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California Ambulance Driver Certificate

LimmerEducation
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Terms in this set (92)

What ambulances do California regulations now apply?
Non-emergency and federally owned.
Any vehicle, such as a "rescue" vehicle, when it has been specifically modified or equipped with the intent to transport injured persons.
Ambulance
The functions involved in responding to a request for an ambulance to transport or assist persons in apparent sudden need of medical attention or otherwise in need of acute medical care during transportation.
Emergency service
What does the "emergency service" definition permit?
Ambulance transportation of a deceased victim when the ambulance has responded to an emergency call.
Who takes possession of the remains when a person is unquestionably deceased?
Coroner
A term used to describe the use of red warning lamps and siren as permitted by California Vehicle Code if the vehicle is being driven in response to an emergency call.
Code 3
When is a Code 3 justified?
When initially responding to a call or when speed in obtaining emergency medical appears essential.
When is a Code 3 not justified?
When transporting a stable patient.
Who licenses ambulation operation in California?
CHP
Where should the service name of the ambulance be displayed?
Both sides and the rear
How many hours of service per day are ambulance operators required to provide?
24 hours
Who establishes the standards for warning lights and sirens in California?
CHP
How often should fire extinguishers be serviced?
Yearly or immediately after use
Who performs ambulance inspections and how often are they performed?
CHP performs them initially, annually, and randomly
What document shows that the ambulance has been inspected by CHP?
Emergency Ambulance Identification Certificate
What are established to prevent ambulance transportation of emergency patients over unnecessarily long distances?
Destination restrictions
Laws that provide limited protection from civil liability under specified circumstances when rendering emergency medical services in good faith.
Good Samaritan
What two instances are ambulance drivers exempt from needing a certificate?
Persons driving the ambulance in the line-of-duty such as police and fire fighters. Persons driving into California from out-of-state.
How old must you be to drive an ambulance?
18
Do you have to declare expunged or dismissed convictions on your certificate application?
Yes
How old can the completed medical form be preceding the application?
Two years
The medical report must show that the applicant is free from an ailment, disease, or defect that might affect the ability to operate an ambulance safely and meets the standards set forth in:
Federal Motor Carrier Safety Regulations
Visual acuity with or without corrective lenses shall be at least ____ for both eyes in focus, and ____ for each eye separately.
20/40
Horizontal fields of vision must be not less than __ degrees to either side.
70
Color perception must enable recognition of red, green, and amber ____ ____.
traffic signals
Who can sign the medical form?
MD, DO, chiropractor, PA, or nurse practitioner
How long is a temporary certificate good?
180 days
How long is a regular certificate good?
No longer than five years and expires on the same day as the driver's license
Any driver or applicant who has had a certificate denied, suspended, or revoked by DMV for any cause, may, within ____ days after receiving notification of the action, submit a written request for a hearing.
ten
How long does a driver have to obtain his EMT-I certificate after initial issuance of the ambulance driver certificate?
One year
How often are proficiency tests recommended?
Semi-annual
What is the ambulance driver's primary responsibility?
Safe transport of the patient
What does "safe" mean when transporting a patient (two things)?
1. Not risking an accident
2. Smooth driving
What does "smooth driving" mean (two things)?
1. Driving that will not stress or traumatized the patient.
2. Driving in a manner that will allow the attendant to provide medical care to the patient.
What percent of transports require Code 3?
5 to 7 percent
What three conditions require Code 3 transport?
1. Uncontrolled hemorrhage
2. Uncontrolled cardiovascular or respiratory impairment
3. Complicated impending childbirth
Can an ambulance travel over the speed limit when transporting a stable patient?
No
How far front of the ambulance must the red warning lamp be visible?
1,000 feet
Sufficient notice of the ambulance's approach must to given to satisfy ____ ____.
"Due Regard"
In determining whether or not the driver was exercising "due regard" in using signaling equipment, the courts will consider three things:
1. Whether it was reasonable necessary to use signaling equipment.
2. Whether the signaling equipment was used.
3. Whether the signal was audible and/or visible to the other motorists or pedestrians.
Sirens do not give sufficient warning to drivers approaching ____ ____ or traveling on ____ roads.
head on
converging
In a rural environment, a person in a closed car proceeding at 55 mph with the radio playing may not be aware of a siren until it is as close as __ feet.
33
In city traffic, a driver with car windows open may not detect a siren until it is as close as __ feet.
