Test 1 Flashcards
What is rule 1 of case entry?
If the chief complaint includes scene safety issues choose the protocol that best addresses those issues.
What does QHAT mean?
Queensland health authorized transport
What is rule 2 of case entry?
If the chief complaint involves trauma choose the protocol that best addresses mechanism of injury.
What is rule 3 of case entry?
If the chief complaint appears to be medical in nature choose the protocol that best fits the patients foremost symptom, with priority symptoms taking precedence.
What is rule 4 of case entry?
When the initial chief complaint appears to be fitting, go to protocol 12 regardless of consciousness and breathing status.
What are the call taker objectives?
- Receive calls
- Determine scene safety
- Triage the incident
- Obtain enough info to create a case
- Send to dispatch
- Provide appropriate PAI’s, PDI’s and emotional support
- Notify other services
State operations centre system co-ordination
Brisbane Southport Maroochydore Townsville Rockhampton Towoomba Cairns
What is the definition of QHAT?
A patient who meets the eligibility criteria for ambulance transport and in the opinion of a QHealth medical officer requires active management, observation and specialist transport by QAS personnel.
What is the definition of PAI’s?
Pre arrival instructions:
Medically approved scripted instructions to control the incident and provides assistance to the caller.
(Choking/airway/arrest, child birth)
What is the definition of PDI’s?
Post dispatch instructions:
Case specific advice, warnings and treatments relayed by trained EMD’s to callers after dispatching crews.
What is the definition of DLS?
Dispatch life support:
Allows you to navigate from PDI’s to a a suitable PAI or x-card based on the patients diagnosis.
What are the 5 P’s?
Patients People Performance Professionalism Process
What are the resources you can use to provide advice to a caller?
Mentor PDI's CDS PAI's OCS
What does CDS mean?
Clinical deployment supervisor
What are the functions of a call card?
- Serve as a back up to cad
- Provide an accurate record of the information given
- Manual means of recording and tracking calls
- Can be used in a court of law
What are the groupings for acute classifications?
Alpha- CCP
Bravo- extended care/advanced care paramedic
Charlie- paramedic with defib
Delta- other clinical resource with defib
Echo- any clinical resource(no defib)
Foxtrot- first responder(rural areas)
What are the groupings for medical classifications?
Golf- PTO with defib
Hotel- PTO (no defib)
Explain a 1a response
- Immediate response of alpha and bravo units if a medical unit is closer it is to be dispatched as well
- Actual time critical
- A patient with abnormal or absent vital signs
Explain a 1B response.
- Immediate response of a bravo unit
- Emergent time critical
- Patients with injury/illness with high probability of deterioration even though vital signs are within normal limits.
Explain a 1C response.
- Immediate response of a bravo unit
- Potential time critical
- Patients have do not present with significant injury/illness but have a significant MOI or past history that indicates high potential for deterioration
Explain a 2A response.
- Immediate response of paramedic unit
2. Patient has injury/illness that requires immediate assessment/treatment by paramedics.
Explain a 2B response.
- Immediate response of paramedic unit
2. Patient has injury/illness that requires assessment/treatment by paramedics.
Explain a 2C response.
- Immediate response of paramedic unit
2. Patient has low acuity injury or illness that requires paramedic assessment or intervention
Explain a 3A response.
- Time critical appointment
- Requires paramedics
- No lights and sirens
Explain a 3B response.
- Time critical appointment
- Requires PTO
- No lights and sirens
Explain a 4A response.
- Return from appointment/ed visit
- Paramedic required
- At QAS earliest convenience
- No lights and sirens
Explain a 4B response.
- Return from appointment/ed visit
- PTO required
- At QAS earliest convenience
- No lights and sirens
What interventions/mobility can a paramedic support?
IV, Monitor, stretcher, oxygen, walkers.
What interventions/mobility can a PTO support?
Stretcher, walkers, oxygen.
Explain the non department of health patient transport categories (categories 1&2).
Mata1(1A)- life threatening, actual time critical, L&S immediate emergency response
Mata2(1B)- potential life threatening, emergent time critical, L&S immediate emergency response
Explain the non department of health patient transport categories (categories 3&4).
Mata 3(2A)- non life threatening, acute injury or illness, urgent no L&S Mata 4(2A)- non life threatening condition, semi urgent no L&S
Explain the non department of health patient transport categories (category 5).
Routine responses A- paramedic B- PTO Mata 5(3A) Matb 5(3B) Mata 6(4A) Matb 6(4B)
Provide some enhancing questions.
- What is the name of complex
- What is the best entry
- Is the complex gated/security code
- Is there an internal street name
- Can someone meet paramedics
- What level is the patient on
- Can we get a STR to patient
- Is someone with patient
What are the main clients of the QAS?
QHealth General public QPS QFES Q Rail Airports Energex NRS military Gas company
Who do you need to notify in case of RTC?
QPS
QFES
OCS(in case of multi-cas incident)
Who do you need to notify in case of Chemical incident?
QPS
QFES
OCS
Who do you need to notify in case of Train derailment?
QPS
QFES
OCS
Q Rail
Explain code 1&2 on DOH ordering guide.
Red1B(1B)- L&S paramedic
Red2A(2B)- no L&S paramedic immediate no delay
Red2B(2B)- no L&S paramedic 30mins from receipt of call
Red2C(2C)- no L&S paramedic 1hr from receipt of call
Explain code 3 on DOH ordering guide.
Pink3A/B(3A/B)- paramedic/PTO agreed time for today, not available at facility
Lime (etc)- appt time critical from QH facility
Tan (etc)- appointment time critical from residence
Explain code 4 on DOH ordering guide.
Blue4A/B(4A/B)- no L&S para/PTO return from appt back to QH
Teal (etc.)- return from appt/ED visit back to residence
Aqua (etc.)- discharge from from ward to usual residence
Give 2 examples of a 1A response.
Ineffective breathing
Cardiac/respiratory arrest
Give 2 examples of a 1B response.
Difficulty speaking between breaths
Asthma not alert
Give 2 examples of a 1C response.
Chest pain clammy
Chest pain cocaine use
Give 2 examples of a 2A response.
Fall to possibly dangerous body area
Headache with numbness
Give 2 examples of a 2B response.
Sunburn
Assault to ankle
Give 2 examples if a 2C response.
VD
Gout
Give 2 examples of a 3A response.
Dialysis appt with IV insitu
Cardiac appointment with monitoring
Give 2 examples of a 3B response.
Wound dressing appt nil interventions
Dialysis appt nil interventions
What questions do you need to ask if there is a plane crash?
- Size of aircraft?
- Any visible markings
- Fires or explosions
- Civilian or military?
- Access to the site and staging areas
- People on board?
- What kind of cargo?
What to do during a bomb call?
Stay on the line Remain calm Follow AFP checklist Document everything Report to QPS Advise OCS
QHAT transports include:
Urgent and non urgent transports between QH facilities Hospital to home QH hospital to private hosp Residence to QH facility Short distance cross border transports
