400s (404.03-411.04)

Question 1

What are the 4 hospital status’s?

Answer 1

1: Green Open
2: Yellow Caution (1 hour notification, all ED beds full, 2 or more ambos waiting, Special equipment down)
3: Red Bypass (Overcrowded to point resources unavailable) Always take critical patients to closest hospital
4: Black Closed (cannot receive patients due to extraordinary circumstances)

Question 2

What region are Mesa ambos in?

Answer 2

East

Question 3

Under altered protocols what calls get ambos?

Answer 3

1: Code
2: Drowning
3: Childbirth
4: Stroke
5: 2n1 medical (1 ambo)

Question 4

Under altered protocols when can you request ambo?

Answer 4

1: Enroute based off of CAD comments
2: On scene after triage
3: Stable patients should be encouraged to go POV but NO ONE SHALL BE DENIED AN AMBO IF THEY REQUEST

Question 5

How often should hospitals update their status?

Answer 5

1: Often as necessary
2: Every 24 hours
3: Every 15 min during mass casualty

Question 6

What must be present for someone to be INI?

Answer 6

1: No significant MOI
2: No complaints of injury
3: No pain
4: No Illness
5: No obvious injuries
6: No impairment
7: Does not want assessment
8: Not altered
9: A/Ox4

Question 7

What are common disposition codes?

Answer 7

321: Med call with patient
322: MVA with injuries
323: MVA vs Ped
324: MVA no injuries
331: Lock in
381: No patient
611: Cancelled
554: Citizen assist

Question 8

Who is responsible for ensuring EPCR done on all patients?

Answer 8

Captain

Question 9

When should EPCR be finished by?

Answer 9

End of shift

Question 10

ALS members may delegated ALS to BLS members for documentation, when this is done what should happen?

Answer 10

ALS member should co sign

Question 11

What should you do if EPCR down?

Answer 11

Document on notepaper and complete when back up

Question 12

What happens when EPCR not finished?

Answer 12

After 1 shift: Email to Captain CC BC
2nd shift: EMail to BC
3rd: BC and AC
4: AC

Question 13

What if you need to add something to a epcr?

Answer 13

It can be re sent to you, you cant make changes to original data and must document in the addendum section.
Include name employee number, date time at bottom

Question 14

If valid DNR is present do we have to honor family wishes?

Answer 14

No, If any doubt initiate care

Question 15

What makes for a valid DNR?

Answer 15

1: Orange form (not a copy)
2: All patient info
3: Signed by patient Licensed health care provider and a witness
4: Readily available (less than 2 min)

Question 16

What does a DNR bracelet mean?

Answer 16

Simply lets you know there is a DNR but DOES NOT replace actual document

Question 17

What if a document other than a DNR is presented?

Answer 17

Start efforts and patch

Question 18

What do you need to do if you dont initiate efforts because of a DNR?

Answer 18

Document that DNR present and valid, and pt has no vital signs. Include with documentation

Question 19

To request a follow up contact EMS and provide what info?

Answer 19

1: Incident date, number, time
2: Unit and shift
3: Patient name
4: Hospital and transport agency
5: CC/MOI

Question 20

What if you have a child on a school bus in an MVA that doesnt require transport?

Answer 20

May leave them with school official, they are not required to sign

Question 21

Once contact is made you cannot terminate the patient provider relationship until what?

Answer 21

1: Care transferred to equal or higher care
2: Remain with patient until this transfer happens
3: Convey all relevant information to accepting provider

Question 22

Who signs when transferring a patient?

Answer 22

The member of that crew with the highest medical certification

Question 23

When can PD transport a patient?

Answer 23

1: Patient met criteria for a refusal
2: Patient being transferred to alcohol treatment type facility after patch for refusal
3: If patient refuses to sign with no obvious conditions, video refusal may be appropriate
4: Document officer badge number and get signature

Question 24

When are we required to ride in?

Answer 24

REQUIRED

1: Controlled substance administered
2: RSI
3: Respiratory or Cardiac arrest
4: Stoke alert
5: Cardiac alert

RECOMMENDED (Must be supported in narrative)

6: Active seizure epilepticus
7: Imminent delivery
8: Electrical therapy used
9: Immediate trauma pt
10: Ped seizure
11: ACS
12: Respiratory distress
13: “Unstable Patients”
14: ALOC
15: Eclampsia
16: Meds given with no improvement
17: IV Infusion (continuous)
18: Restraints
19: Vaginal bleeding with pregnant viable fetus (24 weeks)
20: Request of Ambo medic

Question 25

When is it acceptable to use the Ipad to take pictures and videos?

Answer 25

1: Pic of scene to aid treatment at hospital
2: Refusal
3: Rhythm strip, med list, DNR etc

Must use Ipad through ZOI software not on the Ipad camera

Question 26

When is emergency issue gear required to be inspected?

Answer 26

Every Saturday

Question 27

Captain’s contact BSO to get emergency issue, when should BSO contact EMS to get a replacement for emergency issue?

Answer 27

When gear will be out longer than 3 shifts

Question 28

How much continuing education for BLS members?

Answer 28

24 hours (5 hours of Peds)
CE provided if cant complete must use target solutions or get your own CEs

Question 29

How many CEs do ALS providers need?

Answer 29

48 hours minus ACLS, total is 60

Question 30

How many shifts are required for ALS integration?

Answer 30

Not less than 9 not more than 30

Question 31

How many attempts do you have to pass the department integration process?

Answer 31

2

Question 32

During a QM who is allowed to view case details?

Answer 32

Only those assigned to QM

Question 33

100% of what type of med calls should be QMed?

Answer 33

High Risk encounters

1: Respiratory cardiac arrest
2: Multi system trauma
3: Specialized procedure (RSI)
4: Refusals
5: Minors
6: Field termination
7: Specialized equipment used (vent)
8: Controlled substance
9: STEMI Stroke
10: Opioid OD
11: Transfer of ALS to BLS

Question 34

What are potential outcomes of QM?

Answer 34

1: None
2: Discussion
3: Addendum to record
4: Letter to crew
5: Review of policy
6: Meeting with EMS
7: Further training for crew
8: Tape and chart
9: Probation

Question 35

What must happen when an AED that is part of our program is used?

Answer 35

Must be reported to medical director overseeing program unless it was purchased for home use

Question 36

Who can you report compliance issues to?

Answer 36

Captain or compliance officer
May be written or verbal
Without fear of retaliation
May be anonymous