CCEMSA Protocols Week 1 2026–2027 – MICN Study
Guide, Protocol Review, Practice Questions & Exam Prep
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 - 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
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)
1
,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 - 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 - 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 - 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 patient may an EMT (by themselves) not transport? -
correct answers -Patients with arterial lines.
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 - Which procedures may NOT be completed in the event of a communication
failure? - correct answers -ALS orders written in all CAPS
2
,530.02 General Procedures - In the event that "all caps" ALS procedures are completed when there is a
communication failure, what must the paramedic do? - correct answers -Report ALS procedures
completed according to EMS Policy #545 - Reporting Advanced Life Support without Base Hospital
Contact
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 - Which conditions allow for paramedics to switch patient treatment
protocols? (3 conditions) - correct answers -1. Pt needs ACLS treatment.
2. Change in pt condition after development of new pt complaint.
3. Base hospital consultation
530.02 General Procedures - Which patients fall under "No Call-In Necessary"? (2 types) - correct
answers -1. Non-Stat (stable)
2. Patients that have been treated by standing orders and do not need additional therapy.
530.02 General Procedures - Which patients fall under the ETA Only Call-In format? (2 types) - correct
answers -1. STAT/Non-STAT/Medical or Trauma/Code Blue
2. The BIG FOUR patients
530.02 General Procedures - When would a STAT/Non-STAT/Medical or Trauma/Code Blue require a
standard format call in? (3 items) - correct answers -When requesting:
1. Consultation
2. Further orders
3. Refusal of medical care and/or transport.
3
, 530.02 General Procedures - What are the BIG FOUR patients? - correct answers -1. Backboard
2. Restraints
3. Active Labor
4. Patients on Oxygen
530.02 General Procedures - Which types of patients fall under the Standard Call-In format? (6 items) -
correct answers -1. Refusal of medical care and/or transportation that requires Base Hospital contact
according to EMS policy #544
2. Non-Stat or Stat calls where the pt needs additional therapy not allowed in standing orders
3. Base Hospital requires additional information and asks for a standard call-in
4. Paramedics switching or combining protocols when the patient's complaint has not changed from
original complaint
5. Pt requesting transport to hospital on diversion
6. Paramedic has questions or need help with interpretation of patients conditions
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)
4
Guide, Protocol Review, Practice Questions & Exam Prep
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 - 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
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)
1
,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 - 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 - 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 - 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 patient may an EMT (by themselves) not transport? -
correct answers -Patients with arterial lines.
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 - Which procedures may NOT be completed in the event of a communication
failure? - correct answers -ALS orders written in all CAPS
2
,530.02 General Procedures - In the event that "all caps" ALS procedures are completed when there is a
communication failure, what must the paramedic do? - correct answers -Report ALS procedures
completed according to EMS Policy #545 - Reporting Advanced Life Support without Base Hospital
Contact
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 - Which conditions allow for paramedics to switch patient treatment
protocols? (3 conditions) - correct answers -1. Pt needs ACLS treatment.
2. Change in pt condition after development of new pt complaint.
3. Base hospital consultation
530.02 General Procedures - Which patients fall under "No Call-In Necessary"? (2 types) - correct
answers -1. Non-Stat (stable)
2. Patients that have been treated by standing orders and do not need additional therapy.
530.02 General Procedures - Which patients fall under the ETA Only Call-In format? (2 types) - correct
answers -1. STAT/Non-STAT/Medical or Trauma/Code Blue
2. The BIG FOUR patients
530.02 General Procedures - When would a STAT/Non-STAT/Medical or Trauma/Code Blue require a
standard format call in? (3 items) - correct answers -When requesting:
1. Consultation
2. Further orders
3. Refusal of medical care and/or transport.
3
, 530.02 General Procedures - What are the BIG FOUR patients? - correct answers -1. Backboard
2. Restraints
3. Active Labor
4. Patients on Oxygen
530.02 General Procedures - Which types of patients fall under the Standard Call-In format? (6 items) -
correct answers -1. Refusal of medical care and/or transportation that requires Base Hospital contact
according to EMS policy #544
2. Non-Stat or Stat calls where the pt needs additional therapy not allowed in standing orders
3. Base Hospital requires additional information and asks for a standard call-in
4. Paramedics switching or combining protocols when the patient's complaint has not changed from
original complaint
5. Pt requesting transport to hospital on diversion
6. Paramedic has questions or need help with interpretation of patients conditions
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)
4
