may leave.
	D: Provide supportive care and transport with the DNR orders.

6: After you have completed this call and are back at the station, you receive a phone call from a man who identifies himself as this patient's son. He is asking what happened to his mother and what you did at the scene. What would be an appropriate response?
	A: Describe for him, in objective terms, what was done at the scene and offer to get a copy of the report for him
	B: Tell him he must come down in person to receive that information, since you have no way of verifying who he is over the phone.
	C: Tell him he must call back when your report is complete, and talk to both you and your commanding officer.
	D: Tell him you are not allowed to give out that information and refer him to the family members who were present at the scene.

All Learning Resources for Chapter 3

Assessment in Action for All Chapters