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Terms in this set (34)
Per Policy #500: Prehospital Care Patient Documentation, if a patient is refusing care or transport by your unit, any assessment or treatment performed, and/or medical history obtained from the patient does not need to be documented
Per policy #600: Filed pronouncement of Death, Basic & advanced life support care may be withheld or discontinued by emergency medical service personnel on a pulseless and or apneic patient who has exerised his or her roight to die under the End Of Life Option Act
Per policy #602: 911 EMS patient Destination, patients that are in cardiac arrest that have a BLS airway meet "In Extremis" criteria
Per Policy #604: Do not resuscitate DNR advanced directives, if a pt. who has a valid DNR dies in their home during medical treatment, which agency or person have the responsibility for disposition of the decedent?
local police or fire
Per policy #605 Prehospital trauma triage what is the impact speed of a motor vehicle crash necessary for mechanism of injury criteria for a major trauma victim?
more than 40mph for cars and 20mph for motorcyclists
Per policy #610: Private EMS response to Hazardous Material incidents, to isolate and deny entry the proper distance to keep everyone back is at least
100 feet for small incidents, 500 feet for large incidents
Per policy #613 EMS personnel Markings & protective Gear, all private providers must display a Santa Clara County EMS system identification badge on their person which is visible at all times when on duty
Per policy #617 EMS system identification badges are property of the county of Santa Clara, and shall be surrendered to the EMS Agency upon separation from service with an authorized Santa Clara County EMS Sytem Provider
Per policy #618 EMS life safety procedures, only the 911 contracted ambulance provider is required to understand the life safety procedures.
According to EMS reference #811; Multiple Management Plan, an MPMP with 15 patients requiring ambulance transport will be considered a
According to EMS reference #818 EMS Communications System Guide, when emergency radio traffic requires an immediate action such as an evacuation, shelter in place order, or eminent safety issue, this alert is issued :
According to EMS reference #818 EMS communications system guide a personnel accountability report (PAR) is a safety check that includes confirmation that all members of a unit are accounted for and are safe at the time of the PAR. Trainees and or observers do not need to be included in the PAR
According to policy #501: Hospital Radio Reports, EMT may contact the base hospital and receive online medical direction on behalf of their paramedic partner
According to policy #600 Field pronouncement of death, basic and advanced life support care may be withheld or discontinued by emergency medical service personnel for a pulseless and or apneic patient with a valid DNR directive.
According to policy #601: Physician at scene, if a person at a traffic accident scene states that they are a physician and wish to maintain care of the patient, the prehospital personnel shall request proper identification to confirm that person is a California licensed (MD or DO)
According to Policy #602 911 EMS Patient Destination, pediatric major trauma victims may be transported to the following Trauma Center except.
According to Policy #602 911 EMS Patient destination, all of the following hospitals may receive patients that meet "Stroke Alert" criteria except for:
EPS, PAV (palo alto veterans hospital)
According to policy #605 prehospital trauma triage, a 26-year-old male who presents with an arrow that has fully penetrated his left forearm, distal to the elbow meets major trauma victim criteria.
According to policy #605 Prehospital Trauma Triage, major auto deformity greater than 12 inches on the occupant site or greater than 18 inches any other site is considered major trauma criteria.
According to policy #606 Prehospital Transition of Care, ALS level patients may be transferred to BLS personnel during declared mass casualty incidents (MCI) and disaster situations.
According to policy #611 EMS Air Resource Utilization, dispatchers by county communications shall be the only valid authorization for air resource operation at the scene of an emergency in Santa Clara County.
According to policy #617; EMS system identification a system badge expires on the same date as one's professional medical credential.
According to Policy #700-A03; Hypoglycemia, if a pt does not improve after one tube of oral glucose, a second tube of oral glucose may be administered after
According to Policy #700-M17; Tourniquet, what are indications for the use of a mechanical tourniquet in Santa Clara County?
uncontrolled extremity hemmorrhage
According to EMS reference #818; EMS Communications system guide, The use of clear text (plain English) has replaced the use of radio codes
According to EMS reference #818 EMS communications system guide use of the term "Emergency Traffic" shall be limited to the presence of eminently life threatening conditions and should not be used for the reporting traffic collisions, still alarms, and other events that do not immediately threaten safety
According to policy #600 Filed Pronouncement of Death, Basic Life Support personnel may withhold or discontinue resuscitative efforts and death may be determined for individuals with fixed and dilated pupils.
According to Policy #602 911 EMS Patient Destination, providers are allowed to take patients that meet major trauma victim criteria to out of county facilities per the patient's request:
According to policy #606 Prehospital Transition of Care, if ALS level interventions are performed, care may not be transferred to a BLS unit
According to policy #602; 911 EMS Patient Destination, a patient that is determined to be "In-Extremis" shall be transported to
closest hospital to the incident as determined by total emergency ambulance transport time
According to Policy #605; Prehospital Trauma Triage, at what speed does a motorcycle crash meet mechanism of injury criteria for a major trauma victim
greater than 20mph
According to Policy #607; BLS Ambulance Utilization, a first responder paramedic is on -scene waiting for the arrival of an ambulance to transport a patient needing advanced life support. Due to low 911 system level, a BLS unit has been dispatched to the call, the first responder paramedic should:
provide ALS care en route to hospital in the BLS ambulance
According to Policy #610 Private EMS Response to Hazardous Material Incidents, for the identification of hazardous materials refer to the;
According to Policy #108 System Variance Reporting. Providers are required to notify the EMS Duty Chief of a level A variance
immediately via County Comm
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