SNHD Paramedic Protocols
SNHD Paramedic Protocols Exam Study
Guide Questions and Answers 2025
What is the purpose of the manual? -Correct Answer ✔To provide guidance for all
prehospital care providers and emergency department physicians within the Clark
County EMS system
What is the goal of the manual? -Correct Answer ✔To standardize prehospital patient
care in Clark County.
The protocols are -Correct Answer ✔Guidelines, nothing contained in these protocols
shall be constructed to expand the scope of practice of any licensed attendant beyond
that which is identified in the CC Emergency Medical Services Regulations and these
protocols
Nothing within these protocols is meant to -Correct Answer ✔Delay rapid patient
transport to a receiving facility. Patient care should be rendered while en-route
Order of protocols -Correct Answer ✔General assessment protocol must be followed in
the specific sequence noted. For all other treatment protocols, the algorithm defines the
care every patient should receive, usually in the order described.
A patient is any individual that meets at least one of the following criteria -Correct
Answer ✔A person who has a complaint or mechanism suggestive of potential illness or
injury
A person who has obvious evidence of illness or injury
A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury
SNHD Paramedic Protocols
,SNHD Paramedic Protocols
Pediatric patient considerations -Correct Answer ✔For patients < 18 yo, use the Pediatric
Patient Destination protocol.
Pediatric treatment protocols are to be used on children who have not yet experienced
puberty. Signs of puberty include chest or underarm hair on males, and any breast
development on females.
The protocols demonstrate a -Correct Answer ✔Commitment to a consistent approach
to quality patient care
General adult assessment 1 -Correct Answer ✔Scene safety / scene size up
Nature of call / mechanism of injury
PPE / BSI
Bring all equipment to patient's side
General adult assessment 2 -Correct Answer ✔Level of consciousness -> unresponsive ->
check pulse -> none -> *Cardiac arrest
Airway -> signs of compromise or not protecting -> *ventilation management
Breathing -> inadequate or respiratory distress -> *Respiratory distress
Circulation -> bleeding -> *General trauma
Disability -> altered or confused -> *altered mental status/syncope
General adult assessment 3 -Correct Answer ✔History - HPI & AMPLE
Vital signs and physical exam
Blood glucose testing as indicated
*Specific treatment protocol as indicated
*Cervical stabilization as indicated
Comfort measures (splint, position of comfort)
SNHD Paramedic Protocols
,SNHD Paramedic Protocols
Cardiac monitor as indicated
Vascular access as indicated
Oxygen therapy to keep SOP2 >94
Pain management as indicated
General adult assessment 4 -Correct Answer ✔Radio contact for all trauma center
patients, Code 3 returns, need for telemetry physician and as per protocol
Transport per Disposition criteria, if applicable
*Transport to closest facility for: airway emergencies (inability to adequately ventilate)
Contact with online medical control -Correct Answer ✔Should only be established by
radio. Telephone contact may only be used if the call is routed via a recorded phone
patch through FAO at 702-382-9007
Pediatric patients shall be transported -Correct Answer ✔In accordance with the
pediatric destination protocol
Patients with evidence of a stroke shall be transported -Correct Answer ✔In accordance
with the Stroke (CVA) Protocol
Sexual assault victims <13 yo -Correct Answer ✔Shall be transported to Sunrise Hospital
Sexual assault victims 13 yo to 18 yo -Correct Answer ✔Shall be transported to Sunrise
or UMC
Sexual assault victims >18 yo -Correct Answer ✔Shall be transported to UMC
SNHD Paramedic Protocols
, SNHD Paramedic Protocols
For sexual assault victims outside a 50 mile radius from the above facilities -Correct
Answer ✔Transport to the nearest appropriate facility
Waiting room criteria -Correct Answer ✔Excluding patients on a legal psychiatric hold,
meeting all of the following criteria
1. Normal vital signs
2. Did not receive any parenteral medications during EMS transport except a single dose
of analgesia and/or an antiemetic
3. In the judgment of the paramedic, does not require continuous cardiac monitoring.
Note: any ECG monitoring initiated by a transferring facility may not be discontinued by
EMS personnel
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
Waiting room vital signs -Correct Answer ✔Heart rate: 60-100
Respiratory rate: 10-20
Systolic BP: 100-180
Diastolic BP: 60-110
Room air pulse oximetry >94%
Alert and oriented x 4
Internal disaster -Correct Answer ✔Facility is to be bypassed for all patients except
patients in cardiac arrest or in whom the ability to adequately ventilate has not been
established
General adult trauma assessment 1 -Correct Answer ✔General adult assessment
Cervical stabilization
SNHD Paramedic Protocols
SNHD Paramedic Protocols Exam Study
Guide Questions and Answers 2025
What is the purpose of the manual? -Correct Answer ✔To provide guidance for all
prehospital care providers and emergency department physicians within the Clark
County EMS system
What is the goal of the manual? -Correct Answer ✔To standardize prehospital patient
care in Clark County.