123
The siren warning effectiveness distance to vehicles on crossroads is only about ___-___ of that of a vehicle straight ahead of the siren and traveling in the same direction.
one-third
What side should ambulance drivers avoid passing other motorists?
Right
What is the primary factor in determining the use of warning lamps?
Protection of life and property
What two instances require use of warning lamps?
1. Extreme hazard
2. Unusual traffic hazard
When should a steady burning red warning lamp be used?
Extreme hazard
When should flashing red warning lights be used?
Extremely hazardous conditions - any incident or situation that requires traffics group stop or proceed only as directed, any incident that requires the roadway to be blocked, or any situation an extreme hazard exists.
When hazards cease to exist, should flashing red and amber lights be turned off?
Yes
When should flashing amber lights be displayed?
Unusual traffic hazards
Doing everything reasonable possible to avoid being involved in a preventable accident, regardless of what the law is, what the other driver does, or in adverse driving conditions.
Defensive driving
An accident in which a driver failed to take reasonable precautions and/or evasive actions to avoid the accident.
Preventable accident
____ ____ is a prerequisite to safe driving.
Physical fitness
Five elements of defensive driving:
1. Knowledge
2. Alertness
3. Vision
4. Judgement
5. Skill
A driver should "aim high" by raising his field of vision at least ____-____ of a mile ahead to observe potential hazards.
one-fourth
Where should a crew member be stationed when backing the ambulance?
Left rear
What are the most likely accident areas?
Intersections
A ____ ____ ____ is greater than the distance required for reaction time (3/4 of a second) but less than the total stopping distance.
safe following distance
How long is reaction time?
3/4 of a second
What is a good rule of thumb for a safe following distance?
Separation of at least three seconds
Following distance should be increase by __ percent of the ambulance is large or heavy.
50
Following distance should be ____ if the road surface is loose or slippery, vision is obscured, or the driver is not fully alert.
doubled
Following distance should be ____ if the road surface is packed snow or ice.
tripled
At highway speeds (40-60 mph) a safe pass takes about __ seconds, assuming that the initial ambulance speed us approximately the same as that of the vehicle to be passed.
10
At 55 mph the passing distance would be ___ feet.
807
Gently ____ the brakes prior to a need for an immediate slowdown may be necessary to allow brakes sufficient time to dissipate heat.
pumping
When speed is doubled, braking distance more than ____.
quadruples
Responsibility for determining the mechanical safety of the ambulance rests primarily with the ____ and responsibility for equipping and maintaining the vehicle, the ____.
driver
owner
What three areas of an ambulance are carbon monoxide leaks typically found?
rear air intakes
rear windows
doors
What is the minimum requirement for the ambulance attendant?
EMT-1 certificate
The ambulance driver, when unaccompanied by certified or licensed medical personnel, is required to meet the same training and certification standards as the:
ambulance attendant
Are seat belts required in the patient compartment?
recommended
How many adjustable levels should an ambulance cot have?
four
How wide should soft tie restraints be?
three inches to allow for two inch width when tied
How many sets of linens are recommended?
four
What is recommended when a person with a known communicable disease is transported?
patient compartment cleansed with soap, water, and disinfectant
supplies should be autoclaved
What specific type of pediatric splint should be carried?
femur
____ splints are recommended for general use.
Cardboard
____ ____ splints are recommended mainly to immobilize lower arms and lower legs.
Inflatable air
Traction splints should be one of two types:
Hare
Sager
How many head beds are recommended?
four
How many oropharyngeal airways are recommended, what sizes, and what type?
six
two adult, two children, one infant, one newborn
side grooved
What size reservoir for a BVM is recommended for a newborn?
350 cc
What should suctioning apparatus be capable of?
300 mm Hg at 30 lpm for 30 minutes
What types of tips are preferred with suctioning devices?
whistle-tip
Suction catheters should include (three things):
bulb syringe
10 and 14 French sizes
tonsil suction device
What pressure areas is recommended for tourniquets?
3 inches
What two types of stretch bandages are recommended?
Kerlex
Kling
What should and shouldn't be used to cut the cord in emergency childbirth?
scissors yes
scalpel no
What types of fluids and their amounts are recommended?
one gallon of water
two liters of sterile water
two liters of sterile isotonic saline
What are the two driver prerequisites prior to employment?
advanced first aid
CPR training
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