EMS Safety Test Handout
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- Alberta Wilcox
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1 1. Why is body substance isolation important? Page 1 of 5 It is a requirement of OSHA. It demonstrates a professional attitude. It prevents the patient from obtaining an infection. It reduces the risk of you obtaining a communicable disease. 2. Which statement BEST describes the precautions rescuers should follow when dealing with a severe cut on the neck that is spurting bright red blood? Gloves, gown, and goggles. Gloves, gown, and HEPA mask. Gloves, gown, and face and eye protections. 3. At the beginning of your shift, your partner suggests that you are burned out. Which behavior would BEST exhibit the actions of a provider responding negatively to excessive stress? Arrives late to work five days in a row. Begins an exercise program that is considered excessive. Tells too many funny stories about all of the calls you run. Expresses a sudden interest in religion and faith in God. 4. What BSI equipment would you wear for a trauma assessment involving a possible sprained ankle? N-95 HEPA mask. Standard exam gloves. Sterile surgical gloves. Full face shield and eye protection. 5. Identify a common complaint from a family member of an EMS worker who works in a rural community. I sure wish I had his schedule, he hardly ever works. I cannot believe how much money she makes for what she does. He is never home with the family around the holidays. Her job is easy; anyone could do what she does at work. 6. The captain of your rescue squad begins describing in great detail a pediatric cardiac arrest call where the child ultimately died despite their efforts. Identify which emotional response the captain may experience after this call. Elation. Anger. Delusions. Panic.
2 7. After running a stressful pediatric call, EMS providers should: Page 2 of 5 Go home after the call and attempt to forget the events. Recognize that they may have challenges coping with these types of calls and that it is normal. Contact a psychiatrist or psychologist to assess their emotional response. Understand that these kinds of calls will likely cause burnout in most healthcare providers. 8. The main goal of applying body substance isolation precautions should be to: Comply with OSHA guidelines. Protect yourself from an exposure risk. Reduce the risk of a wound becoming infected. Keep patients from being contaminated by another patient. 9. You have completed treatment of a patient with confirmed TB. How should you disinfect your stethoscope? Sterilization. Low-level disinfectant. High-level disinfectant. Medium-level disinfectant. 10. Which of the following plans will reduce the chances of serious injury of an employee? Install video surveillance equipment. Implement a driver s safety program. Establish stricter discipline procedures. Train all employees in first aid techniques. 11. Which of the following are the MOST appropriate body substance isolation precautions in preparation for childbirth? Gloves and shoe covers. Gloves, gowns, and shoe covers. Gloves, gown, and goggles. 12. Which of the following would be the MOST appropriate way for you to reduce or alleviate stress? Begin and maintain an exercise program. Detach yourself and view this as just a job. Ask your physician for anti-anxiety medication. Increase the amount of sleep you get to 10 hours a day.
3 13. You respond to a call for an infant crying uncontrollably when awakened. The mother's friend, a nurse, suspects meningitis. Choose the BEST reason for applying a HEPA mask as a rescuer. To protect the baby from other infections. To protect yourself and your family members. It is clearly required in the state law. Medical control will audit this type of call. Page 3 of The patient you are treating is coughing up bright red blood. Every time he yells or coughs, he spits up secretions. Which protection, other than a pair of vinyl gloves, would offer you the MOST protection? Surgical mask. Second pair of gloves. Face shield. Protective gown. 15. You are treating a patient with an abrasion to the right leg after falling off of a bicycle. Which of the following would be the MOST appropriate body substance isolation procedures to follow? Gloves and gown. Gloves and face protection. Gloves, gown, and face protection. 16. The MOST practical way to prevent cross contamination of patients would be to: Use disposable equipment whenever possible. Never transport patients you suspect are contagious. Assure that linen is thrown away when soiled with blood. Wear gloves whenever you make any patient contact. 17. Which of the following would be the MOST appropriate protective equipment to use in the case of an airborne pathogen? Mask. Gown. Gloves. Eye protection.
4 18. Page 4 of 5 You are treating a patient who is coughing up blood and has a high fever. Which of the following would be the MOST appropriate protective equipment to use in this case? Mask. Gown. Foot protection. Eye protection. 19. During your initial assessment, you discover your patient is bleeding from an obvious stab wound. Which of the following statements is TRUE regarding proper care? You should apply an airtight dressing to all wounds that result from a stabbing. Dressings should be used to cover sterile bandages when attempting to control bleeding. Bleeding control techniques should be started during the scene size-up while you form a general impression. OSHA recommends you take strict body substance isolation precaution when dressing an open wound. 20. Rescuers have just returned from a call involving a teen who overdosed on pain killers and ultimately died. What common emotional reaction should you expect to see in these responders after such a call? Hallucinations and nightmares. Short-term loss of appetite. Anger toward society. Suicidal ideas. 21. An EMS crew has just finished attempting to revive a pediatric shooting victim. Resuscitation was unsuccessful and the child ultimately died from his injuries. What could the providers do after the ambulance has been made ready for the next call to address their own feelings of inadequacy? Review the regional protocols and make sure they provided the best treatment possible. Have dispatch notify a supervisor to schedule a debriefing session as soon as possible. Spend time with the family at the hospital and explain the resuscitation process. Call home and discuss their emotions and stress with a close, trusted family member. 22. Which statement BEST describes the precautions a rescuer should follow when dealing with a severe laceration on the leg? You should not need face or eye protection for this type of injury or body part. You should apply gloves even if you feel you are not at risk of an exposure. Rescuers should wear HEPA masks to provide maximum protection for all. Providers are discouraged from applying a gown unless it is an artery injury.
5 23. Which statement describes the BEST advice when dealing with a significant laceration on an upper arm that is bleeding severely? Rescuers should wear HEPA masks to provide maximum protection for everyone. You should roll up the sleeves on your uniform shirt to prevent possible contamination. Providers are discouraged from applying a gown unless the patient has AIDS/HIV. The rescuers should apply gloves, a gown, and face protection for this situation. Page 5 of You are on the scene of a patient with difficulty breathing. Your partner suddenly begins sweating profusely and speaking incoherently at someone who is not there. Your prior call involved an infant death. Which of the following would be the most appropriate action in this case? Attempt to defuse your partner s stress reaction. Have your partner step outside to regain his composure. Call dispatch and request a supervisor and an additional unit. Indicate to the patient that your partner often acts in this manner. 25. During a call you are spit on by the patient, who is acting intoxicated. The patient is uncooperative and using profanity while yelling at you. There is no risk of harm to you or the team. What should you do when the police arrive on the scene? Tell the police officers they are clear to leave; you do not need any help. Have the patient arrested and charged for assault of an EMS provider. Turn the patient over to the police department and clear the scene. Have everyone apply face protection and continue patient treatment.
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