CCEMSA Protocols: Week 1 {Answers Correct} Questions
With Complete Solutions
119 Scope of Practice for EMT - How can EMTs set up for ALS
procedures? Correct Answers Under the direction of an
advanced EMT or paramedic
119 Scope of Practice for EMT - Is an EMT allowed to monitor,
maintain or adjust flow rate of IV LR? Correct Answers Yes
119 Scope of Practice for EMT - What kind of care can an EMT
render? (3 items) Correct Answers 1. BLS
2. Rescue
3. Emergency medical care
119 Scope of Practice for EMT - What kind of patient may an
EMT (by themselves) not transport? Correct Answers Patients
with arterial lines.
119 Scope of Practice for EMT - When may an EMT assist with
administering other medications (such as SL nitro)? Correct
Answers When the medication is prescribed by a physician.
119 Scope of Practice for EMT - Which 4 medications can
EMTs administer? Correct Answers 1. Oral glucose
2. ASA
3. Epi (auto-injector only)
4. Naloxone (intranasal)
,119 Scope of Practice for EMT - Which airway
adjuncts/breathing aids can EMTs use? (5 items) Correct
Answers 1. OPA
2. NPA
3. Suction
4. O2 delivery devices/masks
5. CPAP (but NOT in CCEMSA Regional protocols)
119 Scope of Practice for EMT - Which vitals signs can EMTs
obtain? (8 items) Correct Answers Including but not limited to:
1. Temperature
2. BP
3. Pulse
4. RR
5. Pulse Ox
6. LOC
7. Cap refill
8. Pupil status
530.02 General Procedures - 12-Lead indications (4 items)
Correct Answers 1. Coronary ischemic chest discomfort
2. SOB w/pulmonary edema (if acute onset of symptoms)
3. Unexplained hypotension (in presumed cardiogenic shock)
4. ROSC
530.02 General Procedures - According to the protocol format,
which ALS orders may a paramedic perform in the event of a
communication failure? Correct Answers Protocols written in
,lower case (essentially, everything that does not have BASE
HOSPITAL ORDERS attached to it)
530.02 General Procedures - After removering the TTJI needle
from the catheter, what is the next step? Correct Answers
Attach pediatric anesthesia adapter to catheter
530.02 General Procedures - Are all STAT pts transported Code
3? Correct Answers "Not necessarily" (this is what it actually
says in the protocols)
530.02 General Procedures - Are there any circumstances where
EMS units should wait on scene with a STAT pt while awaiting
base hospital decisions? Correct Answers Negative.
530.02 General Procedures - At the initiation of call-ins, what
format should be relayed? (3 items) Correct Answers 1. STAT
or NON-STAT
2. Medical or Trauma
3. ETA, Standard or Diversion
530.02 General Procedures - At what age is use of an oxygen
powered breathing device acceptable for treatment? Correct
Answers At 5 years and older.
530.02 General Procedures - At what GCS do patients need
assisted ventilations? Correct Answers GCS of 8
530.02 General Procedures - Base Hospital Orders, what does
the asterisk* mean? Correct Answers These orders may only be
, implemented by order of a base hospital physician. BHO
without an * may be implemented by order of an MICN.
530.02 General Procedures - Besides critically ill pediatric
patients and cardiac arrest pts, how else could a paramedic be
approved to start an IO? Correct Answers Contact base hospital
530.02 General Procedures - Besides the 4 conditions listed as
standing orders, how else would a paramedic be approved to
obtain an ECG? Correct Answers All other 12-LEAD ECG
applications require Base Hospital approval.
530.02 General Procedures - Can paramedics use pre-existing
vascular access? Correct Answers Yes, if unable to establish a
peripheral IV. This is acceptable as the primary IV in a code.
