Ambulance Driver Module

Question 1

Criteria for full C-Spine Immobilization: (Collar / Full Backboard):

Answer 1

Blunt trauma, cervical, lumbar, thoracic pain
New onset paralysis
Neurological Deficits
Altered Mental Status
Distracting Injury

Question 2

Railroad Crossings:

Answer 2

• Hover Brake Pedal
• 4 ways on
• Windows down, radios off
• Stop
• Look left, right, left
• Look, Listen
• Proceed with caution

Question 3

Max Speed allowed over speed limit when using emergency lights/ Sirens :

Answer 3

No more than 15mph over posted speed limit

COLA:

CUT IN pressure: 100 psi, at 95 psi defect report, anything under 80 psi place unit out of service

CUT OUT pressure: 120-135 Psi, must not exceed 135 psi

Low air alarm: between 60-90 psi audible / visual

Air leakage rate: no more than 3 psi in 60 seconds for a straight truck

Question 4

Nitroglycerin

Answer 4

• Heart rate must be above 60 but not more than 150
• Must be above age 13
  Must have own prescribed Nitro
• No Pulmonary Hypertensive Meds (Adcirca, Revatio) in the last 48 hrs
• No Erectile Dysfunction meds in the last 48 hours (Levitra, cialis, viagra)
• Systolic BP must be above 90

Question 5

On Spots:

Answer 5

• Only to be used when vehicle is in motion - Must not go over 25mph
• Used in under 6 inches of snow
• Only use along with snow tire chains if you are stuck on ice (PERIOD)

Question 6

Bleach Cleaning Solution:

Answer 6

1:10 Ratio

Question 7

Hospital Conditions:

Answer 7

Red- No Cardiac Monitors

Yellow- No beds, no patients in need of immediate medical care

Blue- High call volume, transport to nearest hospital

Question 8

EMS Unit Positioning:

Answer 8

Box- position out of way, allowing for rapid egress from the scene

On roadway- position downstream, with patient loading compartment/ back doors facing away from traffic

If first unit on scene of a highway incident, position upstream as the blocker unit to protect yourself

Question 9

Intersections, 2 categories:

Answer 9

Controlled and uncontrolled

Controlled- traffic lights

Uncontrolled- no traffic control devices

Question 10

METRO incident EMS unit staging:

Answer 10

Stage at designated location, according to (on METRO map in green METRO bags, carried on suppression companies)

Stage according to the Staging area Manager (4th Due Engine Company responsibility on METRO incident).

Question 11

FERNO Cot Weight Limits:

Answer 11

700lbs in any raised position 1100lbs at lowest setting for bariatric patients

Question 12

Stair Chair Weight Limit:

Answer 12

500lbs

Question 13

Bonafide emergency response:

Answer 13

Audible and visual warning devices activated

Question 14

Ambulance weight:

Answer 14

20,000lbs

Question 15

Cover brake pedal when:

Answer 15

Proceeding through intersections

Benefits: cuts down on reaction distance / time

Question 16

PROACTIVE DRIVING FORMULA:

Answer 16

S- Sense
I- Identify
P- Predict
D- Decide
E- Execute

Question 17

DEF Fluid:

Answer 17

Refill when DEF tank gets down to half way (ON GAUGE),
do not refill before tank gets to half, this can cause crystallization of hoselines and hardware.
DEF: 32.5 % UREA

Question 18

Parking Lots:

Answer 18

Most dangerous turn around spot for an ambulance

Question 19

Skid types:

Answer 19

-Front wheel
-Rear wheel
-Power skid
-Hydroplane

Question 20

5 actions drivers need to take to practice due regard:

Answer 20

Hover brakes
Prepare to slow down
Change Siren Cadence
Scan Intersection
Make eye contact with other drivers

Question 21

Most dangerous place for an ambulance:

Answer 21

Intersections

Question 22

Locking rear diff:

Answer 22

Only if stuck in mud or another slippery surface

Question 23

What to do if another driver doest yield at an intersection:

Answer 23

-Back off siren
-Give driver time to react
-Sound horn
-Change cadence of siren

Question 24

Situations that affect driving conditions:

Answer 24

• Road Conditions
• Weather
• Time of day
• Vehicle malfunctions (Breaking down) . - Driver Error

Question 25

4 responsibilities of ambulance crew on box alarm:

Answer 25

-2 out
-RIT
-AIDE Station
-Locate Patients (Advise Command on AIDE Station location

Question 26

5 things needed for patient refusal:

Answer 26

• Name
• Vitals
• Signature
• Explanation on risk of refusing care
• Advise patient to call back at anytime if anything changes

Question 27

Zone of confusion:

Answer 27

When multiple units come together at an intersection at the same time (Decide on who gets the right of way)

Question 28

Total Stopping Distance:

Answer 28

-Perception Distance
-Reaction Distance
-Braking Distance

Question 29

Exposure Routes:

Answer 29

• Eyes
• Mouth
• Skin
• Mucus Membranes

Question 30

Ambulance Tire Pressure Used

Answer 30

Unit Specific, found on sticker label on driver door jam
(DO NOT INFLATE TO NUMBER ON STICKER ABOVE TIRES)

Question 31

Rear Diff Locked:

Answer 31

Do not exceed 25mph,
Wheels spin together with equal power, rear diff lock switch on dash in cab.

Question 32

5 Things to do when involved in an accident in a county vehicle:

Answer 32

• Stop
• Secure Apparatus
• Notify ECC/ Supervisor/ and Police
• Render Aide
• Request additional resources if needed Remain on scene

Question 33

Gross Vehicle Weight Rating (GVWR):

Answer 33

Maximum operating weight recommended by manufacturer (includes all equipment and supplies on unit)
Curb Weight: ?