Critical Care Transport || Questions and 100% Verified
Answers.
Your physical assessment reveals that the posterior pharynx is partially exposed. What
classification Mallampati would you identify this patient as? correct answers II
Which of the following patient populations would likely require high inspiratory pressures to
adequately achieve gas exchange? correct answers Asthma patietns
What additional healthcare provider may become part of the transport team during the transport
of a patient receiving extracorporeal membrane oxygenation (ECMO)? correct answers
Perfusionist
A person's ability to withstand negative pressure or "bounce back" from difficulties is known as:
correct answers Resilience
CMS defines __________ as the use of specialized equipment and specialized training beyond
the paramedic scope of practice to manage critically ill patients from facility to facility. correct
answers Specialty Care Transport
What agency dictates CCTPs' scope of practice? correct answers The state agency responsible
for licensure
When was the United States' first city ambulance service established? correct answers 1869
Which of the following will indicate to dispatch that the interfacility transport requires critical
care transport? correct answers Intra-aoritic balloon pump (IABP)
A STEMI patient with three vasoactive medications infusing in a community hospital that is 10
miles away, 45 minutes with current traffic, would be a candidate for which mode of
transportation? correct answers Rotor-wing transport
__________ is the reaction of the mind and body to demand for change. correct answers Stress
How do critical care transport services ensure that their providers maintain proficiency? correct
answers Mandatory competency training
A 3-month old patient in Louisville, Kentucky, has a unique heart condition that requires an
intervention that is currently only performed at the Children's Hospital of Philadelphia. What is
the best mode of transportation for this patient? correct answers Fixed-wing transport
Which type of transport is the most expensive to operate? correct answers Specialty Care
Transport
,Interfacility transport is the transport of a patient between: correct answers Two healthcare
facilities
Critical care is the management of patients with life-threatening conditions that requires: correct
answers Continuous monitoring and drugs of equipment required to sustain life
What is the first point of contact for the rotor-wing critical care team? correct answers The
dispatcher
How do you manage a patient when a sending physician refuses to allow you to treat a patient
appropriately according to your protocols? correct answers Contact the receiving facilities
physician
What is necessary for a CCTP to act outside of his or her protocols? correct answers Medical
command physician orders
During the hand-off report from the transferring nurse, he tells you that the patient has a DNR
and only wants comfort measures performed. En-route, the patient codes but you are unable to
find the patient's DNR in the chart. How do you manage the cardiac arrest? correct answers
Perform basic resuscitation, then seek clarification
In preparation for transport, the sending facility physician must have identified and
communicated with a __________ in order to initiate the patient transfer. correct answers
Receiving facility physician
The transferring neonatal orders a neonatal physician assistant to your transport team for the
transfer of an 1,800-g neonate with an intraventricular hemorrhage and hydrocephalus. What
dictates the management of the patient's care during this transport? correct answers The
physician assistant
When is it acceptable to transfer an unstable patient from a facility? correct answers The sending
facility cannot perform the needed interventions
What allows individuals to accepts or refuse treatment, to receive appropriate care, and to receive
care without interruption? correct answers Patient rights
What type of consent is obtained after you discuss the treatment and transport plan with the
patient and patient's family? correct answers Informed consent
What information must be sent with a patient during all interfacility patient transfers? correct
answers Current diagnosis and interventions
While a CCTP contacts their medical director for additional medication doses, he or she is
operating under: correct answers Online medical control
,When does an adult patient of sound mind have the right to refuse treatment by a CCTP? correct
answers At any point the CCTP is present
__________ is the intentional and unjustifiable detention of a person without his or her consent
or other legal authority. correct answers False imprisonment
The CCTP has an obligation to obtain __________ consent for air medical transport, including a
written statement that the patient understands the risks and benefits of transport. correct answers
Informed
Your pediatric CCT unit arrives at a regional hospital to transport a 3-day old infant with
atrioventricular septal defect that is extremely unstable. As you enter the room of the level I
NICU, the parents are alarmed and agitated. Uninformed and confused about the transport, the
father says, "This hospital is the best in the state," and declines the transport. How do you
manage this patient? correct answers Discuss the concerns with the family and sending physician
What type of consent is granted for a patient found unresponsive and seizures? correct answers
Implied
You've administered vecoronium and realized you forgot to administer midazolam. Your partner
pushes the midazolam but the patient's heart rate continues to rise. You notice the line was
clamped and the bolus went into the bag. What type of incident occurred? correct answers
Adverse drug event
During ground transport of a critically injured patient, a CCTP should be mindful to: correct
answers All of these are correct (ensure that the patient is securely fastened to the stretcher;
remain seated and secured with seatbelt applied as much as possible; and, ensure all loose
equipment is secured and equipment lockers are closed)
Once everything is in place for an RSI, what can be done to improve team communication prior
to performing the RSI? correct answers A universal time-out
The use of __________ allows health care providers to hone their skills in a safe environment
without risk of patient harm. correct answers Simulation
Issues with communication with __________ have resulted in loss of key patient information.
correct answers Handoff reports
Medical errors during critical care transport regularly result in harm or potential harm to patients.
