FISDAP Operations Study Questions And Answers 2023

Definitive care is found in - Correct answer-trauma scenters. Only level 1 and 2 Phases of an EMS call: - Correct answer---Initial receipt of call- Acknowledge call Respond to the call --En route- to call Request assistance with directions, when needed Request additional resources, when needed --On scene- Report arrival at scene Check in; often a system will require EMS units to transmit every 20 minutes as a safety measure Request additional resources, when needed Report leaving scene --Arrival at hospital (or point of transfer)- Notify dispatch of arrival at point of transfer --Return to service- Notify dispatch when the unit is available for another call --Miscellaneous- Some systems require EMS units to notify dispatch anytime they are not in station | A base station is: - Correct answer-any radio hardware containing a transmitter and receiver that is located in a fixed place. | repeater - Correct answer-a special base station radio that receives messages and signals on one frequency and then automatically retransmits them on a second frequency. Because a repeater is a base station (with a large antenna), it is able to receive lower power signals, such as those from a portable radio, from a long distance away. | scanner - Correct answer-is a radio receiver that searches or "scans" across several frequencies, stops whenever it receives a radio broadcast on that frequency and continues once the message is complete simplex - Correct answer-push to talk and talk after someone finishes. Release to listen duplex - Correct answer-talk and listen at the same time multiplex: - Correct answer-This design utilizes two or more frequencies, which enables more than one transmission to occur simultaneously and provides for the transmission of both audio and data signals via separate channels. MED channels - Correct answer-reserved for EMS Trunking: - Correct answer-or 800-MHz, systems take advantage of the latest technologies in communications. Instead of being assigned to one or two frequencies, in a trunking system, many frequencies are assigned to a group. As the radio conversation begins, a computer selects the next open frequency and you begin talking. interoperable communications: - Correct answer-system allows all of the agencies involved to share valuable information with each other in real time mobile data terminal (MDT) - Correct answer-An MDT is a small computer terminal inside the ambulance that directly receives data from the dispatch center. telemetry - Correct answer-electronic signals are converted into coded, audible signals. the principle of implied consent is known as - Correct answer-the principle of implied consent is known as: the emergency doctrine. What do Licensing ambulance operators use - Correct answer-Each state establishes its own standards for licensing or certifying ambulance operators. Many agencies now use the federal specifications (NFPA 1917) An ambulance call has nine phases - Correct answer-preparation, dispatch, en route, arrival at scene, transfer of patient to ambulance, en route to receiving facility (transport), at receiving facility (delivery), en route to station, and postrun, Give priority in checking equipment to - Correct answer-priority to items that are needed to care for life-threatening conditions. equipment for airway management, artifcial ventilation, and oxygen delivery. Place these items within easy reach, at the head of the primary stretcher. Where to Place items for cardiac care, control of external bleeding, and monitoring blood pressure - Correct answer-at the side of the stretcher. How many artificial ventilation devices are needed - Correct answer-It is important that two portable artifcial ventilation devices that operate independently of an oxygen supply are carried on the ambulance. These devices include disposable pocket masks and bag-valve masks (BVMs). Jump Kit - Correct answer-jump kit as the 5-minute kit, containing anything you might need in the frst 5 minutes with the patient except for the semi automated external defbrillator, possibly the oxygen cylinder, and portable suctioning unit. If you are the first EMT at the scene of a mass casualty incident, - Correct answerquickly estimate the number of patients, and communicate with the incident commander If law enforcement or fire is there position the ambulance - Correct answer-100 after the car crash The first vehicle to arrive on the scene should park - Correct answer-about 100 feet before the scene on the same side of the road. The first vehicle should create a barrier between the scene and oncoming traffic; if other responders have not arrived on the scene, the ambulance can be positioned to block the scene to prevent oncoming traffic from getting too close to the scene or emergency personnel rather than to leave yourself and the scene exposed. . Always leave on your - Correct answer-warning lights or devices, and use extra caution if you must park on the backside of a hill or curve. Turn off headlights What to do with the doors of the ambulance if you are not there - Correct answerRemember to lock all doors when leaving the ambulance and ensure the designated driver has the keys How to secure the patient to a stretcher in a moving ambulance - Correct answersecure with at least three straps across the body. Over the shoulders, we put on deceleration belts. Inform dispatch when you are - Correct answer-ready to leave with the patient. Report the number of patients you have, the name of the receiving hospital, and, in some jurisdictions, the beginning mileage of the ambulance. ■ Cleaning. - Correct answer-The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment. Disinfection. - Correct answer-The killing of pathogenic agents by directly applying a chemical made for that purpose to a surface or equipment. High-level disinfection. - Correct answer-The killing of pathogenic agents by the use of potent means of disinfection. ■ Sterilization. - Correct answer-A process, such as the use of heat, which removes all microbial contamination A basic rule is to do the following after every call - Correct answer-1. Immediately strip used linens from the stretcher after use, and place them in a plastic bag or in the designated receptacle in the ED. 2. Discard in an appropriate receptacle all disposable equipment used for the care of the patient that meets your state's definition of medical waste. Most items will be considered general trash. Discard disposable equipment that is bloody or contaminated by body fluids in an OSHA-approved biohazard container. Discard noncontaminated disposable equipment used for the care of the patient following OSHA and local guidelines. 3. Wash contaminated areas with soap and water. For disinfection to be effective, cleaning must be done first. 4. Disinfect all nondisposable equipment used in the care of the patient. For example, properly clean and disinfect stethoscopes, nondisposable blood pressure cuffs, pulse oximetry probes, and other reusable equipment. 5. Clean the stretcher with an EPA-registered germicidal/virucidal solution of bleach and water at 1:100 dilution. 6. Clean up any spillage or other contamination that occurred in the ambulance, with the same germicidal/virucidal or bleach/water solution. 7. Create a schedule for routine full cleaning for the vehicle. 8. Have a written policy/procedure for cleaning each piece of equipment. Refer to the manufacturer's recommendations as a guide Driving an ambulance does not automatically give you the authority to - Correct answerignore basic traffic laws or operate the vehicle without due regard for the safety of others. The good judgment needed to drive an ambulance requires practice̶even for the best drivers. When driving an ambulance on a multilane highway, you should usually stay in the - Correct answer-extreme left-hand (fast) lane. This allows other motorists to move over to the right when they see or hear the ambulance approach. Guidelines for safe ambulance driving - Correct answer-1. Pick short and least traffic route at the time 2. Know alternative routes 3. Avoid one way streets, do not go against flow of traffic on a one way street unless absolutely necessary 4. Watch bystanders that may come into the scene 5. Keep warning lights on and turn off headlights unless you are using them as lighting 6. Drive within speed limit except in a rare emergency 7. Go with flow of traffic 8. Drive defensively 9. Maintain a safe following distance of 4 seconds behind vehicle infront of you 10. Maintain an open space or cushion in the next lane 11. Use sirens if you turn on the emergency light 12. Assume other drivers will not hear or see your lights 13. Exercise due regard for person and property Avoid using the _____ during emergency driving - Correct answer-the PA because it takes one hand off of the wheel How to stop a tailgater - Correct answer--tell partner in the back to watch for the tailgater -distance yourself from the tailgater by slowing down -call police/dispatch on the person 3 blind spots you can't see with side or rearview mirrors - Correct answer-1. The rearview mirror creates a blind spot, obstructing the view ahead and preventing the driver from seeing objects such as a pedestrian or vehicle. To eliminate this blind spot, you should lean forward in your seat so the mirror does not obstruct the view, especially when making turns at intersections. 2. Cannot see the back of the ambulance so when reversing, get a spotter to help you back up the vehicle 3. The side of the ambulance may not be totally visible. Use the side mirrors or lean forward or backward to eliminate side blind spots No matter what the situation, you should never travel at a - Correct answer-speed that is unsafe for the given road conditions The safest path to turn and corned - Correct answer-The safest path is to enter high in the lane (to the outside), and exit low (to the inside). This allows room for error if you enter the turn too fast. If you run into unexpected traffic - Correct answer-notify the dispatcher so that other emergency vehicles can select alternative routes if you drive at a speed that is appropriate for the weather and road conditions and maintain an adequate cushion of safety, you will minimize these situations. Therefore, it is safer if you - Correct answer-decrease your speed in bad weather conditions such as fog, rain, snow, or ice. Hydroplaning and what to do - Correct answer-at speeds of greater than 30 mph, tires may be lifted off the road as water "piles up" underneath; the vehicle may then feel as if it is floating. If hydroplaning occurs, you should gradually slow down without jamming on the brakes. Water on the roadway and what to do - Correct answer--don't drive through large pools of standing water, if you have to. When going through pools of water, slow down and turn on the windshield wipers. -After driving out of the water, lightly tap the brakes several times until they are dry. - If the vehicle is equipped with antilock brakes, apply a steady, light pressure to dry the brakes. Decreased visibility at night - Correct answer-use low headlights for max visibility and low reflection Always use headlights during the - Correct