LA County Paramedic Accreditation Test
Who is final authority on patient destination? - Answer -Base
When can BLS transport a critical patient? (TC, SRC) - Answer -When transport time < ETA of ALS unit
Can you transport a STEMI to a hospital that is closed ED SAT? - Answer -Yes, you can
still take specialty patients if Reddinet says "ED*"
How long can hospital be on diversion? - Answer -One hour, with 10 minute opening, then another hour.
Extended to two hours during covid pandemic
When can MAR not turn patient away? - Answer -Extremis - Unmanageable airway, uncontrolled bleeding, ETA to Alternative facility is >15 minutes
Required staffing on LA county ALS unit - Answer -2 Paramedics
What is most effective method of determining if a patient is critically injured? - Answer -
MOI
Trauma blood pressure criteria?
Example: Pediatric patient fell off swings, (insert fluff here), BP 82/50, HR 100, RR 17, SPO2 100%. Is this a trauma patient? - Answer -SBP < 90 in adults
SBP < 70 in infants less than 1 year of age
Trauma/ALS criteria for Autoped? Example: Pt is run over by airport luggage tug going 10mph? is this patient ALS? - Answer -Pt struck by vehicle going >20mph or run over/thrown regardless of speed.
Yes, pt is ALS
814 criteria for penetrating traumatic arrest? - Answer -Pt is only dead if we have asystole 814 criteria for blunt traumatic arrest? - Answer -Pt is dead if we have anything on the monitor other then PEA. "Start CPR only if monitor shows an organized supraventricular
rhythm" (aka PEA)
Is base hospital contact required for STEMI? - Answer -Technically No, not per LACO protocols, but it is required per LAFD policy.
Approved DNR proof - Answer -State medallion
What is Paramedic's responsibility if child abuse suspected? - Answer -Notify Law enforcement, notify CPS ASAP, SCAR report within 36 hours
Can not leave scene until law enforcement arrives
Elderly abuse age? - Answer -65 or older. If victim is less than 65, its just a regular domestic
Who to notify of elderly abuse in facility? - Answer -Law enforcement or Ombudsman
Who to notify of elderly abuse in a home? - Answer -Law enforcement or adult protective services.
Where to direct person asking for a report? - Answer -LA county Hall of records
Fentanyl min and max inventory - Answer -500mcg min
1500mcg max
Morphine min and max inventory - Answer -32mg-60mg
Versed min and max inventory - Answer -20mg-40mg
How shall narcotics be secured? - Answer -Double locked (Locked box in locked ambulance)
When are narcs checked? - Answer -2-person shift change
When is your county paramedic expatriation date? - Answer -Same as state expiration date.
Which interventions require CONCURRENT base contact - Answer -PACT - Push dose EPI, Adenosine for Peds, Cardioversion, Transcutaneus pacing
Needle T contraindication - Answer -SBP <90
Where to perform Needle T - Answer -2nd intracostal space mid-clavicular line
or
Who is final authority on patient destination? - Answer -Base
When can BLS transport a critical patient? (TC, SRC) - Answer -When transport time < ETA of ALS unit
Can you transport a STEMI to a hospital that is closed ED SAT? - Answer -Yes, you can
still take specialty patients if Reddinet says "ED*"
How long can hospital be on diversion? - Answer -One hour, with 10 minute opening, then another hour.
Extended to two hours during covid pandemic
When can MAR not turn patient away? - Answer -Extremis - Unmanageable airway, uncontrolled bleeding, ETA to Alternative facility is >15 minutes
Required staffing on LA county ALS unit - Answer -2 Paramedics
What is most effective method of determining if a patient is critically injured? - Answer -
MOI
Trauma blood pressure criteria?
Example: Pediatric patient fell off swings, (insert fluff here), BP 82/50, HR 100, RR 17, SPO2 100%. Is this a trauma patient? - Answer -SBP < 90 in adults
SBP < 70 in infants less than 1 year of age
Trauma/ALS criteria for Autoped? Example: Pt is run over by airport luggage tug going 10mph? is this patient ALS? - Answer -Pt struck by vehicle going >20mph or run over/thrown regardless of speed.
Yes, pt is ALS
814 criteria for penetrating traumatic arrest? - Answer -Pt is only dead if we have asystole 814 criteria for blunt traumatic arrest? - Answer -Pt is dead if we have anything on the monitor other then PEA. "Start CPR only if monitor shows an organized supraventricular
rhythm" (aka PEA)
Is base hospital contact required for STEMI? - Answer -Technically No, not per LACO protocols, but it is required per LAFD policy.
Approved DNR proof - Answer -State medallion
What is Paramedic's responsibility if child abuse suspected? - Answer -Notify Law enforcement, notify CPS ASAP, SCAR report within 36 hours
Can not leave scene until law enforcement arrives
Elderly abuse age? - Answer -65 or older. If victim is less than 65, its just a regular domestic
Who to notify of elderly abuse in facility? - Answer -Law enforcement or Ombudsman
Who to notify of elderly abuse in a home? - Answer -Law enforcement or adult protective services.
Where to direct person asking for a report? - Answer -LA county Hall of records
Fentanyl min and max inventory - Answer -500mcg min
1500mcg max
Morphine min and max inventory - Answer -32mg-60mg
Versed min and max inventory - Answer -20mg-40mg
How shall narcotics be secured? - Answer -Double locked (Locked box in locked ambulance)
When are narcs checked? - Answer -2-person shift change
When is your county paramedic expatriation date? - Answer -Same as state expiration date.
Which interventions require CONCURRENT base contact - Answer -PACT - Push dose EPI, Adenosine for Peds, Cardioversion, Transcutaneus pacing
Needle T contraindication - Answer -SBP <90
Where to perform Needle T - Answer -2nd intracostal space mid-clavicular line
or
