EMS OPERATIONS: MASTERY REVIEW OVERVIEW INSIDER
ACCESS OF 2025/2026 EXAM QUESTIONS WITH 100% SUCCESS
RATE
Medical Direction - Physician oversight guiding prehospital care
through offline protocols or direct orders
Standing Orders - Pre-authorized treatment interventions under
protocol (offline medical control)
Scope of Practice - Legal limits of care authorized by state or
agency
Standard of Care - Care level expected of a provider with similar
training in similar conditions
QI / CQI - Quality improvement / continuous quality
improvement—ensures system performance and learning
PCR (Prehospital Care Report) - Legal document that captures
all aspects of patient care, condition, and provider action
,Patient Advocacy - Acting in the patient's best interest—even
under pressure
System Status Management - Real-time resource deployment to
optimize response coverage
Interoperability - Ability of EMS to integrate with police, fire,
hospitals, etc. using compatible communications
"Medical director = boss" - All clinical decisions flow through
delegated physician authority
"Scope ≠ Skill" - Just because you can do something doesn't
mean it's allowed
"If it wasn't documented..." - "...it didn't happen" — legal
doctrine for EMS documentation
"PCR = legal shield" - Your best defense in court is what's
written in the PCR
, "SOAP / CHART" - Mnemonic anchors for PCR structure
SOAP Format - Subjective - What patient/family/bystanders
report
Objective - What you observe/assess (vitals, exam)
Assessment - Differential, clinical impression
Plan - Interventions, treatment, transport, RMA
CHART Format - Chief Complaint
History (SAMPLE, OPQRST) - Assessment (Findings, vitals, exam)
Rx (Treatments administered) - Transport (Mode, destination,
condition)
Scope of practice = skillset - Skillset is what you can do; scope is
what you're allowed to do
ACCESS OF 2025/2026 EXAM QUESTIONS WITH 100% SUCCESS
RATE
Medical Direction - Physician oversight guiding prehospital care
through offline protocols or direct orders
Standing Orders - Pre-authorized treatment interventions under
protocol (offline medical control)
Scope of Practice - Legal limits of care authorized by state or
agency
Standard of Care - Care level expected of a provider with similar
training in similar conditions
QI / CQI - Quality improvement / continuous quality
improvement—ensures system performance and learning
PCR (Prehospital Care Report) - Legal document that captures
all aspects of patient care, condition, and provider action
,Patient Advocacy - Acting in the patient's best interest—even
under pressure
System Status Management - Real-time resource deployment to
optimize response coverage
Interoperability - Ability of EMS to integrate with police, fire,
hospitals, etc. using compatible communications
"Medical director = boss" - All clinical decisions flow through
delegated physician authority
"Scope ≠ Skill" - Just because you can do something doesn't
mean it's allowed
"If it wasn't documented..." - "...it didn't happen" — legal
doctrine for EMS documentation
"PCR = legal shield" - Your best defense in court is what's
written in the PCR
, "SOAP / CHART" - Mnemonic anchors for PCR structure
SOAP Format - Subjective - What patient/family/bystanders
report
Objective - What you observe/assess (vitals, exam)
Assessment - Differential, clinical impression
Plan - Interventions, treatment, transport, RMA
CHART Format - Chief Complaint
History (SAMPLE, OPQRST) - Assessment (Findings, vitals, exam)
Rx (Treatments administered) - Transport (Mode, destination,
condition)
Scope of practice = skillset - Skillset is what you can do; scope is
what you're allowed to do
