SNHD Operations Protocols

Question 1

When is a telemetry call required?

Answer 1

1. For all time sensitive or life threatening condition transports.
2. For any medical emergency in which the EMS provider’s judgement suggests consultation with a telemetry physician is necessary.
3. For all trauma patients going to a trauma center.
4. When telemetry contact is required per protocol.

Question 2

What are the rules of a DNR/POLST?

Answer 2

The documents must be presented upon arrival and have the proper signatures. If they are valid, you are required by law to abide by it. If it cannot be presented or is not valid, you are to begin resuscitation.

Question 3

When must a Patient Care Report (PCR) be completed?

Answer 3

If a patient meets any of these three categories.
1. A complaint or mechanism suggestive of illness or injury.
2. Obvious evidence of illness or injury.
3. An individual or 2nd/3rd party caller requests evaluation for potential illness or injury.

Question 4

During interfacility Transport, if the patient is receiving a type of care beyond your scope, the sending facility must send someone with you. True or False?

Answer 4

True

Question 5

During Interfacility Transport, the sending physician is responsible for the patient until they are accepted at the receiving facility. True or false?

Answer 5

True

Question 6

What are the pediatric hospitals available for transport?

Answer 6

St. Rose Dominican- Siena Campus
Summerlin Hospital Medical Center
Sunrise Hospital & Medical Center
UMC

Question 7

What are the obvious signs of death determination?

Answer 7

A. Body Decomposition
B. Decapitation
C. Transection of thorax
D. Incineration
E. Other traumatic injuries suspected to be incompatible with life, Medical Control must be contacted for medical direction.

Question 8

What are the 5 presumptive signs of death?

Answer 8

1. Unresponsiveness
2. Apnea
3. Pulselessness
4. Fixed, Dilated Pupils
5. For non-traumatic arrest, Asystole in at least 2 leads or a “No Shock Advised” from an AED.

Question 9

What are the conclusive signs of death?

Answer 9

1. Dependent Lividity
2. Rigor Mortis

Question 10

What is required to determine someone dead from presumptive and conclusive signs?

Answer 10

All 5 presumptive signs of death, and 1 conclusive sign.

Question 11

What are the vital signs and criteria for Approved Public Intoxication destinations?

Answer 11

1. PT can stand with minimal assistance of 1 or 2 people.
2. Blood pressure Systolic 90-180/ Diastolic 60-100.
3. HR 60-100
4. RR 12-22
5. Blood glucose between 60-250
6. GCS greater than or equal to 14
7. SPO2 >94% or 90% for smokers
8. No acute medical complications
9. No signs of trauma
10. No suspected head injury

Question 12

How do you contact West Care or Crossroads to bring in an intoxicated patient?

Answer 12

You must call through the Fire Alarm Office (FAO) 702-382-9007

Question 13

If there is an issue, you should attempt to first work it out within the agency prior to notifying SNHD. True or False?

Answer 13

True

Question 14

What is the only way to terminate resuscitation?

Answer 14

By Physician’s order only.

Question 15

What are the 4 steps in Trauma Field Triage Criteria

Answer 15

1. Measure vital signs and level of consciousness
2. Assess anatomy of injury
3. Assess mechanism of injury and evidence of high-energy impact injury
4. Transport to appropriate Trauma care facility (Level 1,2,3)