The protocols are -Correct Answer ✔Guidelines, nothing contained in these protocols
shall be constructed to expand the scope of practice of any licensed attendant beyond
that which is identified in the CC Emergency Medical Services Regulations and these
protocols
Nothing within these protocols is meant to -Correct Answer ✔Delay rapid patient
transport to a receiving facility. Patient care should be rendered while en-route
Order of protocols -Correct Answer ✔General assessment protocol must be followed in
the specific sequence noted. For all other treatment protocols, the algorithm defines the
care every patient should receive, usually in the order described.
A patient is any individual that meets at least one of the following criteria -Correct
Answer ✔A person who has a complaint or mechanism suggestive of potential illness or
injury
A person who has obvious evidence of illness or injury
A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury
SNHD Paramedic Protocols
,SNHD Paramedic Protocols
Pediatric patient considerations -Correct Answer ✔For patients < 18 yo, use the Pediatric
Patient Destination protocol.
Pediatric treatment protocols are to be used on children who have not yet experienced
puberty. Signs of puberty include chest or underarm hair on males, and any breast
development on females.
The protocols demonstrate a -Correct Answer ✔Commitment to a consistent approach
to quality patient care
General adult assessment 1 -Correct Answer ✔Scene safety / scene size up
Nature of call / mechanism of injury
PPE / BSI
Bring all equipment to patient's side
General adult assessment 2 -Correct Answer ✔Level of consciousness -> unresponsive ->
check pulse -> none -> *Cardiac arrest
Airway -> signs of compromise or not protecting -> *ventilation management
Breathing -> inadequate or respiratory distress -> *Respiratory distress
Circulation -> bleeding -> *General trauma
Disability -> altered or confused -> *altered mental status/syncope
General adult assessment 3 -Correct Answer ✔History - HPI & AMPLE
Vital signs and physical exam
Blood glucose testing as indicated
*Specific treatment protocol as indicated
*Cervical stabilization as indicated
Comfort measures (splint, position of comfort)
SNHD Paramedic Protocols
,SNHD Paramedic Protocols
Cardiac monitor as indicated
Vascular access as indicated
Oxygen therapy to keep SOP2 >94
Pain management as indicated
General adult assessment 4 -Correct Answer ✔Radio contact for all trauma center
patients, Code 3 returns, need for telemetry physician and as per protocol
Transport per Disposition criteria, if applicable
*Transport to closest facility for: airway emergencies (inability to adequately ventilate)
Contact with online medical control -Correct Answer ✔Should only be established by
radio. Telephone contact may only be used if the call is routed via a recorded phone
patch through FAO at 702-382-9007
Pediatric patients shall be transported -Correct Answer ✔In accordance with the
pediatric destination protocol
Patients with evidence of a stroke shall be transported -Correct Answer ✔In accordance
with the Stroke (CVA) Protocol
Sexual assault victims <13 yo -Correct Answer ✔Shall be transported to Sunrise Hospital
Sexual assault victims 13 yo to 18 yo -Correct Answer ✔Shall be transported to Sunrise
or UMC
Sexual assault victims >18 yo -Correct Answer ✔Shall be transported to UMC
SNHD Paramedic Protocols
, SNHD Paramedic Protocols
For sexual assault victims outside a 50 mile radius from the above facilities -Correct
Answer ✔Transport to the nearest appropriate facility
Waiting room criteria -Correct Answer ✔Excluding patients on a legal psychiatric hold,
meeting all of the following criteria
1. Normal vital signs
2. Did not receive any parenteral medications during EMS transport except a single dose
of analgesia and/or an antiemetic
3. In the judgment of the paramedic, does not require continuous cardiac monitoring.
Note: any ECG monitoring initiated by a transferring facility may not be discontinued by
EMS personnel
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
Waiting room vital signs -Correct Answer ✔Heart rate: 60-100
Respiratory rate: 10-20
Systolic BP: 100-180
Diastolic BP: 60-110
Room air pulse oximetry >94%
Alert and oriented x 4
Internal disaster -Correct Answer ✔Facility is to be bypassed for all patients except
patients in cardiac arrest or in whom the ability to adequately ventilate has not been
established
General adult trauma assessment 1 -Correct Answer ✔General adult assessment
Cervical stabilization
SNHD Paramedic Protocols
