EMS Manual

Question 0

The goal to improve the care delivered by comprehensively focus attention on analyzing and advancing the 5 P’s of the EMS domain which are of the below?

Answer 0

Patients, providers, provisions, place and protocols

Question 1

Oxygen should be administered as needed to achieve the following saturation level.

Answer 1

Normal:>94% COPD 88-92%

Question 2

If a patient is deemed a treat to self, others or public safety, police office may take the patient into custody on their own authority for what time period?

Answer 2

4 hours

Question 3

Minors with intact decision-making capacity, who are _____ years of age or older and whose parent or guardian are unable to be contacted! may refuse assessment, treatment and/or transportation.

Answer 3

14

Question 4

As an EMS provider in Virginia, you are legally required to report your suspicions of abuse, neglect and/or exploitation of members of which of the following populations?

Answer 4

The elderly (all patients 60 years of age or greater, including those physically or mentally disable/incapacitated)

Question 5

What is the time limit for a Virginia Durable DNR Order?

Answer 5

It is valid until revoked

Question 6

What is the appropriate action if CPR is indicated and the family insists on resuscitation in the presence of a valid DNR order?

Answer 6

Contact physician OLMD

Question 7

When following the START/Jump ST|ART algorithm of triage you should maintain the rule of ______ or less patient contact time.

Answer 7

30-45 seconds

Question 8

An adult patient who is unable to walk and has a respiratory rate > 30 should be triaged under which of the below categories?

Answer 8

Red (immediate)

Question 9

Which of the below INOVA hospitals has a dedicated bariatric in-patient care unit?

Answer 9

INOVA Fair Oaks Hospital

Question 10

Each drug administered by an ALS provider, no matter how routine should be verified by which of the following?

Answer 10

A second ALS or BLS provider for proper name, dose, route, indication and expiration date

Question 11

In the Adult Protocol for Acute Coronary Syndrome the STEMI identification to enroute to facility time goal should be which of the following?

Answer 11

<10 minutes

Question 12

In the Adult Protocol for Allergic Reactions which of the below is the appropriate treatment for a patient with a moderate to severe allergic reaction as a BLS provider?

Answer 12

If the patient has no prescribed auto injector, contact Physician OLMD for authorization to administer an FRD Epinephrine 0.3 mg auto injector

Question 13

In the Adult Protocol for Cardiac Arrest when performing chest compressions which of the below is appropriate?

Answer 13

Rate of at least 100 per minute in a ratio of 30:2 and a depth of at least 2 inches

Question 14

In the Adult Protocol for Hypothermic Arrest providers shall check for a pulse for ______ to differentiate absence of pulse from profound bradycardia.

Answer 14

30-45 seconds

Question 15

In the Adult Protocol for Obstetric Emergencies a patient suspected or supine hypotensive syndrome shall be placed in which of the below positions?

Answer 15

Left lateral recumbent position

Question 16

In the Adult Protocol for Selective a Spinal Motion Restriction which of the below situations would not require following spinal motion restriction?

Answer 16

MVC>45 mph

Question 17

In the Adult Protocol for Traumatic Brain Injury when monitoring End-Tidal CO2 in the setting of TBI with signs of herniation maintain End-Tidal CO2 between which of the below?

Answer 17

30-35 mmHg

Question 18

In the Pediatric Protocol for Allergic Reactions which of the below is the appropriate treatment for a patient with a moderate to severe allergic reaction as a BLS provider?

Answer 18

If the patient has no prescribed auto injector, contact Physician OLMD for authorization to administer an FRD Epinephrine 0.15 mg auto injector

Question 19

In the Pediatric Protocol for Distressed Newborn if after 30 seconds of ventilating the distressed infant the infant has a heart rate of less than 60 bpm which of the below is the appropriate treatment?

Answer 19

3:1 compressions to breath ratio at a rate of 90 compressions to 30 breaths per minute

Question 20

An advanced airway refers to the use of _____.

Answer 20

King Airway

Question 21

______ represents direct contact with a physician for consultation or authorization to treat.

Answer 21

On-line

Question 22

This type of consent that is not required due to the presence of life-threatening illness or injury or if the patient is unconscious or unable to communicate due to illness, injury or intoxication and may reasonably be presumed to have a life-threatening condition is _____.

Answer 22

Implied consent

Question 23

Consent for treatment and transport may be implied for minors below ____ years of ago.

Answer 23

14

Question 24

Whenever a question or concern arises regarding the decision-making capacity of a patient, the ______ should conduct a capacity evaluation and fully document the evaluation on the appropriate form.

Answer 24

EMS Supervisor

Question 25

When does a Durable Power of Attorney (DPA) come in to play with a patient?

Answer 25

When the patient is impaired

Question 26

When operating on an EMS call, it is recognized that ____ and patient cares are the primary concerns.

Answer 26

Scene management

Question 27

All information gathered during the course of evaluating, treating and transporting a patient is considered _______.

Answer 27

Confidential

Question 28

Minors who are _______ years of age or older and whose parent or guardian are unable to be contacted, may refuse assessment, treatment and/or transportation.

Answer 28

14

Question 29

If you suspect abuse, neglect and/or exploitation of children under 18 or any patient over 60 years of ago, who are you required to notify?

Answer 29

Child/Adult protective services

Question 30

How long is a DNR good for?

Answer 30

Valid until revoked

Question 31

If CPR is indicated and the family insists on resuscitation in the presence of a valid DNR order, what are your actions?

Answer 31

Contact physician on-line medical director while further assessing and for resuscitative efforts

Question 32

A direct order by a licensed physician who is physically present with a patient in cardiac or respiratory arrest that can also by EMS personnel is a…

Answer 32

Direct physician order

Question 33

In routine cases where written protocols do not address unique patient care or disposition needs, who must you contact for medical direction?

Answer 33

Physician on-line medical control

Question 34

When following the START/JumpStart triage algorithm, how much time should be spent assessing each individual patient?

Answer 34

30-45 seconds

Question 35

What is considered to be a Bariatric Patient?

Answer 35

A patient whose size poses a significant challenge to on scene personnel and may require specialized equipment

Question 36

When operating on an EMS call, which FD units have a duty to act?

Answer 36

Everyone

Question 37

Everyone on the scene has the _______ and professional responsibility to ensure that we deliver the best patient care possible.

Answer 37

Duty to act

Question 38

_______ is the willful infliction of physical pain, injury, metal anguish or unreasonable confinement.

Answer 38

Abuse

Question 39

Nonexistent or insufficient care and support necessary to maintain a person’s physical and/or mental health to the extent that his or her well-being is impaired or threatened is considered.

Answer 39

Neglect