Term
| how many victims in level 1 MCI |
|
Definition
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|
Term
| how many victims in level 2 MCI |
|
Definition
|
|
Term
| how many victimes in level 3 MCI |
|
Definition
|
|
Term
| what is the difference between level 1 2 & 3 MCI as it pertains to documentation |
|
Definition
Level 1 MCI: The care of each patient shall be documented using an approved Ventura County Documentation System
Level 2 and 3 MCI: Each patient transported to a hospital shall have their care
documented on a multi-casualty patient record |
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Term
| Policy number for mass casualty incident |
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Definition
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Term
| what is an unusual occurrence? |
|
Definition
Any event or occurrence deemed to have impact or
potential impact on patient care, and/or any practices felt to be outside the norm of acceptable patient care. |
|
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Term
| what is a sentinel event? |
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Definition
an unexpected occurrence involving death or serious physical
or psychological injury, or the risk thereof. |
|
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Term
| what is a reportable event? |
|
Definition
Reportable Event: A reportable event is an unexpected
occurrence during the dispatch, rescue, care and transportation of a victim requiring emergency medical care that is not the direct cause of serious physical, psychological injury, or the risk thereof |
|
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Term
| is a reportable event investigated? |
|
Definition
yes, it requires investigation for the purposes of quality
improvement. |
|
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Term
| how soon must you report a sentinel event? |
|
Definition
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|
Term
| how soon must you report a reportable event? |
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Definition
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Term
| what are the required elements when investigating a sentinel event? |
|
Definition
a. Policies
b. Written statement by involved personnel
c. Pre-Hospital Care Record
d. Patient Care Record-ED if applicable
e. CAD sheets if applicable Policy 150: Unusual Occurrence Reportable Events/Sentinel Event
f. VCEMS Unusual Occurrence Form
g. Patient Care Records (AVCDS and ED)
h. Rhythm Strips when applicable
i. Diversion status print out (Reddinet) if applicable |
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Term
| how soon will a complete report of the investigation of a sentinel even be completed |
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Definition
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Term
| 9 different ways that describe a medication error |
|
Definition
A. Wrong dosage
B. Variation from VC EMS 705 Policies
C. Calculation error
D. Exceeding maximum dose
E. Wrong route
F. Wrong medication
G. Medication omitted
H. Incorrect time
I. Wrong person |
|
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Term
| under what conditions may you be granted immunity from a medication error? |
|
Definition
A. The event was unintentional
B. There were no major adverse outcomes
C. The law has not been broken
D. An action plan is developed and carried out |
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Term
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Definition
| los robles, st johns regional, simi valley, vcmc |
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Term
| A hospital may request that ambulances be diverted for the following reasons? |
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Definition
| internal disaster, emergency department saturation, Lack of Neurosurgical coverage, icu saturation, CT Scanner Inoperative |
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Term
| patients who are obviously dead require? 4 |
|
Definition
• Decapitation,
Incineration,
• Hemicorporectomy
• Decomposition. |
|
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Term
| rigor mortis is determined by |
|
Definition
| checking the jaw and other joints for rigidity. |
|
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Term
| dependent lividity is determined by |
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Definition
| checking dependent areas of the body for purplish-red discoloration |
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Term
| how long must you auscultate lung sounds for 606? |
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Definition
|
|
Term
| what are the three criteria for 606? |
|
Definition
| respiratory cardiac and neurological |
|
|
Term
| how do you check cardiac status in 606 without a monitor |
|
Definition
| feel for pulse 1 minute, auscultate heart sounds for one minute |
|
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Term
| with monitor how long must you check for asystole? 606 |
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Definition
| 1 minute check in two leads, print 6 second strip |
|
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Term
| what neurological criteria must you check for DOD 606? 3 |
|
Definition
| pupils and response to painful stimuli |
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Term
| a trauma patient less than 18 who appears to be dead but displays no rigor or lividity you must |
|
Definition
| resuscitation measures and transport to the closest trauma center shall take place |
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Term
| 18 & over / If the time from initial determination of pulselessness and apnea until trauma center arrival is estimated to be __________________, the patient may be determined to be dead |
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Definition
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|
Term
| In cases of cardiopulmonary arrest as a result of a lightning strike,electrocution or suspected hypothermia, CPR shall be performed for a minimum of ? |
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Definition
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|
Term
| when can a death not be reported to the police |
|
Definition
| if in a skilled nursing facility or enrolled in a hospice program |
|
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Term
| prior to transport to the hospital what must you report with a patient who has experienced a hazmat exposure? 7 |
|
Definition
a. number of victims
b. confirmation that patients being transported have been field
decontaminated
b. extent each patient was contaminated
c. materials causing contamination
d. extent of injuries
e. patient assessment
f. ETA
g. any other pertinent information |
|
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Term
| what is considered resuscitation in DNR policy 613? 5 |
|
Definition
1. External cardiac compression (chest compressions).
2. Defibrillation.*
3. Tracheal Intubation or other advanced airway.*
4. Assisted Ventilation for apneic patient.*
5. Administration of cardiotonic medications |
|
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Term
| if patient is dnr and taking high doses of opioid medication and BH contact cannot be made, how much narcan will you give? |
|
Definition
| in doses no more than 0.1 mg every 2-3 minutes. |
|
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Term
| when must cspine be indicated? 2 |
|
Definition
Any patient with head or neck trauma who complains of neck or back pain, or weakness, numbness or radiating pain in a trauma setting.
