Into/SOGs

Question 1

What are the 4 sections in this manual?

Answer 1

1. Policies related to delivery of EMS Care
2. Medical Directives
3. Medical Procedures
4. The Medication Formulary

Question 2

What level patients require contacting med control or the receiving facility?

Answer 2

Priority 1

Question 3

When transmitting information over the radio, what info should not be transmitted?

Answer 3

Personal or sensitive (name, SSN, address, race, etc.)

Question 4

When will an ALS provider not transfer a patient to a BLS provider?

Answer 4

When ALS interventions have been initiated.

Question 5

When can ALS to BLS transfer of care take place?

Answer 5

1. Pt. has a patent airway
2. pt is hemodynamically stable
3. pt. at normal baseline mental status
4. no MOI warranting trauma alert
5. no ALS interventions needed (cardiac, resp, nuero)
6. ALS gives BLS full pt care report with vital signs
7. BLS feels comfortable handling patient

Question 6

When transferring PT care to the hospital, how many minutes is the goal to complete the transfer?

Answer 6

10 minutes

Question 7

What should happen if PT transfer takes longer than 20 minutes?

Answer 7

Contact ELO, ELO will contact hospital to resolve patient transfer delay.

Question 8

Once PT has been assessed by hospital staff and determined stable, what is supposed to happen?

Answer 8

EMS escorts PT to waiting room and presents PT to hospital’s ambulatory intake staff, then EMS goes back in service.

Question 9

What is informed consent?

Answer 9

Pt. or guardian is informed of potential benefits and risks of a process or procedure, alternatives, and potential consequences.

Question 10

What is expressed consent?

Answer 10

written or verbal request to be evaluated and treated.

Question 11

What is implied consent?

Answer 11

pt. is unable to provide consent because of altered mental status or severe distress

Question 12

What 3 major areas must be attempted to be assessed prior to allowing a PT to refuse care and/or transport?

Answer 12

1. Legal Capacity to Refuse Care
2. Mental Capacity to Refuse Care
3. Medical or situational capacity

Question 13

When are patients not legally competent to refuse care?

Answer 13

if they are subject to a court decree of incapacity

Question 14

What must EMS ensure for “Mental Capacity to Refuse Care”

Answer 14

1. Pt. orientated to Person, Place, Time and Purpose
2. Pt. is not a danger to himself or others
3. Pt. is capable of understanding risks or refusing care or transport and any proposed alternatives

Question 15

Who may refuse care for a patient?

Answer 15

1. The Patient
2. Parent (also PT under 18 for their child)
3. Guardian
4. Health Care Agent

Question 16

When may patients be transported against their objections?

Answer 16

If they lack medical or situational capacity to refuse care

Question 17

What are the contraindications for Aeromedical evacuation of a patient?

Answer 17

1. Cardiac Arrest
2. Contaminated by Hazardous Materials
3. Violent or erratic behavior