EMS Manual 2019

Question 1

When does a person become a patient? (pg.14) FC

Answer 1

The moment EMS provider has determined an assessment is necessary

Question 2

What are the steps for a medical Emergency Custody Order? (pg.18) FC

Answer 2

Notify ESM Supervisor / Contact POLMD for authorization of ECO / Obtain ECO from Magistrate / Delivery of ECO by PD to hospital for POLMD signature / Delivery of ECO to scene by PD / Patient transport to hospital

Question 3

When does at Durable Power of Attorney come into play? (pg.18) FC

Answer 3

Only when the patient is impaired

Question 4

True or False: For minors, refusal of services may be obtained by telephone from an authorized decision-maker not present on the scene. (pg.24) FC

Answer 4

True

Question 5

Minors who are ____ years of age or older and whose parent or legal guardian are unable to be contacted may refuse treatment or transport. (pg.25) FC

Answer 5

14

Question 6

The CRT (Community Response Team) focuses on individuals or patients that call 9-1-1 greater than ___ times within ___ days. (pg.31) FC

Answer 6

6 / 60

Question 7

What are the 5 Key parts of a DNR? (pg.34) FC

Answer 7

Full Legal Name / DNR Determination / Signature of Physician / Date of Issue / Patient Signature or Person Authorized for Consent

Question 8

If a patient is unwilling to part with his/her firearm, what should be the next steps? (pg.45) FC

Answer 8

Contact EMS Supervisor, Law Enforcement, and POLMD and consider refusal of transport

Question 9

Who should hoarding incidents be reported to? (pg.30) FC

Answer 9

Fairfax County Department of Code Compliance

Question 10

Individuals who present in mental health crisis, have impaired judgment due to psychosis, suicidal or homicidal ideations, or out of medications and have no resources should contact who? (pg.32) FC

Answer 10

Mobile Crisis Unit (MCU)

Question 11

When does a person become a patient? SB

Answer 11

The moment the EMS provider has determined an assessment is necessary to ensure that no illness or injury is overlooked and to ensure that the individual’s capacity to decline an assessment is not impaired by illness, injury, or intoxication. (p. 14)

Question 12

What does HIPPA stand for? SB

Answer 12

Health Insurance Portability and Accountability Act. (p. 15)

Question 13

What does CURVES stand for in regard to assessing decision making capacity? SB

Answer 13

Communicate, Understand, Reason, Values, Emergent, Surrogate. (p. 16)

Question 14

If police request documentation of service, a record of refusal of transport for patient in police custody which is FRD _____, shall be completed and given to the requesting officer. SB

Answer 14

FRD- 432. (p. 25)

Question 15

Preexisting agreements between the schools and parents require students must leave school anytime one of these four medications are given: ________,_________,_______,_______. SB

Answer 15

Epinephrine autoinjector, Glucagon, Diastat (Diazepam), Solu-Cortef. (p. 26)

Question 16

In cases of suspected abuse, neglect, and exploitation every effort should be made to _____________. SB

Answer 16

Remove the patient from environment by transporting to a receiving hospital for evaluation. (p. 29)

Question 17

If trying to contact Child or Adult protective services after hours or in another jurisdiction, you can contact _____________. SB

Answer 17

Virginia Dept of Social Services. (p. 30)

Question 18

If an intervening physician without preexisting patient relationship wishes to assume responsibility for patient care, then______ must be contacted and agree to yield patient care authority and medical direction to on scene physician. SB

Answer 18

POLMD. (p. 40 – 41)

Question 19

In the instance a patient in need of transport has a weapon, request law enforcement to take possession of the weapon. If Law enforcement is delayed, then ___________ may take possession until police arrive. SB

Answer 19

Other FRD providers (EMS Sup). (p. 45)

Question 20

All unwitnessed deaths outside of skilled nursing facilities are _________________. SB

Answer 20

Investigated by police. (p.37)

Question 21

In order to maintain ___________, FRD personnel should remain on scene until law enforcement officers arrive to take custody of the scene. SB

Answer 21

Chain of custody. (p. 37)

Question 22

Consider helicopter transport only if faster than ground transport or if ground transport is greater than ____. SB

Answer 22

30 Mins. (p. 214)

Question 23

How long can someone under a TDO be held? (pg. 33) JH

Answer 23

48-72 Hours

Question 24

What is the significance of a Physician Order for Scope of Treatment (P.O.ST.)? (pg. 35) JH

Answer 24

It allows the critically ill to select what treatments they do and don’t want to receive when they lack decision making capacity due to illness/injury.

Question 25

What two hospitals within the Fairfax County borders have dedicated bariatric in-patient care units? (pg. 44) JH

Answer 25

Inova Fair Oaks and HCA Reston Hospital

Question 26

At special events, what form is used for ‘routine’ minor first aid assistance? (pg. 48) JH

Answer 26

FRD 204

Question 27

What are the weight capacities for a bariatric cot? (pg. 490) JH

Answer 27

1600lbs lowest&raquo_space;> 850lbs raised

Question 28

What is the FRD form number for an ‘Inquiry Intake Form’?

Answer 28

FRD 19