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SCC Local System Orientation
Exam questions with verified
answers
LGH - .... 🔰 VERIFIED ANSWERS.... ✔✔ El Camino of Los Gatos Hospital, Los Gatos ECH - .... 🔰 VERIFIED ANSWERS.... ✔✔ El Camino Hospital of Mountain View, MV GSH - .... 🔰 VERIFIED ANSWERS.... ✔✔ Good Samaritan Hospital- San Jose STH - .... 🔰 VERIFIED ANSWERS.... ✔✔ Kaiser Foundation San Jose, San Jose KSC - .... 🔰 VERIFIED ANSWERS.... ✔✔ Kaiser Foundation Santa Clara, Santa Clara OCH - .... 🔰 VERIFIED ANSWERS.... ✔✔ O'Connor Hospital, San Jose PAV - .... 🔰 VERIFIED ANSWERS.... ✔✔ Palo Alto Veterans Administration Hospital, Palo Alto
RSJ - .... 🔰 VERIFIED ANSWERS.... ✔✔ Regional Medical Center of San Jose, San Jose SLH - .... 🔰 VERIFIED ANSWERS.... ✔✔ Saint Louise Regional Medical Center, Gilroy VMC - .... 🔰 VERIFIED ANSWERS.... ✔✔ Santa Clara Valley Medical Center, San Jose SUH - .... 🔰 VERIFIED ANSWERS.... ✔✔ Stanford University Medical Center, Palo Alto HHH - .... 🔰 VERIFIED ANSWERS.... ✔✔ Hazel Hawkins Hospital, Hollister (OCH) KFF - .... 🔰 VERIFIED ANSWERS.... ✔✔ Kaiser Foundation Fremont, Fremont (OCH) KRC - .... 🔰 VERIFIED ANSWERS.... ✔✔ Kaiser Foundation Redwood City, Redwood City (OCH) SEQ - .... 🔰 VERIFIED ANSWERS.... ✔✔ Sequoia Hospital, Redwood City, (OCH) WTH - .... 🔰 VERIFIED ANSWERS.... ✔✔ Washington Township Hospital, Fremont (OCH)
302: EMS Field Supervisor - .... 🔰 VERIFIED ANSWERS.... ✔✔ non- transport unit for filling command and control responsibilities. This unit may or may not be utilized for the provision of patient care. Only permitted EMS supervisor vehicles, staffed with accredited personnel, may fill ICS positions and/or serve as an ambulance strike team unit leader 403 Trauma Center Service Areas: SUH Catchment Zone - .... 🔰 VERIFIED ANSWERS.... ✔✔ Northern border of SCC to De Anza Blvd in Cupertino and through center of Sunnyvale 403 Trauma Center Service Areas: VMC Catchment Zone - .... 🔰 VERIFIED ANSWERS.... ✔✔ i.South of De Anza Blvd in Cupertino and south of Sunnyvale-Saratoga Road to East Remington/Fair Oaks Ave in Sunnyvale ii.Eastern border is North First Street/Monterey Highway from San Jose (Alviso) to the southern boundary at the intersection of highway 101 and 85 in SJ iii. Patients requiring transport from areas south of 101/85 and West of 101 extending to the southernmost border of the county will be transported to VMC 403 Trauma Center Service Areas: RSJ Catchment Zone - .... 🔰 VERIFIED ANSWERS.... ✔✔ Extends from all areas east of North First Street/Monterey Highway (includes Milpitas) to the southern boundary at the 101/85 intersection in SJ. The northern border is SF Bay Patients requiring transport from areas south of 101/ interchange and east of 101 extending
into the southernmost borders of the county 403 Trauma Center Service Areas: Incidents on Borders - .... 🔰 VERIFIED ANSWERS.... ✔✔ at paramedics discretion 501: Standard Hospital Notifications (Ring-down) - .... 🔰 VERIFIED ANSWERS.... ✔✔ occur via cell phone or service dispatch centers 501: MTV, STEMI alerts, Stroke alerts and CCT transporting Code 3 - .... 🔰 VERIFIED ANSWERS.... ✔✔ when cell phone is NOT possible shall be transmitted via self initiated radio on EMS Command 92 501 Ring Down Format - .... 🔰 VERIFIED ANSWERS.... ✔✔ Demographics
- Unit ID (agency, type, number)
- ETA 3.Patient's Age
- Patient's Sex
- EMS provider's primary impression and patient's C/C 6.Any pertinent medical history, pertinent medications, pertinent allergies, and any other significant findings from physical assessment
- Vital signs
- Explain and report abnormal findings Otherwise, state "within normal limits" (WNL) Treatment provided
RP <20 for infant less than 1 yr old 605: Trauma Alert Anatomic Criteria - .... 🔰 VERIFIED ANSWERS.... ✔✔ A. Penetrating injuries to head, neck, chest, back, abdomen, groin, or extremities proximal to the elbow or knee. B. Two (2) or more proximal long bone fractures. C. Traumatic paralysis or paresthesia. D. Flail or crushed chest. E. Amputations proximal to the wrist or ankle. F. Suspected pelvic fractures. (See Section VII.) G. Central Nervous System (CNS) changes witnessed by prehospital personnel that include the following:
- Post traumatic seizure.
