Santa Clara Protocol Exam Practice
(Policy 214) What are the requirements for working in Santa Clara County? - answer1.
IS-3
2. ICS 100
3. ICS 700
4. Orientation
5. SEMS
6. FRO
7. AWR-160
What kind services does EL Camino Los Gatos offer? - answer Primary Stroke Center
Person's not able to refuse care - answer1. Person's able to consent that are not
competent
2. Suicidal
3. 5150 hold
Who can be a legal representative? - answerAn adult with whom a minor lives with,
spouse, brother, sister, step-brother, step-sister, half sister, half brother of the minor
What is policy 108 - answerVariance Reporting
(Policy 108) What is variance Reporting A - answerSomething is wrong, patient is
injured
(Policy 108) How long do you have to report variance A - answerImmediately notify duty
chief or 24hr
(Policy 108) What is variance Reporting B - answerSomething is wrong, patient isn't hurt
(Policy 108) How long do you have to report variance B - answer5 business days
(Policy 108) Variance C - answerWhen something awesome happens
(Policy 108) How long do you have to report variance C - answer7 business days
The prehospital provider must document al the following information in the patient care
record for any patient contact that results in a refusal of service: - answer1. If patient is
oriented to person, place, time, event
2. No barriers in communicating or has a translator
3. Patient does not have an altered mental status
,4. Patient or legal representative understands the nature of the medical condition and
the risks and the consequences of refusing care
5. The patient has been advised that he or she may call 911
6. Risks and refusal have been explained to the patient
7. The patient is 18 years of age or older or is minor that can legally make medical
decisions
8.
If you are unable to document the needed information in your refusal form or the patient
is not competent to refuse care, what should you do? - answerContact Base Hospital
and request the response of paramedic level provider
What is the ventilation ratio for CPR for adults? - answer1 breath every 6 seconds (10
per min)
What are the age ranges for all levels of peds? - answerNeonate - 0-4 weeks of age
Infant - 1 month to 1 year of age
child - is considered older than 1 year of age
Pediatric is defined as under 15 years of age
What is the Naloxone dosage for administration for adults? - answer2mc IN repeat once
for a max of 2 doses
What are STEMI receiving centers in SCC? - answer1. Regional (RSJ)
2. O'Connor (OCH)
3. Stanford (SUH)
4. SC Valley Med (VMC)
5. Kaiser Foundation San Jose (STH)
6. Kaiser Foundation Santa Clara (KSC)
7. Good Samaritan (GSH)
8. El Camino Hospital of Mountain View (ECH)
If the patient scores 4 points on the GFAST scale, where do you take them? -
answerComprehensive Stroke Center
If transport is more than 30 minutes, take them to the nearest stroke center
If the patient scores 3 points or less on the GFAST scale, where do you take them? -
answerClosest stroke center
What does the acronym used to assess a stroke patient? - answerG-Gaze
F-Facial Droop
A-Arm Drift
S-Speech irregularities
T-Time last seen normal
, What is the policy for giving oral glucose? - answer1. They must be able to swallow
while controlling airway
2. 60 or less
3. 24gm
4. May repeat after 15 minutes if you don't see improvement
What distance you must keep people away from both small and large incidents? -
answerSmall-100ft
large-500ft
What kind of forms are valid DNR's? - answer1. CDNR medallion (comfort do not
resuscitate)
2. POLST (physician orders for life saving treatment)
3. "No CPR" forms
4. Durable power of attorney/advanced directive
5. DNR
Are you allowed to relocate once you are already on the way to a destination w/ a
patient? - answerYes, as long as you are still in route and the hospital is receiving
patients
How do you respond if a patient wants to get out of the ambulance after you begun
transport? - answer1. Try to convince them not to
2. Do you not pull over until it is safe to do so
3. Make sure patient is aware of the risks and consequences of not receiving help
4. Have them sign a refusal form
5. Notify the county communication center
Where can you transport ROSC patients? - answerSTEMI receiving centers
What is the official age for peds? - answerUnder age 15
What are the 3 trauma centers in SCC? - answer1. Stanford(SUH)
2. Regional (RSJ)
3. Valley medical(VMC)
When can a patient be taken to the hospital of their choice? - answer1. AOX4
2. You are still in route
3. The hospital is accepting patients
What must be included with a system variance form? - answer1. Dispatch info
2. PCR
3. Statement involved in the incident
(Policy 108) What form do you use to make a variance report? - answerEMS System
Variance Form #903
(Policy 214) What are the requirements for working in Santa Clara County? - answer1.