Viewing these errors as the outcomes of human-error, at-risk behavior, or reckless behavior is a
concept designed to differentiate the different types of error, and is also known as: correct
answers Just culture
What type of organization focuses on managing its inevitable failures, helping to reduce their
effects on patient care? correct answers A highly reliable organization
, What occurs when a planned action fails to be completed as intended? correct answers A medical
error
When a clinician utilizes premixed infusions instead of mixing their own infusion, they are
meeting the Institution of Medicine's __________ Quality Aim. correct answers Efficiency
What system requires someone to develop a risk matrix for each potential failure that
incorporates the likelihood of that failure, the ability to detect failure, and the potential harm in
order to assign a risk score to the environment? correct answers Failure mode and effect analysis
What can help reduce the risk of adverse events and errors of omission during IABP transports?
correct answers Checklists
One aspect of crew resource management (CRM) in which all members of the crew should hold
equal empowerment is the decision of: correct answers Whether to accept a flight
Overtriage of rotor-wing air medical utilization would go against which IOM Quality Aim?
correct answers Efficiency
What system encourages self-reporting of errors that will be free from disciplinary action and aid
in corrections of the overall system? correct answers Just culture
A CCTP reports a medical error where he administered midazolam instead of fentanyl. When the
incident was investigated, the crew member claimed responsibility and stated that he didn't
realize the label for the fentanyl had changed to brown after the last supply order. How should
this incident be managed? correct answers The officer responsible for ordering should try to
order the same brand
When a CCTP transports a patient from a scene to the appropriate facility, they are meeting the
Institute of Medicine's __________ Quality Aim? correct answers Effectiveness
What is a potential contraindication for aeromedical transportation? correct answers Sterile
cockpit
The area of the atmosphere that contains the oxygen and barometric pressure needed for a
normal, healthy person to live is the: correct answers Physiologic zone
Patients with a history of or injury predisposing them to __________ should be protected from
the effects of flicker vertigo. correct answers Seizures
The use of __________ has benefitted critically ill or injured, and those who would have a
negative outcome due to prolonged transport. correct answers Air medical transport
When flying under visual flight rules without a flight plan on file, the fixed-wing pilot must
update air traffic control or the communications center with the current position every
__________ minutes, at a minimum. correct answers 30
Answers.
Your physical assessment reveals that the posterior pharynx is partially exposed. What
classification Mallampati would you identify this patient as? correct answers II
Which of the following patient populations would likely require high inspiratory pressures to
adequately achieve gas exchange? correct answers Asthma patietns
What additional healthcare provider may become part of the transport team during the transport
of a patient receiving extracorporeal membrane oxygenation (ECMO)? correct answers
Perfusionist
A person's ability to withstand negative pressure or "bounce back" from difficulties is known as:
correct answers Resilience
CMS defines __________ as the use of specialized equipment and specialized training beyond
the paramedic scope of practice to manage critically ill patients from facility to facility. correct
answers Specialty Care Transport
What agency dictates CCTPs' scope of practice? correct answers The state agency responsible
for licensure
When was the United States' first city ambulance service established? correct answers 1869
Which of the following will indicate to dispatch that the interfacility transport requires critical
care transport? correct answers Intra-aoritic balloon pump (IABP)
A STEMI patient with three vasoactive medications infusing in a community hospital that is 10
miles away, 45 minutes with current traffic, would be a candidate for which mode of
transportation? correct answers Rotor-wing transport
__________ is the reaction of the mind and body to demand for change. correct answers Stress
How do critical care transport services ensure that their providers maintain proficiency? correct
answers Mandatory competency training
A 3-month old patient in Louisville, Kentucky, has a unique heart condition that requires an
intervention that is currently only performed at the Children's Hospital of Philadelphia. What is
the best mode of transportation for this patient? correct answers Fixed-wing transport
Which type of transport is the most expensive to operate? correct answers Specialty Care
Transport
,Interfacility transport is the transport of a patient between: correct answers Two healthcare
facilities
Critical care is the management of patients with life-threatening conditions that requires: correct
answers Continuous monitoring and drugs of equipment required to sustain life
What is the first point of contact for the rotor-wing critical care team? correct answers The
dispatcher
How do you manage a patient when a sending physician refuses to allow you to treat a patient
appropriately according to your protocols? correct answers Contact the receiving facilities
physician
What is necessary for a CCTP to act outside of his or her protocols? correct answers Medical
command physician orders
During the hand-off report from the transferring nurse, he tells you that the patient has a DNR
and only wants comfort measures performed. En-route, the patient codes but you are unable to
find the patient's DNR in the chart. How do you manage the cardiac arrest? correct answers
Perform basic resuscitation, then seek clarification
In preparation for transport, the sending facility physician must have identified and
communicated with a __________ in order to initiate the patient transfer. correct answers
