Santa Clara County Protocols Study
Guide with Complete Solutions
Are you allowed to re-route once you are already on the way to a destination with a
patient? - ANSWER-yes as long as you are not on hospital grounds and the new
hospital is receiving patients
Are you allowed to re-route once you have arrive at the destination? - ANSWER-no, at
that point you must transfer care to the hospital staff and let them make the decisions
Are you allowed to transport patients outside of the county? - ANSWER-yes, but only
when authorized to do so by the county
At what MCI level is START enacted? - ANSWER-level 3
Can a medic transfer care to an EMT? - ANSWER-yes if it is deemed that there is no
ALS need
Can a tourniquet be used for both pediatrics and adults? - ANSWER-yes
CAN report - ANSWER-Conditions
Actions
Needs
Define the number of patients in an MCI by level. - ANSWER-Level 1: 5-10, small strike
team
Level 2: 11-20, small event
Level 3: 21-100, large event
Level 4: 101-1000, county wide event
Level 5: 1000+, catastrophic
How do you respond is a patient wants to get out of the ambulance after you have
begun transport? - ANSWER-try to convince them to stay, if they still want to get out
then wait until it is safe to pull over, have them sign a Refusal Form and send them on
their way
MAKE SURE to notify the county communication center
How does the GFAST scale work? - ANSWER-every GFAS gets a point if present
- 4 points = go to comprehensive stroke center
- <3 points = closest stroke center
How far should you compress the chest for each age group? - ANSWER--adult: 2-2.4
inches
-child: 2 inches
, -infant: 1.5 inches
How is policy implementation disseminated to us? - ANSWER-via our program
managers
How long do you have to report a Level B variance? - ANSWER-5 days
How long do you have to report a Level C variance? - ANSWER-7 days
How many people are sent away from the field treatment area in one ambulance? -
ANSWER-4; 1 immediate, 1 delayed, 2 minor
How often are vitals reassessed on a stable pediatric patient? - ANSWER-every 10
minutes
How often do you check CSM on a patient in restraints? - ANSWER-every 5 minutes
How should you assess a patient in START Triage? - ANSWER-1. Respirations
- 30+ = immediate
- >30 = next
2. Perfusion
- cap refill >2 = immediate
- cap refill <2 = next
3. Mentation
-can't follow commands = immediate
- can follow commands = delayed
How should you initially secure the airway of a patient in cardiac arrest? - ANSWER-
start with an OPA, upgrade to LMA when possible `
If a patient is conscious and says they want to be resuscitated should they need, do you
honor their word or the DNR? - ANSWER-you honor their word
Is a physician is on scene, what must an EMT do? - ANSWER-verify their credentials
P.A.R. - ANSWER-Personal Accountability Report
making sure that all members of the team are ready, accounted for and safe
Regional Medical Center - ANSWER-RSJ --> EAST
-level two trauma center
-does not accept peds
Santa Clara Valley Medical Center - ANSWER-VMC. --> CENTER
-level one trauma center
-accepts peds and adults
Guide with Complete Solutions
Are you allowed to re-route once you are already on the way to a destination with a
patient? - ANSWER-yes as long as you are not on hospital grounds and the new
hospital is receiving patients
Are you allowed to re-route once you have arrive at the destination? - ANSWER-no, at
that point you must transfer care to the hospital staff and let them make the decisions
Are you allowed to transport patients outside of the county? - ANSWER-yes, but only
when authorized to do so by the county
At what MCI level is START enacted? - ANSWER-level 3
Can a medic transfer care to an EMT? - ANSWER-yes if it is deemed that there is no
ALS need
Can a tourniquet be used for both pediatrics and adults? - ANSWER-yes
CAN report - ANSWER-Conditions
Actions
Needs
Define the number of patients in an MCI by level. - ANSWER-Level 1: 5-10, small strike
team
Level 2: 11-20, small event
Level 3: 21-100, large event
Level 4: 101-1000, county wide event
Level 5: 1000+, catastrophic
How do you respond is a patient wants to get out of the ambulance after you have
begun transport? - ANSWER-try to convince them to stay, if they still want to get out
then wait until it is safe to pull over, have them sign a Refusal Form and send them on
their way
MAKE SURE to notify the county communication center
How does the GFAST scale work? - ANSWER-every GFAS gets a point if present
- 4 points = go to comprehensive stroke center
- <3 points = closest stroke center
How far should you compress the chest for each age group? - ANSWER--adult: 2-2.4
inches
-child: 2 inches
, -infant: 1.5 inches
How is policy implementation disseminated to us? - ANSWER-via our program
managers
How long do you have to report a Level B variance? - ANSWER-5 days
How long do you have to report a Level C variance? - ANSWER-7 days
How many people are sent away from the field treatment area in one ambulance? -
ANSWER-4; 1 immediate, 1 delayed, 2 minor
How often are vitals reassessed on a stable pediatric patient? - ANSWER-every 10
minutes
How often do you check CSM on a patient in restraints? - ANSWER-every 5 minutes
How should you assess a patient in START Triage? - ANSWER-1. Respirations
- 30+ = immediate
- >30 = next
2. Perfusion
- cap refill >2 = immediate
- cap refill <2 = next
3. Mentation
-can't follow commands = immediate
- can follow commands = delayed
How should you initially secure the airway of a patient in cardiac arrest? - ANSWER-
start with an OPA, upgrade to LMA when possible `
If a patient is conscious and says they want to be resuscitated should they need, do you
honor their word or the DNR? - ANSWER-you honor their word
Is a physician is on scene, what must an EMT do? - ANSWER-verify their credentials
P.A.R. - ANSWER-Personal Accountability Report
making sure that all members of the team are ready, accounted for and safe
Regional Medical Center - ANSWER-RSJ --> EAST
-level two trauma center
-does not accept peds
Santa Clara Valley Medical Center - ANSWER-VMC. --> CENTER
-level one trauma center
-accepts peds and adults