530.02 General Procedures - Chest Decompression Needle sizes
(adult and pediatric) Correct Answers Adult - 10 gauge IV 3-
1/4 inches long
Pediatric - 14 guage IV 1-1/4 inches long
530.02 General Procedures - Classifications for severity of pt
condition Correct Answers 1. STAT or Non-STAT
2. Medical or Trauma (depending on which condition is most
severe)
3. Code Blue: Pt is pulseless and/or non-breathing
With Complete Solutions
119 Scope of Practice for EMT - How can EMTs set up for ALS
procedures? Correct Answers Under the direction of an
advanced EMT or paramedic
119 Scope of Practice for EMT - Is an EMT allowed to monitor,
maintain or adjust flow rate of IV LR? Correct Answers Yes
119 Scope of Practice for EMT - What kind of care can an EMT
render? (3 items) Correct Answers 1. BLS
2. Rescue
3. Emergency medical care
119 Scope of Practice for EMT - What kind of patient may an
EMT (by themselves) not transport? Correct Answers Patients
with arterial lines.
119 Scope of Practice for EMT - When may an EMT assist with
administering other medications (such as SL nitro)? Correct
Answers When the medication is prescribed by a physician.
119 Scope of Practice for EMT - Which 4 medications can
EMTs administer? Correct Answers 1. Oral glucose
2. ASA
3. Epi (auto-injector only)
4. Naloxone (intranasal)
,119 Scope of Practice for EMT - Which airway
adjuncts/breathing aids can EMTs use? (5 items) Correct
Answers 1. OPA
2. NPA
3. Suction
4. O2 delivery devices/masks
5. CPAP (but NOT in CCEMSA Regional protocols)
119 Scope of Practice for EMT - Which vitals signs can EMTs
obtain? (8 items) Correct Answers Including but not limited to:
1. Temperature
2. BP
3. Pulse
4. RR
5. Pulse Ox
6. LOC
7. Cap refill
8. Pupil status
530.02 General Procedures - 12-Lead indications (4 items)
Correct Answers 1. Coronary ischemic chest discomfort
2. SOB w/pulmonary edema (if acute onset of symptoms)
3. Unexplained hypotension (in presumed cardiogenic shock)
4. ROSC
530.02 General Procedures - According to the protocol format,
which ALS orders may a paramedic perform in the event of a
communication failure? Correct Answers Protocols written in
,lower case (essentially, everything that does not have BASE
HOSPITAL ORDERS attached to it)
530.02 General Procedures - After removering the TTJI needle
from the catheter, what is the next step? Correct Answers
Attach pediatric anesthesia adapter to catheter
530.02 General Procedures - Are all STAT pts transported Code
3? Correct Answers "Not necessarily" (this is what it actually
says in the protocols)
530.02 General Procedures - Are there any circumstances where
EMS units should wait on scene with a STAT pt while awaiting
base hospital decisions? Correct Answers Negative.
530.02 General Procedures - At the initiation of call-ins, what
format should be relayed? (3 items) Correct Answers 1. STAT
or NON-STAT
2. Medical or Trauma
3. ETA, Standard or Diversion
530.02 General Procedures - At what age is use of an oxygen
powered breathing device acceptable for treatment? Correct
Answers At 5 years and older.
530.02 General Procedures - At what GCS do patients need
assisted ventilations? Correct Answers GCS of 8
530.02 General Procedures - Base Hospital Orders, what does
the asterisk* mean? Correct Answers These orders may only be
, implemented by order of a base hospital physician. BHO
without an * may be implemented by order of an MICN.
530.02 General Procedures - Besides critically ill pediatric
patients and cardiac arrest pts, how else could a paramedic be
approved to start an IO? Correct Answers Contact base hospital
530.02 General Procedures - Besides the 4 conditions listed as
standing orders, how else would a paramedic be approved to
obtain an ECG? Correct Answers All other 12-LEAD ECG
applications require Base Hospital approval.
530.02 General Procedures - Can paramedics use pre-existing
vascular access? Correct Answers Yes, if unable to establish a
peripheral IV. This is acceptable as the primary IV in a code.
530.02 General Procedures - Chest Decompression Needle sizes
(adult and pediatric) Correct Answers Adult - 10 gauge IV 3-
1/4 inches long
Pediatric - 14 guage IV 1-1/4 inches long
530.02 General Procedures - Classifications for severity of pt
condition Correct Answers 1. STAT or Non-STAT
2. Medical or Trauma (depending on which condition is most
severe)
3. Code Blue: Pt is pulseless and/or non-breathing