IS-3
2. ICS 100
3. ICS 700
4. Orientation
5. SEMS
6. FRO
7. AWR-160
What kind services does EL Camino Los Gatos offer? - answer Primary Stroke Center
Person's not able to refuse care - answer1. Person's able to consent that are not
competent
2. Suicidal
3. 5150 hold
Who can be a legal representative? - answerAn adult with whom a minor lives with,
spouse, brother, sister, step-brother, step-sister, half sister, half brother of the minor
What is policy 108 - answerVariance Reporting
(Policy 108) What is variance Reporting A - answerSomething is wrong, patient is
injured
(Policy 108) How long do you have to report variance A - answerImmediately notify duty
chief or 24hr
(Policy 108) What is variance Reporting B - answerSomething is wrong, patient isn't hurt
(Policy 108) How long do you have to report variance B - answer5 business days
(Policy 108) Variance C - answerWhen something awesome happens
(Policy 108) How long do you have to report variance C - answer7 business days
The prehospital provider must document al the following information in the patient care
record for any patient contact that results in a refusal of service: - answer1. If patient is
oriented to person, place, time, event
2. No barriers in communicating or has a translator
3. Patient does not have an altered mental status
,4. Patient or legal representative understands the nature of the medical condition and
the risks and the consequences of refusing care
5. The patient has been advised that he or she may call 911
6. Risks and refusal have been explained to the patient
7. The patient is 18 years of age or older or is minor that can legally make medical
decisions
8.
If you are unable to document the needed information in your refusal form or the patient
is not competent to refuse care, what should you do? - answerContact Base Hospital
and request the response of paramedic level provider
What is the ventilation ratio for CPR for adults? - answer1 breath every 6 seconds (10
per min)
What are the age ranges for all levels of peds? - answerNeonate - 0-4 weeks of age
Infant - 1 month to 1 year of age
child - is considered older than 1 year of age
Pediatric is defined as under 15 years of age
What is the Naloxone dosage for administration for adults? - answer2mc IN repeat once
for a max of 2 doses
What are STEMI receiving centers in SCC? - answer1. Regional (RSJ)
2. O'Connor (OCH)
3. Stanford (SUH)
4. SC Valley Med (VMC)
5. Kaiser Foundation San Jose (STH)
6. Kaiser Foundation Santa Clara (KSC)
7. Good Samaritan (GSH)
8. El Camino Hospital of Mountain View (ECH)
If the patient scores 4 points on the GFAST scale, where do you take them? -
answerComprehensive Stroke Center
If transport is more than 30 minutes, take them to the nearest stroke center
If the patient scores 3 points or less on the GFAST scale, where do you take them? -
answerClosest stroke center
What does the acronym used to assess a stroke patient? - answerG-Gaze
F-Facial Droop
A-Arm Drift
S-Speech irregularities
T-Time last seen normal
, What is the policy for giving oral glucose? - answer1. They must be able to swallow
while controlling airway
2. 60 or less
3. 24gm
4. May repeat after 15 minutes if you don't see improvement
What distance you must keep people away from both small and large incidents? -
answerSmall-100ft
large-500ft
What kind of forms are valid DNR's? - answer1. CDNR medallion (comfort do not
resuscitate)
2. POLST (physician orders for life saving treatment)
3. "No CPR" forms
4. Durable power of attorney/advanced directive
5. DNR
Are you allowed to relocate once you are already on the way to a destination w/ a
patient? - answerYes, as long as you are still in route and the hospital is receiving
patients
How do you respond if a patient wants to get out of the ambulance after you begun
transport? - answer1. Try to convince them not to
2. Do you not pull over until it is safe to do so
3. Make sure patient is aware of the risks and consequences of not receiving help
4. Have them sign a refusal form
5. Notify the county communication center
Where can you transport ROSC patients? - answerSTEMI receiving centers
What is the official age for peds? - answerUnder age 15
What are the 3 trauma centers in SCC? - answer1. Stanford(SUH)
2. Regional (RSJ)
3. Valley medical(VMC)
When can a patient be taken to the hospital of their choice? - answer1. AOX4
2. You are still in route
3. The hospital is accepting patients
What must be included with a system variance form? - answer1. Dispatch info
2. PCR
3. Statement involved in the incident
(Policy 108) What form do you use to make a variance report? - answerEMS System
Variance Form #903