Any patient with altered level of consciousness, neurological deficit, or alcohol or drug intoxication to the extent that appreciation of pain is altered, or suffering from severe distracting painful injuries for whom the mechanism of injury is unknown or suspicious for spinal injury. |
|
|
Term
|
Definition
1. Neck or spinal pain,
2. Spinal tenderness,
3. A painful distracting injury (e.g., long bone fracture),
4. Neurological deficit, OR
5. Inability to communicate effectively. |
|
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Term
| do you have to cspine a a/ox4 patient with isolated lumbar pain? |
|
Definition
| no just a backboard is fine, if no other neurological deficits are apparent. |
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Term
| tools that can be used to remove a football helmets face mask |
|
Definition
screwdriver, FM Extractor, Anvil Pruners,
or ratcheting PVC pipe cutter |
|
|
Term
| All loop straps of the facemask should be? |
|
Definition
|
|
Term
| what would indicate you removing a helmet? 4 |
|
Definition
the face mask cannot be removed
the chin strap or helmet design prevents airway management
the helmet does not maintain good immobilization
the helmet prevents immobilization in appropriate position |
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Term
| if helmet is removed what else should you do? 2 |
|
Definition
remove cheek pads or air before.
remove the shoulder pads at the same time |
|
|
Term
| when is the only time you should remove a football players shoulder pads? |
|
Definition
| when you take off the helmet, duhh. |
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Term
| what kind of search may you make to see if a patient is an organ donor? |
|
Definition
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|
Term
| death must appear to be ? when searching for organ donor status |
|
Definition
|
|
Term
| what kind of items is a organ donor search limited to? |
|
Definition
| a wallet or purse and any other item that may contain a drivers license |
|
|
Term
| if you suspect imminent death but the patient is conscious may you search the patient for an organ donor card? |
|
Definition
| no you cannot, its restricted to unconscious patients only |
|
|
Term
| can you search a patient for organ donor status if they haves died? |
|
Definition
|
|
Term
| in policy 618 unaccompanied minor, do you need a signature? |
|
Definition
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Term
| who will take responsibility of the minor until parents can be reached and what will you document? |
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Definition
| a police officer , document name and badge # |
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Term
| how old must a child be to safely surrender them? |
|
Definition
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|
Term
| will you be punished for accepting a child older than 72 hours? |
|
Definition
| no you will not including taking possession of a child who is surrendered by a person who does not have custody of the child. |
|
|
Term
| how long does a parent have to reclaim their child after surrendering them?1 |
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Definition
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|
Term
| oral glucose is only to be administered in 3 circumstances |
|
Definition
1. The patient has a history of diabetes controlled by medication
2. Shows signs or symptoms of altered mental status.
3. The patient is conscious, able to swallow and protect their airway (intact
gag reflex). |
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Term
|
Definition
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|
Term
| what does polst stand for? |
|
Definition
| physicians orders for life sustaining treatment |
|
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Term
| if you have a dnr and a polst which one do you follow? |
|
Definition
|
|
Term
| what two things are required to make a polst form valid |
|
Definition
| patients and physicians signature |
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Term
| in polst policy 625 what are considered comfort measures? |
|
Definition
a. Patient positioning
b. Oxygen
c. Airway suctioning
d. Relief of airway obstruction (including Magill Forceps)
e. Pain control per VC EMS Policy 705 |
|
|
Term
| in polst policy 625 what items are considered limited additional interventions |
|
Definition
a. IV fluids
b bag-mask ventilation
c. CPAP
d. DO NOT INTUBATE |
|
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Term
| in chempack policy 626 what is the difference between a hospital checmpack and ems chempack |
|
Definition
| hospital chempacks are usually in vials while ems chempacks are auto injectors |
|
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Term
| who do you call in the event of the need to deploy the chempack container? |
|
Definition
| EMS Agency Duty Officer at FCC |
|
|
Term
| policy 704 what three thing designate a paramedic to make base hospital contact? |
|
Definition
1. any patient requiring als interventions
2. any patient with traumatic injury steps 1-4
3. General Cases cont... |
|
|
Term
| what are the general cases in which a paramedic must make BH contact? 6 |
|
Definition
1. Significant vaginal bleeding (OB or non-OB related).
2. Pregnant female in significant distress (e.g., symptoms of placenta previa,
placenta abruptio, toxemia, retained placenta, etc.).
