EMS Policies Flashcards
MICN
Mobile Intensive Care Nurse
LEMSA
Local Emergency Medical Services Agency
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
2 business days
T/F: You should file a report whether or not the other mandated reporter(s) indicate
he/she will make the report.
True
_____________ restraints are the only authorized method of restraining patients
Leather or cloth
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.
True
Restrained patients shall be placed in ______, _____, or _______ position.
Supine, semi-Fowler’s, or Fowler’s position
T/F: Contra Costa County EMS system recognizes hospital internal disaster or specialty service closures
True. It does not recognize “diversion” or “bypass” status
EMD
Emergency Medical Dispatch
MPDS
Medical Priority Dispatch System
SOAP, SAMPLE, MIVT and SBAR
Ring down acronyms
Ring down
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.
RLS
Red lights and
sirens
Patients with burns to _______ total body surface area (TBSA) can be cared for at any
hospital.
< 20%
TBSA
Total body surface area. Measured in %.
Consider transporting patients with burns to the ____, ____, ____, or ____ to a burn
center
Face, hands, perineum or feet
Base Hospital
John Muir Medical Center – Walnut Creek
_____________, Channel _______ should be utilized for air-to-ground communication.
CALCORD, Zone B, C, and F = 13. Delta = 14
RAS
Release at Scene. BLS level. AMA is ALS level.
SBAR
Situation, background, assessment and recommendation
The performance expectations for ED acceptance time is
20 minutes or less 90% of the time
EMT’s can monitor IV lines delivering what?
Glucose solutions
NS (Isotonic)
Ringer’s lactate
EMT’s may transport patients with central lines or central venous access devices if…
They are saline or heparin locked. If there is fluid running through them it is out of EMT scope.
T/F: EMTs are not permitted to transport patients with thoracostomy tubes (Chest Tube).
True
T/F: EMT’s can txp G-Tubes, Foley Catheters, NG-Tubes, and Tracheostomy Tubes.
True, however, these devices are not to be
manipulated, removed, or discontinued.
TYPES OF DIVERSION
CT Divert – Inoperable CT scanner
STEMI Divert – Inoperative (Cath) Lab
INT Divert – Internal Disaster
Contra Costa County STEMI Centers
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
How many hospitals in CCC
8
What facilities don’t have OB?
Kaiser Richmond
John Muir Concord
What facilities aren’t stroke centers?
Sutter Delta
CCCRMC
For children ______ years of age, blood pressure measurement is not required for all patients, but should be measured if possible.
Less than or equal to 3 y/o.
A pain scale shall be documented for all patients with…
GCS > 14
EQIP
EMS Quality Improvement Program
Ambulance Parking
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
Ambulance Stacking
Two or more 9-1-1 ambulances waiting for more than thirty (30) minutes at a
single hospital
Child
A person under the age of 18 years. The term “child” includes students who are under the age of 18.
Conservator
Court-appointed authority to make health care decisions for a patient
Delayed Patient Care Transfer
Patient care transfer between ambulance personnel and ED staff in excess of thirty (30) minutes
Elder
Anyone age 65 or older.
Dependent adult
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
Imminent Death
Death will probably occur before the patient arrives at the receiving hospital
Medical Arrest
15 minutes without resuscitative measures taken
Optimal Patient Care Transfer
Patient care transfer between ambulance personnel and ED staff in fifteen (15) minutes or less
When can a child as young as 12 be a qualified person to make medical decisions for himself?
STD or other infectious disease.
Safely Surrender Sites
Contra Costa Safely Surrender Sites include hospitals, fire stations, County Health Centers and Kaiser medical offices
MCI Pre-Alert
POTENTIAL to result in an activation of the plan at a higher tier (≥6
patients)
MCI Tier 1
6-10 patients
MCI Tier 2
More than 10 patients
MCI Tier 3
50 or more patients
During an MCI hospitals are prepared to accept a minimum of ______ RED (immediate) and ______ YELLOW (delayed) patients.
2 and 4