- Transitory or prolonged loss of consciousness (LOC).
- Hemiparesis. H. Crushed, degloved or mangled extremity. I. Open or depressed skull fracture. 605: Trauma Alert MOI Criteria - .... 🔰 VERIFIED ANSWERS.... ✔✔ A. High-Risk Auto Crash as evidenced by:
- Estimated impact speed of more than forty (40) mph
- Major auto deformity greater than twelve (12) inches occupant site or greater than eighteen (18) inches any other site.
- Significant structural damage to the vehicle caused by contact with patient's body, such as damage to the steering wheel and/or column, windshield, etc.
- Ejection (partial or complete) from the vehicle.
- Death of a passenger in the same vehicle, who suffered the same or similar mechanism.
- Prolonged extrication is required to free the victim.
- Rollover with unrestrained occupant. B. Falls
- Adults: more than fifteen (15) feet (one story is equal to 10 feet).
- Pediatric: greater than 10 feet or twice the height of a child that is under six (<6) years old. C. Auto vs. pedestrian/bicyclist thrown, run over, or with significant (more than twenty (20) mph) impact. D. Motorcycle crash at greater than twenty (20) mph E. Cycle crash with rider thrown a significant distance to sustain probable injury. The term "cycle" may include motorcycle, bicycle, ATV, etc. 605: Major Burn Criteria - .... 🔰 VERIFIED ANSWERS.... ✔✔ A. Patients with burn injuries are to be identified as major burn criteria if any of the following are present: 1. Partial-thickness burns greater than 10% of the total body surface area
- Burns that include the face, hands, feet, genitalia, perineum, or major joints
- Third-degree burns
- Electrical burns, including lightning injury
- Chemical burns
- Inhalation injury
complete PCR documenting care, actions taken, including reason for pronouncing death. All communications noted and necessary times provided 600: Field Pronouncement of Death Notification - .... 🔰 VERIFIED ANSWERS.... ✔✔ notify appropriate authorities and remain on scene until law enforcement or Coroner's Office personnel releases you If the decedent is at home or in a public place, contact the local law enforcement agency. If the decedent is at an acute or residential care facility (skilled nursing facility, etc.) the staff of the facility will make the appropriate arrangements. 601: Physician at Scene Physician Involvement - .... 🔰 VERIFIED ANSWERS.... ✔✔ May relinquish care, but physician will remain responsible for care provided until another MD takes over. Patient now under crew medical care under directions from base hospital May assist in patient care, but physician shall be advised by prehospital personnel. Patient care is still under control of standing orders (EMS Medical Director) and online medical control (base hospital) May manage care, but ultimately accepts responsibility for patient. Must accompany crew and patient in ambulance
602: 911 EMS Patient Destination: Patient Choice - .... 🔰 VERIFIED ANSWERS.... ✔✔ can be transported to requested facility as long as facility meets medical requirements, barring any EMS system surge and hospital diversion can be an OCH 602: 911 EMS Patient Destination SCCO Specialities - .... 🔰 VERIFIED ANSWERS.... ✔✔ Trauma Adult: RSJ, SUH,VMC Ped: SUH, VMC Psychiatric: ECH,VMC,EPS, SUH Burn: VMC Stroke: Comprehensive: ECH,GSH, RSJ,SUH Primary: ALL except PAV and EPS STEMI & ROSC: ALL except LGH,PAV,SLH,EPS Emergency Psychiatric Services - .... 🔰 VERIFIED ANSWERS.... ✔✔ EPS, San Jose, near VMC 602: In-Extremis Patient Destination - .... 🔰 VERIFIED ANSWERS.... ✔✔ pt presents with condition that would benefit most from immediate emergency transportation includes
- breech position or protruding limb during delivery
604: When Patient Dies En Route - .... 🔰 VERIFIED ANSWERS.... ✔✔ Options
- Transport to the pre arranged facility
- Return to point of departure as appropriate
- Transport to nearest acute emergency department 606: Prehospital Transfer of Care - .... 🔰 VERIFIED ANSWERS.... ✔✔ Can Be
- paramedic to paramedic
- paramedic to ALS Flight Crew
- Paramedic to BLS
- mainly in MCI activations
- cannot occur if paramedic level interventions are preformed 607: BLS Utilization - .... 🔰 VERIFIED ANSWERS.... ✔✔ Inter- facility Transportation Emergent Patients Encountered by EMTs Use in 911 System
- if authorized during times of high call volume 607: Emergent Patients Encountered by EMTs - .... 🔰 VERIFIED ANSWERS.... ✔✔ respiratory distress, airway compromise, neurological changes from baseline, signs of actual or impending shock or meet major trauma criteria transported to nearest ED with red lights and sirens if time from arrival on scene to arrival at hospital is LESS THAN 10 mins.