3. Syncope / Near Syncope
4. AMA involving any of the conditions listed in this policy.
5. AMA including suspected altered level of consciousness
6. Any patient who, in paramedic’s opinion, would benefit from base hospital
consultation. |
|
|
Term
| at what age is a patient treated as an adult? |
|
Definition
|
|
Term
| what policies are the extension rule to pediatric age definition? |
|
Definition
1. Policy 606: Determination of Death
2. Policy 710: Endotracheal Intubation
3. Policy 717: Intraosseous Infusion
4. Policy 805: EMT-D Medical Cardiac Arrest Protocols – SAED |
|
|
Term
| under bls altered is you suspect stroke what must you preform? |
|
Definition
|
|
Term
Certain oral hypoglycemic agents (e.g. - sulfonylureas) and long-acting insulin preparations have a long
duration of action, sometimes up to ? |
|
Definition
|
|
Term
| If stroke is suspected and the last time known to be without signs/symptoms was < ??? prior to EMS arrival, expedite treatment and transport |
|
Definition
|
|
Term
| "Mental disorders” do not generally include |
|
Definition
| alcohol or drug intoxication, brain injury, hypoxemia, hypoglycemia, or similar causes |
|
|
Term
Use of restraints (physical or chemical) shall be documented and monitored in accordance with VCEMS
policy ? |
|
Definition
|
|
Term
| what do you do for animal and insect bites? |
|
Definition
• Flush site with sterile water
• Control bleeding
• Apply bandage |
|
|
Term
| what do you do for snake bites? |
|
Definition
• Remove rings and constrictions
• Immobilize the affected part in dependent position
• Avoid excessive activity |
|
|
Term
| what do you do for bee stings? |
|
Definition
• If present, remove stinger
• Apply ice pack |
|
|
Term
| what do you do for jellyfish stings and what do you NOT do? |
|
Definition
• Rinse thoroughly with normal saline
o DO NOT:
• Rinse with fresh water
• Rub with wet sand
• Apply heat |
|
|
Term
| what do you do for all other marine animal stings? |
|
Definition
• If present, remove barb
• Immerse in hot water if available |
|
|
Term
| what kind of bite is considered als? |
|
Definition
| snake bites, GET IV ACCESS |
|
|
Term
| If < ?? Total Body Surface Area (TBSA) is burned, cool with saline dressings and ??? burned extremities if possible |
|
Definition
| 10 %, elevate extremities |
|
|
Term
| when do you give normal saline for burns? |
|
Definition
| if burns > 10 % or hypotension present |
|
|
Term
If sustained ROSC (> ?? seconds), perform 12-lead EKG //
Cardiac Arrest PEA |
|
Definition
|
|
Term
| if patient is hypothermic, how many rounds of medications can you give and how many times can you defib |
|
Definition
| one round of meds, 6 defib |
|
|
Term
| Ventricular tachycardia (VT) is a rate > ??? |
|
Definition
|
|
Term
| under chest pain 705, when can you give amiodarone with ed physician order only |
|
Definition
| PVC’s > 10/min, multifocal PVC’s, or unsustained V-Tach |
|
|
Term
| what are the 7 questions you must ask a pregnant patient? |
|
Definition
• number of pregnancies (gravida)
• number of deliveries (para)
• due date (weeks of gestation)
• onset/duration/frequency/intensity of contractions
• if a rupture of membranes has occurred (including color/date/time) • if any expected complications during pregnancy are present
• presence of crowning or any abnormal presenting part at perineum |
|
|
Term
| under bls what do you do for a prolapsed cord? 2 |
|
Definition
Cover cord with wet saline dressing Place mother in left-lateral
Trendelenberg position Provide constant manual pressure
on presenting part to avoid cord compression |
|
|
Term
| when is the only time you sunction an infant and which do you do first? |
|
Definition
| ONLY IF SECRETIONS, INCLUDING MECOMIUM, CAUSE AIRWAY OBSTRUCTION: suction mouth, then nose |
|
|
Term
| what should you assess while your drying infant? |
|
Definition
1. Full term?
2. Crying or breathing?
3. Good muscle tone? |
|
|
Term
| if yes to full term crying or breathing and good muscle tone, what three things should you do? |
|
Definition
Place skin-to-skin with mother
• Cover both with dry linen
• Observe breathing, activity, color |
|
|
Term
| if no to full term crying or breathing and good muscle tone what things should you do? |
|
Definition
• Stimulate briefly (<15 seconds)
◦ Flick soles of infant’s feet
◦ Briskly rub infant’s back
• Provide warm/dry covering
• Continue to assess |
|
|
Term
|
Definition
40-60 per minute for 30 seconds
ressessing every 30 seconds |
|
|
Term
|
Definition
| 40-60 every 30 seconds . reassess every 30 seconds. until hr is > 100 bpm |
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