III-01 Pt Care Guidlines

Question 1

After an extremity injury has been immobilized, what must you confirm

Answer 1

the presence of distal pulses or capillary refill less than 2 seconds, and normal sensation

Question 2

When giving a full report when contacting the Base Station, what is the last step in your radio report

Answer 2

All interventions performed or medications given prior to contact and patient response

Question 3

When repositioning an injured joint, ________________. The distal bone is simply returned to a normal appearing neutral position.

Answer 3

traction is generally not required

Question 4

When performing CPR on an infant, compress the sternum at least 1/3rd the depth of the chest or how much

Answer 4

1.5 inches

Question 5

Compress the neonate’s chest with two hands encircling the chest and compressing the chest with two thumbs on the ________ of the sternum just below the nipple line.

Answer 5

lower third

Question 6

For patients who will not tolerate a non-rebreather mask utilize a nasal canula at 2-4 L/min. What should you titrate the O2 saturation to

Answer 6

> 94%

Question 7

Injured extremities with apparent fractures should only be repositioned in what circumstances

Answer 7

only if there is loss of signs of circulation, loss of sensation distal to deformity, or if it is necessary in order to otherwise care for and transport the patient

Question 8

Use of the traction splint does all of the following

Answer 8

• reduces/controls bleeding and shock

- causes alignment of the bone fragments

Question 9

The History of Present Illness (HPI) is a concise but complete description of the medical sequence of events that led to the patient’s request for help. What acronym describes the questions we ask to investigate the HPI

Answer 9

OPQRST

Question 10

What does the secondary survey begin with

Answer 10

the patient’s chief complaint

Question 11

After an extremity injury has been repositioned, where should the injury be immobilized

Answer 11

the joint above and below, as well as the injured section

Question 12

What are the only reasons for interrupting a primary assessment

Answer 12

for life threatening emergencies, cases of airway obstruction, a need for CPR or controlling exsanguinating hemorrhage

Question 13

When attaching the AED to a patient , what is the first step in the guideline

Answer 13

Press On/Off

Question 14

Vital signs will be measured on all patients to include what

Answer 14

Blood pressure, pulse rate and respiratory rate

Question 15

For situations in which a hospital has advance knowledge that it will need to divert due to Internal Disaster, hospitals have been asked to notify who

Answer 15

the Base Station, as well as EMS Command in advance

Question 16

When a member recognizes they have committed a medical error, how long does that member have to report the error to a supervising EMS officer

Answer 16

twenty-four on-duty hours

Question 17

What does the P in the acronym CHAMPION stand for

Answer 17

Pulmonary

Question 18

What are the guidelines for practices that are used by EMS personnel in a variety of situations within the EMS system

Answer 18

Protocols

Question 19

How often should you assess the patient’s circulation (checking pulses in the feet and wrists) while the patient is restrained

Answer 19

every 2 minutes, or as frequently as time permits

Question 20

Supervisors are to forward the completed Medical Error Reporting Form to the Office of the Medical Director in what, within 24 on-duty hours of being made aware of the error

Answer 20

a sealed envelope marked CONFIDENTIAL

Question 21

What is an injury or symptom of a medical problem which is recent or has never been evaluated/treated by a medical professional

Answer 21

Acute emergency medical problem

Question 22

Follow medical direction given by the on-scene physician who assumes responsibility for patient care provided it is similar to HFD protocols and standing orders. Who do you report any conflicts immediately to

Answer 22

an EMS Supervisor and EMS on-line physician

Question 23

Who will be responsible for adhering to the guidelines outlined in this document

Answer 23

All personnel and/or representatives of the Houston Fire Department

Question 24

If the patient declines care and/or transport, what do you have the patient sign

Answer 24

Refusal of Service Statement

Question 25

All units who have contacted the Base Station and initiated which form shall contact the Base Station and close out this form before returning to service

Answer 25

Form 1106

Question 26

When unsure of correct action when dealing with a DNR, who should you contact

Answer 26

an EMS Supervisor

Question 27

Begin chest compression’s at a rate of 3:1 if a neonate pulse rate is: