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1) CCCFPD > EMS Policies > Flashcards

EMS Policies Flashcards

1
Q

MICN

A

Mobile Intensive Care Nurse

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2
Q

LEMSA

A

Local Emergency Medical Services Agency

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3
Q

File a written report on the California Child Abuse Report form or the California Suspected Elder / Dependent Abuse Report form with the appropriate reporting agency within

A

2 business days

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4
Q

T/F: You should file a report whether or not the other mandated reporter(s) indicate
he/she will make the report.

A

True

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5
Q

_____________ restraints are the only authorized method of restraining patients

A

Leather or cloth

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6
Q

T/F: A patient in handcuffs shall not be handcuffed to the gurney or ambulance. No handcuffs during transport without PD. PD must be there while PTs are handcuffed.

A

True

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7
Q

Restrained patients shall be placed in ______, _____, or _______ position.

A

Supine, semi-Fowler’s, or Fowler’s position

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8
Q

T/F: Contra Costa County EMS system recognizes hospital internal disaster or specialty service closures

A

True. It does not recognize “diversion” or “bypass” status

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9
Q

EMD

A

Emergency Medical Dispatch

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10
Q

MPDS

A

Medical Priority Dispatch System

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11
Q

SOAP, SAMPLE, MIVT and SBAR

A

Ring down acronyms

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12
Q

Ring down

A

Unit identifier
Code 2 / 3 Ring down
Alert notification (i.e. STEMI/Stroke/Sepsis)
Age, sex, chief complaint
Type of call / Urgent concerns
Level of consciousness/GCS
SAMPLE
Vital signs
Any treatment and response
ETA to the receiving hospital.

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13
Q

RLS

A

Red lights and
sirens

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14
Q

Patients with burns to _______ total body surface area (TBSA) can be cared for at any
hospital.

A

< 20%

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15
Q

TBSA

A

Total body surface area. Measured in %.

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16
Q

Consider transporting patients with burns to the ____, ____, ____, or ____ to a burn
center

A

Face, hands, perineum or feet

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17
Q

Base Hospital

A

John Muir Medical Center – Walnut Creek

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18
Q

_____________, Channel _______ should be utilized for air-to-ground communication.

A

CALCORD, Zone B, C, and F = 13. Delta = 14

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19
Q

RAS

A

Release at Scene. BLS level. AMA is ALS level.

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20
Q

SBAR

A

Situation, background, assessment and recommendation

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21
Q

The performance expectations for ED acceptance time is

A

20 minutes or less 90% of the time

22
Q

EMT’s can monitor IV lines delivering what?

A

Glucose solutions
NS (Isotonic)
Ringer’s lactate

23
Q

EMT’s may transport patients with central lines or central venous access devices if…

A

They are saline or heparin locked. If there is fluid running through them it is out of EMT scope.

24
Q

T/F: EMTs are not permitted to transport patients with thoracostomy tubes (Chest Tube).

A

True

25
Q

T/F: EMT’s can txp G-Tubes, Foley Catheters, NG-Tubes, and Tracheostomy Tubes.

A

True, however, these devices are not to be
manipulated, removed, or discontinued.

26
Q

TYPES OF DIVERSION

A

CT Divert – Inoperable CT scanner
STEMI Divert – Inoperative (Cath) Lab
INT Divert – Internal Disaster

27
Q

Contra Costa County STEMI Centers

A

KSSJJ=Heart Attack

Kaiser – Walnut Creek
San Ramon Regional Medical Center
Sutter Delta Medical Center - Antioch
John Muir Medical Center – Concord Kaiser
John Muir Medical Center – Walnut Creek

28
Q

How many hospitals in CCC

A

8

29
Q

What facilities don’t have OB?

A

Kaiser Richmond
John Muir Concord

30
Q

What facilities aren’t stroke centers?

A

Sutter Delta
CCCRMC

31
Q

For children ______ years of age, blood pressure measurement is not required for all patients, but should be measured if possible.

A

Less than or equal to 3 y/o.

32
Q

A pain scale shall be documented for all patients with…

A

GCS > 14

33
Q

EQIP

A

EMS Quality Improvement Program

34
Q

Ambulance Parking

A

The practice of having patients arriving by 911 ambulance wait on the ambulance
gurney for greater than thirty (30) minutes 90% of the time after arrival on hospital grounds

35
Q

Ambulance Stacking

A

Two or more 9-1-1 ambulances waiting for more than thirty (30) minutes at a
single hospital

36
Q

Child

A

A person under the age of 18 years. The term “child” includes students who are under the age of 18.

37
Q

Conservator

A

Court-appointed authority to make health care decisions for a patient

38
Q

Delayed Patient Care Transfer

A

Patient care transfer between ambulance personnel and ED staff in excess of thirty (30) minutes

39
Q

Elder

A

Anyone age 65 or older.

40
Q

Dependent adult

A

Anyone aged 18-64 who has physical or mental limitations that restrict his or her
ability to carry out normal activities or to protect his or her rights

41
Q

Imminent Death

A

Death will probably occur before the patient arrives at the receiving hospital

42
Q

Medical Arrest

A

15 minutes without resuscitative measures taken

43
Q

Optimal Patient Care Transfer

A

Patient care transfer between ambulance personnel and ED staff in fifteen (15) minutes or less

44
Q

When can a child as young as 12 be a qualified person to make medical decisions for himself?

A

STD or other infectious disease.

45
Q

Safely Surrender Sites

A

Contra Costa Safely Surrender Sites include hospitals, fire stations, County Health Centers and Kaiser medical offices

46
Q

MCI Pre-Alert

A

POTENTIAL to result in an activation of the plan at a higher tier (≥6
patients)

47
Q

MCI Tier 1

A

6-10 patients

48
Q

MCI Tier 2

A

More than 10 patients

49
Q

MCI Tier 3

A

50 or more patients

50
Q

During an MCI hospitals are prepared to accept a minimum of ______ RED (immediate) and ______ YELLOW (delayed) patients.

A

2 and 4

1) CCCFPD (34 decks)

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