Must contact county comm and request County EMS event number if on scene to hospital is greater than 10 mins, 911 must be called for ALS assistance 609: EMS Duty Chief - .... 🔰 VERIFIED ANSWERS.... ✔✔ EMS Duty Chief may serve in the following capacities A. Liaison between agencies that are requested by Incident Commander B.May delegate any system roles to the contractors ALS field supervisors C. Fill in Incident command system i.e. Medical Branch, transportation, ambulance staging, medical communications, treatment unit leader, etc. D. Delegate of the county health officer 610: EMS Hazmat Initial Actions - .... 🔰 VERIFIED ANSWERS.... ✔✔ Safety (of yourself and other around you) Isolate Area and Deny Entry a. At least 100 ft away for small incidents and 500 ft away for large incidents 610: EMS Hazmat Secondary Actions - .... 🔰 VERIFIED ANSWERS.... ✔✔ Establish Command (i.e. incident commander) Identify Hazardous Materials
a. This representative will determine if patient is safe to enter, or must be decontaminated further. 610: EMS Hazmat Accidental Exposure - .... 🔰 VERIFIED ANSWERS.... ✔✔ Any accidental exposure during any transport by EMS crews shall immediately stop, at the safest location, and notify County Communications that they have been contaminated.
- Fire Crew will respond If a crew has an exposure at an incident site, they must immediately notify the incident commander Any responders who are accidentally contaminated at a HAZMAT incident scene SHALL NOT board the transport rig until they have been decontaminated 612: State Type 1 Ambulance Task Force - .... 🔰 VERIFIED ANSWERS.... ✔✔ Five (5) ALS ambulances, with EMT/Paramedic, one strike team unit leader with separate vehicle, and State DMSU (Disaster Medical Supply Unit 612: State Type 2 Ambulance Task Force - .... 🔰 VERIFIED ANSWERS.... ✔✔ Five (5) BLS ambulances, with two EMTs, one strike unit leader with separate vehicle, and State DMSU
612: State (Out of County) Medical Task Force - .... 🔰 VERIFIED ANSWERS.... ✔✔ mixed assembly of ambulances (BLS, ALS, CCT) w/ 2 personnel each, one task force unit leader, and State DMSU 612: Ambulance Task Force I: In County Deployment - .... 🔰 VERIFIED ANSWERS.... ✔✔ Three ALS ambulances and one EMS Field Supervisory, mainly for MPMP activation 612: Ambulance Task Force 2: In County Deployment - .... 🔰 VERIFIED ANSWERS.... ✔✔ Six ALS ambulances and one EMS Field Supervisory, mainly for MPMP activation 613: EMS Personnel Marking Standard ID - .... 🔰 VERIFIED ANSWERS.... ✔✔ All EMS personnel shall wear uniforms that identify the agencies they work for when attached to EMS calls. (i.e. company Uniform, ID badge visible at all times) 613: EMS Personnel Protective Gear - .... 🔰 VERIFIED ANSWERS.... ✔✔ Protective Gear= protective gear shall be worn when directed by the IC, public safety personnel, county or EMS field supervisor, as well as when OSHA requirements call for such gear. i. High Visibility jacket and Helmets/goggles with three letter company identifier
A LHZ shall be marked with THREE HORIZONTAL STRANDS OF RED AND WHITE BARRIER TAPE with "Do Not Enter" printed in large lettering If red tape unavailable, any area barricaded with three horizontal strands of barrier tape in any color or pattern is to be considered a LHZ until proven otherwise 618: Lookouts, Communication, Escape Routes (LCES) - .... 🔰 VERIFIED ANSWERS.... ✔✔ All ambulance crews should prioritize situational awareness, especially while staging, in order to identify any possible danger, communicate with the IC as quick as possible, and advice County Communications in order to communicate to responding units that are not yet on scene Escape routes shall be identified for every emergency scene to allow for rapid retreat if necessary. IC shall designate safety zones that are areas that can be used for staging or an area of safe refuge 618: Emergency Vehicle Positioning - .... 🔰 VERIFIED ANSWERS.... ✔✔ i. Positioning emergency vehicles to form a barrier between an emergency scene and any flowing traffic or other hazards. (With emergency lights on) Any vehicle used to create this barrier is to be UNOCCUPIED Patients are not to be loaded into these vehicles
If a scene has already been protected, additional arriving ambulances should position themselves beyond the scene to create a safe location for crews and patients to be loaded into ambulance, report to staging, or repot to location assigned by IC 618: Risk Refusal - .... 🔰 VERIFIED ANSWERS.... ✔✔ A "turn down" is a situation where an EMS responder has determined that due to safety concerns, they cannot undertake or negotiate a safe alternate solution (based on assessments of risk and the ability of the individual to control the risk.) Including, but not limited to:
- Violation of safe work practices
- Environmental conditions make the work unsafe
- Individual lacks necessary qualifications or experience
- Defective equipment is being used
- The assignment violates federal, state, or local law or regulation
- Assignment violate established policies, procedures, or treatment protocols If Assignment is turned down, inform the EMS field supervisor and complete a System Variance report