answer-day During low visibility - Correct answer-turn on sirens and lights in most cases, the driver of the ambulance is presumed to be guilty if - Correct answer-a crash occurs while the ambulance is operating with warning lights and a siren. If you are on an emergency call and you are using your warning lights and siren, you may be allowed to do the following - Correct answer-■ Park or stand in an otherwise illegal location ■ Proceed through a red traffic light or stop sign, but never without stopping frst. ■ Drive faster than the posted speed limit ■ Drive against the flow of traffic on a one-way street or make a turn that is normally illegal ■ Travel left of center to make an otherwise illegal pass An emergency vehicle is never allowed to pass a school bus that has - Correct answerstopped to load or unload children and is displaying its flashing red lights or extended "stop arm." If you approach a school bus that has its lights flashing, you should stop before reaching the bus and turn off your siren. Next, you should wait for the bus driver to make sure the children are safe, close the bus door, and turn off the flashing lights. Only then may you carefully proceed past the stopped school bus Three basic principles govern the use of warning lights and siren on an ambulance - Correct answer-1. The unit, to the best of your knowledge, must be on a true emergency call. 2. Audible and visual warning devices must be used simultaneously. 3. The unit must be operated with due regard for the safety of all others, on and off the roadway If you do have to turn on the siren, tell - Correct answer-the patient before you do. Be especially mindful not to increase the speed of the ambulance just because the siren is in use. Use of escorts is extremely dangerous because - Correct answer-When other motorists hear a siren and see a police vehicle passing, they might assume the police vehicle is the only emergency vehicle and not see the ambulance. The only time an escort is justified is when - Correct answer-- you are in an unfamiliar area and truly need a guide more than an escort. - vehicles using warning lights or sirens should use different tones to alert other motorists and be prepared to stop if needed. -If you are being guided, follow at a safe distance. -Assume nearby traffic will not be aware of your presence. If you are on an urgent call and cannot wait for traffic lights to change, you should - Correct answer-still come to a brief stop at the light; look around for other motorists and pedestrians before proceeding into the intersection. when the driver of one emergency vehicle follows another emergency vehicle through an intersection without carefully assessing the situation what can happen? - Correct answer-A motorist who has yielded the right-of-way to the first vehicle may proceed into the intersection without expecting a second vehicle. You should exercise extreme caution in these situations. To signal motorists that a second unit is approaching, use a siren tone that is different from that of the first vehicle. When you are responding to an emergency call and you must travel on the highway, you should - Correct answer-turn off your emergency lights and siren until you have reached the far left lane. Turning off your emergency devices minimizes the possibility that other drivers will get confused and not know what to do or where to go. When driving on a highway with your emergency devices activated, you should always travel in which lane? - Correct answer-the far left-hand lane. Also known as the "passing lane," this allows the ambulance to safely pass vehicles, while still leaving a safety corridor on the left side of the ambulance in case of emergency or unexpected obstacles. When you exit the highway, you should - Correct answer-turn off all emergency devices, move onto the off-ramp, and then turn on the emergency lights and siren if necessary. While responding on this type of roadway, you must operate the vehicle at - Correct answer-a lower speed and maintain a firm grip on the steering wheel to maintain complete control of the ambulance at all times When you respond through a school zone with your emergency lights turned on, it is important to remember - Correct answer-- that lights and sirens tend to attract children to the roadway and create a potential hazard. -In many states, it is unlawful for an emergency vehicle to exceed the speed limit in school zones regardless of the condition of the patient. Your partner should operate - Correct answer-the MDT, GPS device, and portable radios or turn on the siren to mitigate distractions from you driving. There are two basic types of air medical units - Correct answer-fixed-wing and rotarywing, otherwise known as helicopters Fixed-wing aircraft generally are used for - Correct answer-interhospital patient transfers over distances greater than 100 to 150 miles. For shorter distances what vehicles are used? - Correct answer-ground transport or rotary-wing aircraft are more efficient. Helicopters should fly - Correct answer-at an angle and land at an angle because it is safer. It is more dangerous to fly up and down, even thought they can Things to do and consider when selecting and establishing a landing zone include the following - Correct answer-■ Ensure the area is a hard or grassy level surface that measures 100 feet × 100 feet (recommended) and no less than 60 feet × 60 feet . If the site is not level, notify the fight crew of the steepness and direction of the slope. ■ Ensure the area is clear of any loose debris that could become airborne and strike the helicopter or the patient and crew.