Receiving facility physician
The transferring neonatal orders a neonatal physician assistant to your transport team for the
transfer of an 1,800-g neonate with an intraventricular hemorrhage and hydrocephalus. What
dictates the management of the patient's care during this transport? correct answers The
physician assistant
When is it acceptable to transfer an unstable patient from a facility? correct answers The sending
facility cannot perform the needed interventions
What allows individuals to accepts or refuse treatment, to receive appropriate care, and to receive
care without interruption? correct answers Patient rights
What type of consent is obtained after you discuss the treatment and transport plan with the
patient and patient's family? correct answers Informed consent
What information must be sent with a patient during all interfacility patient transfers? correct
answers Current diagnosis and interventions
While a CCTP contacts their medical director for additional medication doses, he or she is
operating under: correct answers Online medical control
,When does an adult patient of sound mind have the right to refuse treatment by a CCTP? correct
answers At any point the CCTP is present
__________ is the intentional and unjustifiable detention of a person without his or her consent
or other legal authority. correct answers False imprisonment
The CCTP has an obligation to obtain __________ consent for air medical transport, including a
written statement that the patient understands the risks and benefits of transport. correct answers
Informed
Your pediatric CCT unit arrives at a regional hospital to transport a 3-day old infant with
atrioventricular septal defect that is extremely unstable. As you enter the room of the level I
NICU, the parents are alarmed and agitated. Uninformed and confused about the transport, the
father says, "This hospital is the best in the state," and declines the transport. How do you
manage this patient? correct answers Discuss the concerns with the family and sending physician
What type of consent is granted for a patient found unresponsive and seizures? correct answers
Implied
You've administered vecoronium and realized you forgot to administer midazolam. Your partner
pushes the midazolam but the patient's heart rate continues to rise. You notice the line was
clamped and the bolus went into the bag. What type of incident occurred? correct answers
Adverse drug event
During ground transport of a critically injured patient, a CCTP should be mindful to: correct
answers All of these are correct (ensure that the patient is securely fastened to the stretcher;
remain seated and secured with seatbelt applied as much as possible; and, ensure all loose
equipment is secured and equipment lockers are closed)
Once everything is in place for an RSI, what can be done to improve team communication prior
to performing the RSI? correct answers A universal time-out
The use of __________ allows health care providers to hone their skills in a safe environment
without risk of patient harm. correct answers Simulation
Issues with communication with __________ have resulted in loss of key patient information.
correct answers Handoff reports
Medical errors during critical care transport regularly result in harm or potential harm to patients.
Viewing these errors as the outcomes of human-error, at-risk behavior, or reckless behavior is a
concept designed to differentiate the different types of error, and is also known as: correct
answers Just culture
What type of organization focuses on managing its inevitable failures, helping to reduce their
effects on patient care? correct answers A highly reliable organization
, What occurs when a planned action fails to be completed as intended? correct answers A medical
error
When a clinician utilizes premixed infusions instead of mixing their own infusion, they are
meeting the Institution of Medicine's __________ Quality Aim. correct answers Efficiency
What system requires someone to develop a risk matrix for each potential failure that
incorporates the likelihood of that failure, the ability to detect failure, and the potential harm in
order to assign a risk score to the environment? correct answers Failure mode and effect analysis
What can help reduce the risk of adverse events and errors of omission during IABP transports?
correct answers Checklists
One aspect of crew resource management (CRM) in which all members of the crew should hold
equal empowerment is the decision of: correct answers Whether to accept a flight
Overtriage of rotor-wing air medical utilization would go against which IOM Quality Aim?
correct answers Efficiency
What system encourages self-reporting of errors that will be free from disciplinary action and aid
in corrections of the overall system? correct answers Just culture
A CCTP reports a medical error where he administered midazolam instead of fentanyl. When the
incident was investigated, the crew member claimed responsibility and stated that he didn't
realize the label for the fentanyl had changed to brown after the last supply order. How should
this incident be managed? correct answers The officer responsible for ordering should try to
order the same brand
When a CCTP transports a patient from a scene to the appropriate facility, they are meeting the
Institute of Medicine's __________ Quality Aim? correct answers Effectiveness
What is a potential contraindication for aeromedical transportation? correct answers Sterile
cockpit
The area of the atmosphere that contains the oxygen and barometric pressure needed for a
normal, healthy person to live is the: correct answers Physiologic zone
Patients with a history of or injury predisposing them to __________ should be protected from
the effects of flicker vertigo. correct answers Seizures
The use of __________ has benefitted critically ill or injured, and those who would have a
negative outcome due to prolonged transport. correct answers Air medical transport
When flying under visual flight rules without a flight plan on file, the fixed-wing pilot must
update air traffic control or the communications center with the current position every
__________ minutes, at a minimum. correct answers 30
