Santa Clara County EMS Orientation
2023 Exam Questions and Answers
100% Solved
Policy 108 - ✔✔System Variance Reporting
What types of incidents are considered Level A? - ✔✔Any incident that
results in a threat to public safety, patient, by-stander or responder harm.
What is the maximum amount of time you must report a Level A variance? -
✔✔Immediately (paperwork must be done within 24 hours)
Who must be notified ASAP for a Level A variance? - ✔✔EMS Duty Chief
What types of incidents are considered Level B? - ✔✔Any incident that
does not result in patient harm, but is a deviation from EMS Agency
policies, procedures, and protocols.
What is the maximum amount of time you must report a Level B variance? -
✔✔5 business days
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,What types of incidents are considered Level C variances? - ✔✔Incidents
where the responders provided outstanding care and went above and
beyond the normal expectations of responders.
What is the maximum amount of time you must report a Level C variance?
- ✔✔7 business days
What form would you use to to file a variance report? - ✔✔EMS Form #903
Policy 109 - ✔✔Policy Development
How will policy implementation be disseminated to you? - ✔✔Via program
manager
What other resources do you have to find new policies and updates? -
✔✔County Website, App, Social Media, Hardcopy
Policy 500 - ✔✔Electronic Patient Care Record (ePCR)
When an MCI alert occurs with 5 or more patients is a PCR required? -
✔✔No
What is used instead of a PCR during an MCI with 5 or more patients? -
✔✔Triage Tags
Policy 501 - ✔✔Hospital Radio Reports
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, For interfacility and routine patient transports into the ED what form of
communication is used for ringdowns? - ✔✔Cellular Phone Communication
What channel can you use for major alert ringdowns on the county radio? -
✔✔Designated Hospital Channel (each hospital has its own channel)
For what types of alerts can you use the designated hospital ringdown
channel? - ✔✔Trauma Alerts, STEMI Alerts, Stroke Alerts, and transporting
a critical patient (Code 3; RLS)
What information is required when giving a DECON ALERT ringdown? -
✔✔Chemical name, decontamination methods (used on-scene), DOT
reference #, any appropriate treatment information/considerations, routine
patient notification report.
Who should you ask to meet you in the ED bay? And why? - ✔✔Any
appropriate representative. You must meet them in the bay because there
could be a likelihood of contamination in the ED. Further precautions are
warranted.
Who can make base contact? - ✔✔Only Paramedics
What is the best form of communication? - ✔✔Cellular Phone
Communication
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
2023 Exam Questions and Answers
100% Solved
Policy 108 - ✔✔System Variance Reporting
What types of incidents are considered Level A? - ✔✔Any incident that
results in a threat to public safety, patient, by-stander or responder harm.
What is the maximum amount of time you must report a Level A variance? -
✔✔Immediately (paperwork must be done within 24 hours)
Who must be notified ASAP for a Level A variance? - ✔✔EMS Duty Chief
What types of incidents are considered Level B? - ✔✔Any incident that
does not result in patient harm, but is a deviation from EMS Agency
policies, procedures, and protocols.
What is the maximum amount of time you must report a Level B variance? -
✔✔5 business days
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,What types of incidents are considered Level C variances? - ✔✔Incidents
where the responders provided outstanding care and went above and
beyond the normal expectations of responders.
What is the maximum amount of time you must report a Level C variance?
- ✔✔7 business days
What form would you use to to file a variance report? - ✔✔EMS Form #903
Policy 109 - ✔✔Policy Development
How will policy implementation be disseminated to you? - ✔✔Via program
manager
What other resources do you have to find new policies and updates? -
✔✔County Website, App, Social Media, Hardcopy
Policy 500 - ✔✔Electronic Patient Care Record (ePCR)
When an MCI alert occurs with 5 or more patients is a PCR required? -
✔✔No
What is used instead of a PCR during an MCI with 5 or more patients? -
✔✔Triage Tags
Policy 501 - ✔✔Hospital Radio Reports
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, For interfacility and routine patient transports into the ED what form of
communication is used for ringdowns? - ✔✔Cellular Phone Communication
What channel can you use for major alert ringdowns on the county radio? -
✔✔Designated Hospital Channel (each hospital has its own channel)
For what types of alerts can you use the designated hospital ringdown
channel? - ✔✔Trauma Alerts, STEMI Alerts, Stroke Alerts, and transporting
a critical patient (Code 3; RLS)
What information is required when giving a DECON ALERT ringdown? -
✔✔Chemical name, decontamination methods (used on-scene), DOT
reference #, any appropriate treatment information/considerations, routine
patient notification report.
Who should you ask to meet you in the ED bay? And why? - ✔✔Any
appropriate representative. You must meet them in the bay because there
could be a likelihood of contamination in the ED. Further precautions are
warranted.
Who can make base contact? - ✔✔Only Paramedics
What is the best form of communication? - ✔✔Cellular Phone
Communication
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
