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Santa Clara County EMS
Orientation questions with
answers
Policy 108 - .... ๐ฐ VERIFIED ANSWERS.... โโ System Variance Reporting What types of incidents are considered Level A? - .... ๐ฐ VERIFIED ANSWERS.... โโ Any incident that results in a threat to public safety, patient, by-stander or responder harm. What is the maximum amount of time you must report a Level A variance? - .... ๐ฐ VERIFIED ANSWERS.... โโ Immediately (paperwork must be done within 24 hours) Who must be notified ASAP for a Level A variance? - .... ๐ฐ VERIFIED ANSWERS.... โโ EMS Duty Chief What types of incidents are considered Level B? - .... ๐ฐ VERIFIED ANSWERS.... โโ Any incident that does not result in patient harm, but is a deviation from EMS Agency policies, procedures, and protocols. What is the maximum amount of time you must report a Level B variance? - .... ๐ฐ VERIFIED ANSWERS.... โโ 5 business days
What types of incidents are considered Level C variances? - .... ๐ฐ VERIFIED ANSWERS.... โโ Incidents where the responders provided outstanding care and went above and beyond the normal expectations of responders. What is the maximum amount of time you must report a Level C variance? - .... ๐ฐ VERIFIED ANSWERS.... โโ 7 business days What form would you use to to file a variance report? - .... ๐ฐ VERIFIED ANSWERS.... โโ EMS Form # Policy 109 - .... ๐ฐ VERIFIED ANSWERS.... โโ Policy Development How will policy implementation be disseminated to you? - .... ๐ฐ VERIFIED ANSWERS.... โโ Via program manager What other resources do you have to find new policies and updates? - .... ๐ฐ VERIFIED ANSWERS.... โโ County Website, App, Social Media, Hardcopy Policy 500 - .... ๐ฐ VERIFIED ANSWERS.... โโ Electronic Patient Care Record (ePCR) When an MCI alert occurs with 5 or more patients is a PCR required? - .... ๐ฐ VERIFIED ANSWERS.... โโ No What is used instead of a PCR during an MCI with 5 or more patients? - .... ๐ฐ VERIFIED ANSWERS.... โโ Triage Tags
Who can make base contact? - .... ๐ฐ VERIFIED ANSWERS.... โโ Only Paramedics What is the best form of communication? - .... ๐ฐ VERIFIED ANSWERS.... โโ Cellular Phone Communication What are the types of radio tones you would hear over the radio?
- .... ๐ฐ VERIFIED ANSWERS.... โโ Steady Alert Tones & Warbler Tones What is a Steady Alert Tone? - .... ๐ฐ VERIFIED ANSWERS.... โโ A Steady Alert Tone is used anytime the dispatcher needs to announce a priority message such as "All Points Broadcast" (APB); "Be on the Look Out" (BOLO); hospital on "Internal Disaster; etc. What is a Warbler Tone? - .... ๐ฐ VERIFIED ANSWERS.... โโ A Warbler Tone is a fast pace continuous "high-low-high" sound. When this alert is issued, all non-emergency traffic must stop until the broadcast is completed. Signifies an eminent safety issue. What does P.A.R. stand for? - .... ๐ฐ VERIFIED ANSWERS.... โโ Personnel Accountability Report Policy 502 - .... ๐ฐ VERIFIED ANSWERS.... โโ Patient Consent and Refusal for EMS Services
Who is legally authorized to refuse care? - .... ๐ฐ VERIFIED ANSWERS.... โโ Adults 18+, AOx4, Minors who are or were legally married, Minors on active duty, Minors who are emancipated, & Minors who are pregnant and needs or seeks medical attention in regards to their pregnancy. An individual is not authorized to refuse care if they are: - .... ๐ฐ VERIFIED ANSWERS.... โโ Suicidal or on a 51/50 hold or similar hold. Policy 600 - .... ๐ฐ VERIFIED ANSWERS.... โโ Field Pronouncement of Death What are the obvious signs of death an EMT can pronounce?
- .... ๐ฐ VERIFIED ANSWERS.... โโ Decapitation, Total Incineration, Decomposition (Putrefaction), Rigor Mortis, Livor Mortis (Resting Lividity), pulseless with obvious separation of heart, brain, and/or lungs, DNR (if pulseless + aepnic), and End of Life Option Act (if pulseless + aepnic) Policy 601 - .... ๐ฐ VERIFIED ANSWERS.... โโ Physician at Scene If a physician arrives on scene, what do you do first? - .... ๐ฐ VERIFIED ANSWERS.... โโ Request Proper Identification; MD or DO (Medical License or Business Address) What are three options a physician has when assisting in rendering aid while responders are on scene? - .... ๐ฐ VERIFIED ANSWERS.... โโ Relinquishing Patient Care, Assisting in Patient Care, and Managing Patient Care.
