SNHD Protocols questions with correct answers
SNHD Manual - Answer The goal of the manual is to standardize prehospital care in Clark County
If a physician giving on-line medical consultation directs you to provide care not explicitly stated in the protocol manual you must...? - Answer You and the telemetry physician must immediately notify OEMSTS. In addition, after finishing the call, you as the provider must make all prehospital care documentation/records of your deviation and telemetry physician's name available to OEMSTS. This will then be used for Quality Improvement Review.
If a physicians orders are against protocol, could possibly endanger patient, or there is a lack of resources. What must you do...? - Answer You must notify telemetry physician why you are not able to carry out the order. Then, indicate the following on prehospital records: the order given, time it was given, and reason the
order could not be carried out. Then all documentation/records must be available immediately after the call to OEMSTS and then will be used for Quality Improvement Review.
What is a PATIENT - Answer 1) A person who has a complaint or mechanism suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury; or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury.
Pediatric Patient Destination Age - Answer <18
ASA - Answer Acetylsalicylic Acid CCC CPR - Answer Continuous Chest Compression CPR: Compressions - Push hard (≥2 Inches) Push fast (≥100/min)
BVM - at 8 BPM
DCAP-BTLS - Answer Deformities; Contusions; Abrasions; Punctures/Penetrations;
Burns; Tenderness; Lacerations; Swelling
M.A.D. - Answer Mucosal Atomizer Device
Drugs that can be administered through a M.A.D. - Answer Nalaxone
START triage - Answer RED (Immediate/Life Threatening): Dyspnea, severe bleeding, severe medical problem, signs of shock, severe burns, open chest or abdominal injuries Yellow (Delayed/Seriously injured but no life threats): Burns (with no airway obstruction), multiple bone/joint injuries, back injuries with/without spinal cord injuries. Green (Walking Wounded): Minor fractures/soft tissue injuries Black (Dead/Fatally injured): Obviously dead, Fatally injures such as open brain trauma, respiratory arrest (if resources limited), cardiac arrest. Trauma Patients shall be transported... - Answer According to Trauma Field Triage Protocol
Burn patients shall be transported.... - Answer According to Burn Protocol
Pediatric patients shall be transported... - Answer (<18 y/o) According to the Pediatric Destination Protocol
Patients with evidence of a stroke shall be transported... - Answer According to Stroke (CVA) protocol
Sexual assault victims <13 y/o shall be transported to - Answer Sunrise Hospital
Sexual assault victims ≥18 y/o shall be transported to - Answer UMC
Sexual assault victims between ages 13 and 18 y/o shall be transported to - Answer
Either UMC or Sunrise Hospital
Sexual assault victims outside the 50 mile radius of appropriate facility shall be transported to - Answer Nearest appropriate facility
Where should stable patients be transported to - Answer Their hospital of choice or nearest facility
For patients outside of the 50 mile radius of protocol designated transport destination shall be transported to - Answer Nearest appropriate facility Waiting Room Placement requisites - Answer Patient cannot be on a legal psychiatric hold and must meet the following requirements: + HR: 60-100
+ RR: 10-20
+ Systolic: 100-180
+ Diastolic: 60-100
+ Room air SPO2: >94%
+ A/O x 4
+ No medication was given except for a single dose of Morphine/Ondansetron + Paramedic opinion states pt. does not need ECG monitoring + No IV fluids are necessary
If a hospital declares an internal disaster that hospital shall be bypassed with the exceptions of - Answer Cardiac arrest patients or whom adequate ventilation has not been established
In a General Adult Trauma Assessment how do you manage breathing - Answer Maintain SPO2 >94%:
+ If patients GCS <8 BVM
+ If patients GCS ≥8 titrate O2
For an adult trauma patient with no palpable pulse what is the fluid bolus - Answer
1L of Normal Saline
In the General Adult Trauma Trauma Triage, what is the following step if patient does (YES) has a palpable pulse - Answer Obtain vascular access
SNHD Manual - Answer The goal of the manual is to standardize prehospital care in Clark County
If a physician giving on-line medical consultation directs you to provide care not explicitly stated in the protocol manual you must...? - Answer You and the telemetry physician must immediately notify OEMSTS. In addition, after finishing the call, you as the provider must make all prehospital care documentation/records of your deviation and telemetry physician's name available to OEMSTS. This will then be used for Quality Improvement Review.
