Santa Clara County Protocol Test with
Verified Solutions
What are the steps to take in a "still alarm" Correct Ans-In the event that a non-emergency
ambulance arrives on the scene of a collision, illness, or injury by coincidence, the non-
emergency crew shall provide appropriate care and immediately notify County Communications
by radio and request a 911 EMS response.
Policy 610:
What approach do you use when responding to a hazmat incident?
Who may decontaminate potentially contaminated patients and emergency responders in the
"warm zone" Correct Ans-1.
Safety
- Provide report on conditions
- Protect yourself, others, and your unit
- Utilize cautionary approach, uphill, upwind, and upstream
- Identify if rescue is needed
- Account for all personnel
Isolate the area and deny entry
- Keep everyone at least 100 feet away for a small incident and at least 500 feet away for a large
incident.
- Position vehicle headed away from incident
,- Consider possible crime scene
- Notify/update additional emergency responders by providing a CAN report
2. Only trained HAZMAT responders are allowed to properly decontaminate potentially
contaminated patients and any emergency responders in the "Warm" zone.
Policy 611:
When should an air ambulance be utilized? Correct Ans-A. Air resource transportation
considerations for prehospital providers
- MTV's meeting only MOI criteria should be transported by ground
- Air transportation should be considered for MTV's who meet physiologic and/or anatomic
criteria and where ground transport time exceeds 30 mins.
B. Automatic air resource response areas
- County Communications will dispatch an air resource to predetermined areas where ground
ambulances arrival is greatly extended or impossible due to geographic conditions.
- A ground ambulance shall be dispatched simutaneously with the EMS air resource, the first
arriving medical crew to make patient contact may cancel the response of additonal medical
crews and assume care for the patient when appropriate to do so.
C. Miscellaneous
- based on the performance of the EMS system, the EMS agency may authorize alternate criteria
for the use of EMS air resources.
,Policy 616:
When should field personnel consider a physician response? Correct Ans-The considerations
include but are not limited to
- Critical care that may be beneficial for the patient exceeds the capabilities of the on-scene
paramedic personnel
- Base hospital consultation has occurred.
- The patient would be considered medically salvageable if the entrapment were mitigated
- In most cases, the minimum response time for surgeons will likely exceed 45 to 60 minutes.
Policy 617:
When should system ID badges be work?
What is the procedure for getting your system ID badge replaced? Correct Ans-- All EMS
personnel must carry valid government-issued photo identification at all times
- Private EMS providers must display a Santa Clara County EMS system identification badge
that is visible at all times when on duty.
Replacements:
1. Lost or stolen ID badges shall be reported to the EMS agency by submitting a System
performance variance report
2. Submit a completed EMS system ID badge (lost/stolen) application
, 3. Replacement costs for lost or damaged badges are the responsibility of the individual
prehospital care provider.
Policy 700 M17:
How far above a wound do you place a tourniquet Correct Ans-County approved tourniquets
shall be placed proximal to the wound, not over a joint.
Policy 818:
Who are the authorized users of the county EMS communications system?
Who is the primary EMS dispatch channel call sign?
Who can assign units to a command channel? Correct Ans-1. Authorized users include
- EMS agency
- All SCC permitted ambulance services
- SCC public health department
- SCC public safety partners (Fire, law, public service)
- SCC Coroner's office
- SCC acute care hospitals
2. "EMS" followed by unit#
Verified Solutions
What are the steps to take in a "still alarm" Correct Ans-In the event that a non-emergency
ambulance arrives on the scene of a collision, illness, or injury by coincidence, the non-
emergency crew shall provide appropriate care and immediately notify County Communications
by radio and request a 911 EMS response.
Policy 610:
What approach do you use when responding to a hazmat incident?
Who may decontaminate potentially contaminated patients and emergency responders in the
"warm zone" Correct Ans-1.
Safety
- Provide report on conditions
- Protect yourself, others, and your unit
- Utilize cautionary approach, uphill, upwind, and upstream
- Identify if rescue is needed
- Account for all personnel
Isolate the area and deny entry
- Keep everyone at least 100 feet away for a small incident and at least 500 feet away for a large
incident.
- Position vehicle headed away from incident
,- Consider possible crime scene
- Notify/update additional emergency responders by providing a CAN report
2. Only trained HAZMAT responders are allowed to properly decontaminate potentially
contaminated patients and any emergency responders in the "Warm" zone.
Policy 611:
When should an air ambulance be utilized? Correct Ans-A. Air resource transportation
considerations for prehospital providers
- MTV's meeting only MOI criteria should be transported by ground
- Air transportation should be considered for MTV's who meet physiologic and/or anatomic
criteria and where ground transport time exceeds 30 mins.
B. Automatic air resource response areas
- County Communications will dispatch an air resource to predetermined areas where ground
ambulances arrival is greatly extended or impossible due to geographic conditions.
- A ground ambulance shall be dispatched simutaneously with the EMS air resource, the first
arriving medical crew to make patient contact may cancel the response of additonal medical
crews and assume care for the patient when appropriate to do so.
C. Miscellaneous
- based on the performance of the EMS system, the EMS agency may authorize alternate criteria
for the use of EMS air resources.
,Policy 616:
When should field personnel consider a physician response? Correct Ans-The considerations
include but are not limited to
- Critical care that may be beneficial for the patient exceeds the capabilities of the on-scene
paramedic personnel
- Base hospital consultation has occurred.
- The patient would be considered medically salvageable if the entrapment were mitigated
- In most cases, the minimum response time for surgeons will likely exceed 45 to 60 minutes.
Policy 617:
When should system ID badges be work?
What is the procedure for getting your system ID badge replaced? Correct Ans-- All EMS
personnel must carry valid government-issued photo identification at all times
- Private EMS providers must display a Santa Clara County EMS system identification badge
that is visible at all times when on duty.
Replacements:
1. Lost or stolen ID badges shall be reported to the EMS agency by submitting a System
performance variance report
2. Submit a completed EMS system ID badge (lost/stolen) application
, 3. Replacement costs for lost or damaged badges are the responsibility of the individual
prehospital care provider.
Policy 700 M17:
How far above a wound do you place a tourniquet Correct Ans-County approved tourniquets
shall be placed proximal to the wound, not over a joint.
Policy 818:
Who are the authorized users of the county EMS communications system?
Who is the primary EMS dispatch channel call sign?
Who can assign units to a command channel? Correct Ans-1. Authorized users include
- EMS agency
- All SCC permitted ambulance services
- SCC public health department
- SCC public safety partners (Fire, law, public service)
- SCC Coroner's office
- SCC acute care hospitals
2. "EMS" followed by unit#