Name the designated trauma centers in Santa Clara County.
- .... ๐ฐ VERIFIED ANSWERS.... โโ Stanford University Medical Center, Santa Clara Valley Medical Center, San Jose Regional Medical Center. What is the age for a pediatric patient? - .... ๐ฐ VERIFIED ANSWERS.... โโ <15 years of age Where are pediatric patients meeting Trauma Alert criteria to be transported? - .... ๐ฐ VERIFIED ANSWERS.... โโ Stanford University Medical Center or Santa Clara Valley Medical Center Where are burn patients transported? - .... ๐ฐ VERIFIED ANSWERS.... โโ Santa Clara Valley Medical Center Where do you take burn patients if the primary center is not accepting patients? - .... ๐ฐ VERIFIED ANSWERS.... โโ Closest trauma center that is accepting emergency ambulance patients. Name all of the STEMI receiving centers in Santa Clara County. - .... ๐ฐ VERIFIED ANSWERS.... โโ El Camino Hospital Mountain View, Good Samaritan Hospital, Kaiser Permanente Santa Clara Medical Center, O'Connor General Hospital, San Jose Regional Medical Center, Kaiser Permanente San Jose Medical Center, Stanford University Medical Center,
& Santa Clara Valley Medical Center. You have a patient that wants to be transported out of the county, is this allowed? - .... ๐ฐ VERIFIED ANSWERS.... โโ Only if directed by county officials. If a patient requested to no longer be transported to the hospital, and wanted to exit your ambulance. How would you respond?
- .... ๐ฐ VERIFIED ANSWERS.... โโ Stop the ambulance when safe, and allow the patient to leave when it is safe to do so. If you were en-route to an ED and the patient decided they wanted to go to an alternative location, is this allowed? - .... ๐ฐ VERIFIED ANSWERS.... โโ Yes, as long as you have not arrived at the initial ED. Policy 604 - .... ๐ฐ VERIFIED ANSWERS.... โโ Do no Resuscitate (DNR) What are valid forms of DNR? - .... ๐ฐ VERIFIED ANSWERS.... โโ "No Code / No CPR" on chart, DNR form, CDNR medallion, DPAHC (durable power of attorney for health care), & POLST. What happens if no form can be produced? - .... ๐ฐ VERIFIED ANSWERS.... โโ The patient is to receive full resuscitative care. What happens if, during CPR, an adequate form is produced?
- .... ๐ฐ VERIFIED ANSWERS.... โโ Withhold/Discontinue resuscitative efforts.
Policy 605 - .... ๐ฐ VERIFIED ANSWERS.... โโ Prehospital Trauma Triage What types of penetrating injuries are considered Trauma Alert criteria? - .... ๐ฐ VERIFIED ANSWERS.... โโ Injuries to the head, neck, back, chest, abdomen, groin, or extremities proximal to elbows or knees. At what speed for a motor vehicle accident would be an automatic mechanism of injury (MOI) for a major trauma victim (MTV) alert? - .... ๐ฐ VERIFIED ANSWERS.... โโ 40 MPH or greater What types of vehicle deformities would indicate a possible Trauma Alert activation? - .... ๐ฐ VERIFIED ANSWERS.... โโ Significant damage to the vehicle caused by the patient's body (windshield starring, steering wheel deformity, etc.) At what speed for a motorcycle accident would require a major trauma victim (MTV) activation? - .... ๐ฐ VERIFIED ANSWERS.... โโ 20 MPH or greater Policy 606 - .... ๐ฐ VERIFIED ANSWERS.... โโ Prehospital Transition of Care At any point can a medic transfer care to an EMT after evaluating a patient? - .... ๐ฐ VERIFIED ANSWERS.... โโ Yes, but only if the patient does not require ALS intervention or continued care.
Policy 607 - .... ๐ฐ VERIFIED ANSWERS.... โโ Non-Emergency Ambulance Utilization in the 911 EMS System If you get a patient to the ED within how many minutes of wheels stopped to wheels stopped, can you load and go? - .... ๐ฐ VERIFIED ANSWERS.... โโ Within 10 minutes What is the policy on transporting red lights and sirens (RLS) while operating in a non-emergent capacity? - .... ๐ฐ VERIFIED ANSWERS.... โโ Red lights and sirens (RLS) are used if the time from the arrival on scene to the arrival at the hospital is less than 10 minutes. If you AOS and there is no medic unit available for an ALS call but there is a fire medic available, how would you proceed? - .... ๐ฐ VERIFIED ANSWERS.... โโ Medic will render care in the back of the ambulance & BLS crew will transport. Policy 609 - .... ๐ฐ VERIFIED ANSWERS.... โโ EMS System Field Management What are the types of tasks the County Duty Officer oversees?
