WFR Medical-Legal Issues, Consent, and Documentation 5

Question 1

Medications and procedures a WFR may use on an organized trip are typically defined by:

Accepted Answer

Written protocols authorized by a physician medical advisor

Answer

Organizations use physician-authorized protocols to define and extend the scope of practice in the field.

Question 2

A WFR on a remote trip finds a patient pulseless and apneic after 30 minutes of CPR with no response and no defibrillator. What does WFR training generally support?

Accepted Answer

Stopping CPR per protocol when resuscitation is futile and rescuers are exhausted or in danger

Answer

Wilderness protocols generally allow stopping CPR after about 30 minutes without return of circulation, or when rescuers are exhausted or endangered.

Question 3

A patient presents a valid DNR order while on a backcountry trip. What is generally appropriate?

Accepted Answer

Honor it if valid and per local law and protocol, while providing comfort care

Answer

A valid DNR limits resuscitation but does not prohibit other appropriate care and comfort measures.

Question 4

A WFR suspects a child on a trip is a victim of abuse. What should the WFR generally do?

Accepted Answer

Document objective findings and report according to state law and organizational policy

Answer

Many states designate certain caregivers as mandated reporters, and objective documentation supports proper reporting.

Question 5

Why should a copy of the SOAP note accompany the patient when care is handed off to EMS?

Accepted Answer

It gives receiving providers a record of findings, treatment, and trends

Answer

Written documentation supports continuity of care and preserves important findings for the next provider.

WFR - Wilderness First Responder Practice Test

WFR - Wilderness First Responder Practice Test

WFR Medical-Legal Issues, Consent, and Documentation 5