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SANTA CLARA COUNTY EMS STUDY GUIDE
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SANTA CLARA COUNTY EMS STUDY GUIDE
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SANTA CLARA COUNTY EMS STUDY GUIDE(108) What type of incidents are considered level A? - Answers- Threat to public safety,
by-stander, or responder
Examples: Deviation from EMS policy, errors with patient harm, failure to respond to
request for aid, equipment failure with patient harm, unprofessional conduct
(108) What is maximum time you must report a level A variance? - Answers- Within 24
hours but should be reported immediately
(108) Who must be notified ASAP? - Answers- EMS Duty Chief via county
communications
(108) What type of incidents are considered Level B Variances? - Answers- Any
incident that does not result in patient harm but is a deviation from EMS policy
Examples: General complaint, equipment failure, potential clinical care variance, etc
(108) What is the maximum time you must report a Level B Variance? - Answers- 5
business days to EMS agency
(108) What are examples of Level C Variances? - Answers- Any incident where a
responder provided outstanding care above expectations
(108) What form would you use to file a variance report? - Answers- Form #903
(109) How will policy implementation be disseminated to you? - Answers- Via electronic
copy
(109) What other resources do you have to find new policies and updates? - Answers-
On website or other digital media
Paper copy available to purchase
(500) When an MCI alert occurs with 5 or more patients is a PCR required? - Answers-
No individual PCRs
(501) Who should you ask to meet you in the ED bay for DECON ALERT? - Answers-
ED rep to meet outside door to evaluate pt before entry.
Ambulance NOT to enter until authorized by ED rep.
(501) Who can make base contact? - Answers- Only paramedics and it should be done
through cell.
(502) Who can legally authorize to refuse care? - Answers- 1a. An adult w/ capacity
, 1b. A legally authorized minor w/ capacity (is/was married, on active duty, emancipated,
or re: pregnancy treatment)
1c. Legal representative of a patient w/ capacity
2. Not currently suicidal
3. Not on psychiatric hold (5150)
(502) Who cannot refuse care? - Answers- minors
5150
ALOC
(600) What are obvious signs of death an EMT can call? - Answers- 1. Decapitation
2. Total incineration
3. Decomposition
4. Rigor Mortis
5. Pulseless plus damaged heart, lungs, or brain
6. Apneic + DNR
7. Pulseless + Right to Die
(601) If a physician arrives on scene what must you do first? - Answers- Identification of
medical license + OR ID w/ medical license # and business address
(601) What three options does the physician on scene have when assisting in rendering
aid while responders are on scene? - Answers- 1. Relinquish care - crew takes control
2. Assist in care - crew takes control and physician helps according to standing
protocols + online medical control
3. Take over care - accepts responsibility + must ride w/ crew to hospital
(602) When can a patient be taken to a hospital of their choice? - Answers- Taken to
facility of choice unless they require special needs and/or in times of EMS surge
(602) What if patient has no preference? - Answers- Closest hospital to incident
location AND is accepting patients
(602) What may happen during a time of EMS surge? - Answers- All pt destinations will
be determined by County Communications. May be transported out of county when
directed.
(602) What is considered "in-extremis"? - Answers- 1. Breeching
2. Uncontrollable bleed
3. Unmanageable airway
(602) Where do we transport "in-extremis" patients? - Answers- Closest hospital AND
not on internal disaster
(602) Who are designated Trauma Centers in SCC? - Answers- SUH - North (Trauma
1)
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