- .... ๐ฐ VERIFIED ANSWERS.... โโ The county duty officer handles all EMS operations (IFT & 911), but has no jurisdictional authority. Policy 610 - .... ๐ฐ VERIFIED ANSWERS.... โโ Hazardous Material Incidents - EMS Response and Transport
Policy 618 - .... ๐ฐ VERIFIED ANSWERS.... โโ EMS Lift Safety Procedures What is a CAN report? - .... ๐ฐ VERIFIED ANSWERS.... โโ Conditions Actions Needs Policy 700-A03 - .... ๐ฐ VERIFIED ANSWERS.... โโ Hypoglycemia For an altered patient, what is the glucose policy for administration and follow up dose? - .... ๐ฐ VERIFIED ANSWERS.... โโ BLS -oxygen -if blood glucose level (BGL) is 80mg/dL or less and patient can swallow while controlling their own airway, administer ORAL GLUCOSE (at least 25gm) -repeat once after 15 minutes if no improvement Policy 700-A13 - .... ๐ฐ VERIFIED ANSWERS.... โโ Stroke What is the acronym that is used to assess for stoke? - .... ๐ฐ VERIFIED ANSWERS.... โโ Gaze abnormalities Facial droop Arm drift Speech abnormalities Time last seen normal
What are the comprehensive stroke centers in Santa Clara County? - .... ๐ฐ VERIFIED ANSWERS.... โโ El Camino Mountain View Hospital, Good Samaritan Hospital, San Jose Regional Medical Center, & Stanford University Medical Center. Policy 700-A17 - .... ๐ฐ VERIFIED ANSWERS.... โโ Poisoning and Overdose What is the protocol for Naloxone? How much? What route? - .... ๐ฐ VERIFIED ANSWERS.... โโ Naloxone is to be administered via intranasal route; 2ml. Policy 700-S05 - .... ๐ฐ VERIFIED ANSWERS.... โโ Routine Medical Care Pediatric Define the ages of the following: Neonate Infant Child Pediatric - .... ๐ฐ VERIFIED ANSWERS.... โโ Neonate: 0-4 weeks Infant: 1 month-1 year Child: over the age of 1 Pediatric: under the age of 15
Policy 700-A07 - .... ๐ฐ VERIFIED ANSWERS.... โโ Cardiac Arrest SCC CPR Ventilation Rate - .... ๐ฐ VERIFIED ANSWERS.... โโ 1 breath every 5-6 seconds averaging 10 breaths per minute. SCC Compression Rate - .... ๐ฐ VERIFIED ANSWERS.... โโ 110 Compressions per minute Policy 700-S01 - .... ๐ฐ VERIFIED ANSWERS.... โโ Continuous Cardiopulmonary Resuscitation What are the compression depths for adults, children, and infants? - .... ๐ฐ VERIFIED ANSWERS.... โโ Adult: 2-2.4" Child: 2" Infant: 1.5" Policy 811 - .... ๐ฐ VERIFIED ANSWERS.... โโ Multiple Casualty Incident Plan Please define the number of patients per level during an MCI.
- .... ๐ฐ VERIFIED ANSWERS.... โโ Level 1: 5-10 patients Level 2: 11-20 patients Level 3: 21-100 patients Level 4: 101-1000 patients Level 5: >1000 patients
At what MCI level is START triage enacted? - .... ๐ฐ VERIFIED ANSWERS.... โโ Level 3 What acronym is used to help during MCI triage? - .... ๐ฐ VERIFIED ANSWERS.... โโ RPM - Respirations, Perfusion, Mental status Policy 811A - .... ๐ฐ VERIFIED ANSWERS.... โโ Field Treatment Site What is the minimum requirement of personnel to set up a field treatment site? - .... ๐ฐ VERIFIED ANSWERS.... โโ Minimum of five 5 people What are some considerations you should look for when choosing a field treatment site? - .... ๐ฐ VERIFIED ANSWERS.... โโ Size and Location of the treatment site Where are the mobilization centers located within the county?
- .... ๐ฐ VERIFIED ANSWERS.... โโ DeAnza College, Santa Clara County Fairgrounds, Fire Station off Highway 101 + Masten Ave. in Gilroy What are some requirements to complete when operating out of a MOB center? - .... ๐ฐ VERIFIED ANSWERS.... โโ ICS 214 Logs & T-Cards Which trauma hospitals are associated with each zone? - .... ๐ฐ VERIFIED ANSWERS.... โโ Zone A - Stanford
