Chapter 38: Transport Operations

Question 1

List the nine phases of an ambulance call;
include examples of key tasks EMTs perform
during each phase. (pp 1426–1443)

Answer 1

1. Preparation - Store equipment and supplies in the ambulance according to how urgently and how often they are used.
2. Dispatch -
3. En route
4. Arrival at scene
5. Transfer of patient to ambulance - Package the patient for transport, securing him or her to a wheeled ambulance stretcher.
6. En route to receiving facility (transport)
7. At receiving facility (delivery)
8. En route to station
9. Postrun

Question 2

Name the medical equipment carried on an
ambulance; include examples of supplies that
are included in each main category of the
ambulance equipment checklist. (p 1428)

Question 3

Name the safety and operations equipment
carried on an ambulance; include examples of
how each item might be used by EMTs in an
emergency. (pp 1433–1434)

Question 4

Discuss the importance of performing regular
vehicle inspections; include the specific parts
of an ambulance that should be inspected daily.
(p 1435)

Question 5

List the minimum dispatch information
required by EMS to respond to an emergency
call. (p 1436)

Answer 5

• The nature of the call
  -The name, present location, and call-back telephone number of the caller
• The location of the patient(s)
• The number of patients and some idea of the severity of their conditions
• Any other special problems or pertinent information about hazards or weather conditions

Question 6

Describe some high-risk situations and hazards
during both pre-transport and transport that
may affect the safety of the ambulance and its
passengers. (pp 1436–1441, 1443–1453)

Question 7

Discuss the specific considerations required
to ensure scene safety; include personal
safety, patient safety, and traffic control.
(pp 1437–1440)

Question 8

Describe the key elements that must be
included in the written patient care report upon
patient delivery to the hospital. (p 1441)

Question 9

Summarize the tasks EMTs must complete in
the postrun phase. (pp 1442–1443)

Question 10

Define the terms cleaning, disinfection, high-
level disinfection, and sterilization. (p 1442)

Question 11

Discuss the guidelines for safely and defensively
driving an ambulance. (pp 1443–1445)

Question 12

Identify key steps EMTs should take to improve
safety while en route to the scene, the hospital,
and the station. (pp 1443–1453)

Question 13

List the three factors that dictate the use of
lights and siren to the scene and to the hospital;
include the risk-versus-benefit factors regarding
their use. (pp 1450–1451)

Question 14

Describe the specific, limited privileges that are
provided to emergency vehicle operators by
most state laws and regulations. (p 1450)

Question 15

Explain the additional risks and special
considerations posed by the use of police escorts, and the hazards and special considerations posed by crossing intersections.
(pp 1451–1452)

Question 16

Describe the capabilities, protocols, and methods
for accessing air ambulances. (pp 1453–1457)

Question 17

Describe key scene safety considerations when
preparing for helicopter emergency medical
services, such as a helicopter medevac,
including establishing a landing zone, securing
loose objects, reducing onsite hazards, and
approaching the aircraft. (pp 1455–1458)

Question 18

What is the difference between cleaning, disinfection, high-level disinfection and sterilization?

Answer 18

Cleaning is the process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment.

Disinfection is the killing of pathogenic agents by directly applying a chemical made for that purpose to a surface or equipment.

High-level disinfection is the killing of pathogenic agents by the use of potent means of disinfection.

Sterilization is a process, such as the use of heat, that removes all microbial contamination.