If a physicians orders are against protocol, could possibly endanger patient, or there is a lack of resources. What must you do...? - Answer You must notify telemetry physician why you are not able to carry out the order. Then, indicate the following on prehospital records: the order given, time it was given, and reason the
order could not be carried out. Then all documentation/records must be available immediately after the call to OEMSTS and then will be used for Quality Improvement Review.
What is a PATIENT - Answer 1) A person who has a complaint or mechanism suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury; or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury.
Pediatric Patient Destination Age - Answer <18
ASA - Answer Acetylsalicylic Acid CCC CPR - Answer Continuous Chest Compression CPR: Compressions - Push hard (≥2 Inches) Push fast (≥100/min)
BVM - at 8 BPM
DCAP-BTLS - Answer Deformities; Contusions; Abrasions; Punctures/Penetrations;
Burns; Tenderness; Lacerations; Swelling
M.A.D. - Answer Mucosal Atomizer Device
Drugs that can be administered through a M.A.D. - Answer Nalaxone
START triage - Answer RED (Immediate/Life Threatening): Dyspnea, severe bleeding, severe medical problem, signs of shock, severe burns, open chest or abdominal injuries Yellow (Delayed/Seriously injured but no life threats): Burns (with no airway obstruction), multiple bone/joint injuries, back injuries with/without spinal cord injuries. Green (Walking Wounded): Minor fractures/soft tissue injuries Black (Dead/Fatally injured): Obviously dead, Fatally injures such as open brain trauma, respiratory arrest (if resources limited), cardiac arrest. Trauma Patients shall be transported... - Answer According to Trauma Field Triage Protocol
Burn patients shall be transported.... - Answer According to Burn Protocol
Pediatric patients shall be transported... - Answer (<18 y/o) According to the Pediatric Destination Protocol
Patients with evidence of a stroke shall be transported... - Answer According to Stroke (CVA) protocol
Sexual assault victims <13 y/o shall be transported to - Answer Sunrise Hospital
Sexual assault victims ≥18 y/o shall be transported to - Answer UMC
Sexual assault victims between ages 13 and 18 y/o shall be transported to - Answer
Either UMC or Sunrise Hospital
Sexual assault victims outside the 50 mile radius of appropriate facility shall be transported to - Answer Nearest appropriate facility
Where should stable patients be transported to - Answer Their hospital of choice or nearest facility
For patients outside of the 50 mile radius of protocol designated transport destination shall be transported to - Answer Nearest appropriate facility Waiting Room Placement requisites - Answer Patient cannot be on a legal psychiatric hold and must meet the following requirements: + HR: 60-100
+ RR: 10-20
+ Systolic: 100-180
+ Diastolic: 60-100
+ Room air SPO2: >94%
+ A/O x 4
+ No medication was given except for a single dose of Morphine/Ondansetron + Paramedic opinion states pt. does not need ECG monitoring + No IV fluids are necessary
If a hospital declares an internal disaster that hospital shall be bypassed with the exceptions of - Answer Cardiac arrest patients or whom adequate ventilation has not been established
In a General Adult Trauma Assessment how do you manage breathing - Answer Maintain SPO2 >94%:
+ If patients GCS <8 BVM
+ If patients GCS ≥8 titrate O2
For an adult trauma patient with no palpable pulse what is the fluid bolus - Answer
1L of Normal Saline
In the General Adult Trauma Trauma Triage, what is the following step if patient does (YES) has a palpable pulse - Answer Obtain vascular access
