EMS Policies

Question 1

MICN

Answer 1

Mobile Intensive Care Nurse

Question 2

LEMSA

Answer 2

Local Emergency Medical Services Agency

Question 3

File a written report on the California Child Abuse Report form or the California Suspected Elder / Dependent Abuse Report form with the appropriate reporting agency within

Answer 3

2 business days

Question 4

T/F: You should file a report whether or not the other mandated reporter(s) indicate
he/she will make the report.

Answer 4

True

Question 5

_____________ restraints are the only authorized method of restraining patients

Answer 5

Leather or cloth

Question 6

T/F: A patient in handcuffs shall not be handcuffed to the gurney or ambulance. No handcuffs during transport without PD. PD must be there while PTs are handcuffed.

Answer 6

True

Question 7

Restrained patients shall be placed in ______, _____, or _______ position.

Answer 7

Supine, semi-Fowler’s, or Fowler’s position

Question 8

T/F: Contra Costa County EMS system recognizes hospital internal disaster or specialty service closures

Answer 8

True. It does not recognize “diversion” or “bypass” status

Question 9

EMD

Answer 9

Emergency Medical Dispatch

Question 10

MPDS

Answer 10

Medical Priority Dispatch System

Question 11

SOAP, SAMPLE, MIVT and SBAR

Answer 11

Ring down acronyms

Question 12

Ring down

Answer 12

Unit identifier
Code 2 / 3 Ring down
Alert notification (i.e. STEMI/Stroke/Sepsis)
Age, sex, chief complaint
Type of call / Urgent concerns
Level of consciousness/GCS
SAMPLE
Vital signs
Any treatment and response
ETA to the receiving hospital.

Question 13

RLS

Answer 13

Red lights and
sirens

Question 14

Patients with burns to _______ total body surface area (TBSA) can be cared for at any
hospital.

Answer 14

< 20%

Question 15

TBSA

Answer 15

Total body surface area. Measured in %.

Question 16

Consider transporting patients with burns to the ____, ____, ____, or ____ to a burn
center

Answer 16

Face, hands, perineum or feet

Question 17

Base Hospital

Answer 17

John Muir Medical Center – Walnut Creek

Question 18

_____________, Channel _______ should be utilized for air-to-ground communication.

Answer 18

CALCORD, Zone B, C, and F = 13. Delta = 14

Question 19

RAS

Answer 19

Release at Scene. BLS level. AMA is ALS level.

Question 20

SBAR

Answer 20

Situation, background, assessment and recommendation

Question 21

The performance expectations for ED acceptance time is

Answer 21

20 minutes or less 90% of the time

Question 22

EMT’s can monitor IV lines delivering what?

Answer 22

Glucose solutions
NS (Isotonic)
Ringer’s lactate

Question 23

EMT’s may transport patients with central lines or central venous access devices if…

Answer 23

They are saline or heparin locked. If there is fluid running through them it is out of EMT scope.

Question 24

T/F: EMTs are not permitted to transport patients with thoracostomy tubes (Chest Tube).

Answer 24

True

Question 25

T/F: EMT's can txp G-Tubes, Foley Catheters, NG-Tubes, and Tracheostomy Tubes.

Answer 25

True, however, these devices are not to be manipulated, removed, or discontinued.

Question 26

TYPES OF DIVERSION

Answer 26

CT Divert – Inoperable CT scanner STEMI Divert – Inoperative (Cath) Lab INT Divert – Internal Disaster

Question 27

Contra Costa County STEMI Centers

Answer 27

KSSJJ=Heart Attack Kaiser – Walnut Creek San Ramon Regional Medical Center Sutter Delta Medical Center - Antioch John Muir Medical Center – Concord Kaiser John Muir Medical Center – Walnut Creek

Question 28

How many hospitals in CCC

Answer 28

8

Question 29

What facilities don't have OB?

Answer 29

Kaiser Richmond John Muir Concord

Question 30

What facilities aren't stroke centers?

Answer 30

Sutter Delta CCCRMC

Question 31

For children ______ years of age, blood pressure measurement is not required for all patients, but should be measured if possible.

Answer 31

Less than or equal to 3 y/o.

Question 32

A pain scale shall be documented for all patients with...

Answer 32

GCS > 14

Question 33

EQIP

Answer 33

EMS Quality Improvement Program

Question 34

Ambulance Parking

Answer 34

The practice of having patients arriving by 911 ambulance wait on the ambulance gurney for greater than thirty (30) minutes 90% of the time after arrival on hospital grounds

Question 35

Ambulance Stacking

Answer 35

Two or more 9-1-1 ambulances waiting for more than thirty (30) minutes at a single hospital

Question 36

Child

Answer 36

A person under the age of 18 years. The term “child” includes students who are under the age of 18.

Question 37

Conservator

Answer 37

Court-appointed authority to make health care decisions for a patient

Question 38

Delayed Patient Care Transfer

Answer 38

Patient care transfer between ambulance personnel and ED staff in excess of thirty (30) minutes

Question 39

Elder

Answer 39

Anyone age 65 or older.

Question 40

Dependent adult

Answer 40

Anyone aged 18-64 who has physical or mental limitations that restrict his or her ability to carry out normal activities or to protect his or her rights

Question 41

Imminent Death

Answer 41

Death will probably occur before the patient arrives at the receiving hospital

Question 42

Medical Arrest

Answer 42

15 minutes without resuscitative measures taken

Question 43

Optimal Patient Care Transfer

Answer 43

Patient care transfer between ambulance personnel and ED staff in fifteen (15) minutes or less

Question 44

When can a child as young as 12 be a qualified person to make medical decisions for himself?

Answer 44

STD or other infectious disease.

Question 45

Safely Surrender Sites

Answer 45

Contra Costa Safely Surrender Sites include hospitals, fire stations, County Health Centers and Kaiser medical offices

Question 46

MCI Pre-Alert

Answer 46

POTENTIAL to result in an activation of the plan at a higher tier (≥6 patients)

Question 47

MCI Tier 1

Answer 47

6-10 patients

Question 48

MCI Tier 2

Answer 48

More than 10 patients

Question 49

MCI Tier 3

Answer 49

50 or more patients

Question 50

During an MCI hospitals are prepared to accept a minimum of ______ RED (immediate) and ______ YELLOW (delayed) patients.

Answer 50

2 and 4