Santa Clara County Protocols Study
Guide
What incidents are considered Level A variances? - Answer-medication errors
-equipment failure that leads to pt harm
-abuse of narcotics and alcohol
-acting negligently and irrationally
-acting outside your scope given my medical direction
-committing crimes
What is the max time you must report a Level A variance? - answer you must report
immediately and have 24 hours to get all the paperwork sent in
Who must be notified for a level A variance? - answer the EMS Duty Chief
What are Level B variances? - answer any break in protocol that does not result in
patient harm
How long do you have to report a Level B variance? - answer5 days
What is a Level C variance? - answerany time someone goes above and beyond or has
outstanding service that you feel needs to be recognized
How long do you have to report a Level C variance? - answer7 days
What form do you used to make a variance report? - answerEMS System Variance
Form #903
What must be included with a System Variance Form? - answer-dispatch information
-PCR
-statements from others involved in the incident
How is policy implementation disseminated to us? - answervia our program managers
What other resources can help us find new policies and updates? - answersocial media
T/F: When an MCI has 5+ people you need a PCR? - answerno
What do you use instead of a PCR if an MCI has 5+ people? - answera multi-patient
tracking tool
, What must each patient in an MCI with 5+ people receive when a multi-patient tracking
tool is in use? - answera triage tag and their number as documented on the multi-patient
tracking tool
What do you use to communicate ringdowns for IFT and routine patients? - answercall
in on a cellphone/rig phone
What channel is used for major alert ringdowns on a county radio? - answerzone "B
HOSP" and channel relating to the specific hospital
What type of alerts can you use for the designated hospital ringdown? - answerTrauma
Alert, STEMI, stroke, critical, RLS, anytime the cell service is not working
What information is needed for a DECON ALERT ringdown? - answer- chemical name
- decon method on scene
- DOT reference number
- appropriate Tx information/considerations
- routine pt information
Who should meet you at the ED bay with a Decon and why? - answera representative
of the ED (usually a nurse) because if you bring a patient into the hospital you have
contaminated the entire ED
Who can make base contact? - answerparamedics only
What is the best form of communication? - answercommunication via cellphone
whenever possible
What are the types of radio tones and what are they used for? - answersteady alert -
pertinent information (BOLO, all points bulletin, internal disaster status of a hospital)
warbler - situations that make be unsafe (shelter in place, critical information, eminent
safety issue)
P.A.R. - answerPersonal Accountability Report
making sure that all members of the team are ready, accounted for and safe
What is included in a PAR status report? - answer-number of people in the crew on a
unit
-location and/or assignment
-number of students on the unit
What is the only verbiage you may use if you accidentally press the SOS button? -
answerno further assistance needed
Guide
What incidents are considered Level A variances? - Answer-medication errors
-equipment failure that leads to pt harm
-abuse of narcotics and alcohol
-acting negligently and irrationally
-acting outside your scope given my medical direction
-committing crimes
What is the max time you must report a Level A variance? - answer you must report
immediately and have 24 hours to get all the paperwork sent in
Who must be notified for a level A variance? - answer the EMS Duty Chief
What are Level B variances? - answer any break in protocol that does not result in
patient harm
How long do you have to report a Level B variance? - answer5 days
What is a Level C variance? - answerany time someone goes above and beyond or has
outstanding service that you feel needs to be recognized
How long do you have to report a Level C variance? - answer7 days
What form do you used to make a variance report? - answerEMS System Variance
Form #903
What must be included with a System Variance Form? - answer-dispatch information
-PCR
-statements from others involved in the incident
How is policy implementation disseminated to us? - answervia our program managers
What other resources can help us find new policies and updates? - answersocial media
T/F: When an MCI has 5+ people you need a PCR? - answerno
What do you use instead of a PCR if an MCI has 5+ people? - answera multi-patient
tracking tool
, What must each patient in an MCI with 5+ people receive when a multi-patient tracking
tool is in use? - answera triage tag and their number as documented on the multi-patient
tracking tool
What do you use to communicate ringdowns for IFT and routine patients? - answercall
in on a cellphone/rig phone
What channel is used for major alert ringdowns on a county radio? - answerzone "B
HOSP" and channel relating to the specific hospital
What type of alerts can you use for the designated hospital ringdown? - answerTrauma
Alert, STEMI, stroke, critical, RLS, anytime the cell service is not working
What information is needed for a DECON ALERT ringdown? - answer- chemical name
- decon method on scene
- DOT reference number
- appropriate Tx information/considerations
- routine pt information
Who should meet you at the ED bay with a Decon and why? - answera representative
of the ED (usually a nurse) because if you bring a patient into the hospital you have
contaminated the entire ED
Who can make base contact? - answerparamedics only
What is the best form of communication? - answercommunication via cellphone
whenever possible
What are the types of radio tones and what are they used for? - answersteady alert -
pertinent information (BOLO, all points bulletin, internal disaster status of a hospital)
warbler - situations that make be unsafe (shelter in place, critical information, eminent
safety issue)
P.A.R. - answerPersonal Accountability Report
making sure that all members of the team are ready, accounted for and safe
What is included in a PAR status report? - answer-number of people in the crew on a
unit
-location and/or assignment
-number of students on the unit
What is the only verbiage you may use if you accidentally press the SOS button? -
answerno further assistance needed
