SNHD Protocols ACTUAL Exam Questions
and CORRECT Answers
A Patient Is: - CORRECT ANSWER - 1) A person who has a complaint or mechanism
suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury;
or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential
illness or injury.
Pediatric Treatment Consideration - CORRECT ANSWER - 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 in females. The Blue Teddy Bear is for
Pt less than 12 years of age
ADULT ASSESSMENT: LOC - CORRECT ANSWER - Assess Level of Responsiveness,
If there is no pulse, Begin Cardiac Arrest Protocol
ADULT ASSESSMENT: AIRWAY - CORRECT ANSWER - Signs of compromise or
not Protecting?
Ventilation Management
ADULT ASSESSMENT: BREATHING - CORRECT ANSWER - If their breathing is
inadequate or the patient is in Respiratory Distress. Treat Accordingly.
Respiratory Distress
ADULT ASSESSMENT: Circulation - CORRECT ANSWER - If the patient is actively
Bleeding:
,Control Hemorrhage and Treat according to
General Trauma Protocol
ADULT ASSESSMENT: Disability - CORRECT ANSWER - If the patient is altered or
confused:
Treat according to AMS/Syncope Protocol
On every patient, you must assess and obtain - CORRECT ANSWER - A history which
includes
Sample, OPQRST, Alert and Oriented X?, Vital Signs, Physical Exam of the area of complain,
and a Focused Assesement.
Cspine as Indicated
Transport to the Nearest Facility If - CORRECT ANSWER - Inability to adequately
ventilate the patient
Never withhold oxygen for a patient experiencing - CORRECT ANSWER - Respiratory
Distress
Patients sustaining traumatic injuries shall be transported in accordance with the - CORRECT
ANSWER - Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: - CORRECT
ANSWER - Burns Protocol
Pediatric patients (<18 y/o for transport purposes only) shall be transported in accordance with
the: - CORRECT ANSWER - Pediatric Destination Protocol
,Patients with evidence of a stroke shall be transported in accordance with the: - CORRECT
ANSWER - Stroke Protocol
Sexual assault victims <13 y/o shall be transported to: - CORRECT ANSWER - Sunrise
Hospital
Sexual assault victims 13 y/o up to 18 y/o shall be transported to: - CORRECT
ANSWER - Sunrise Or UMC
Sexual assault victims 18 y/o and older shall be transported to: - CORRECT ANSWER -
UMC
For sexual assault victims outside a 50-mile radius from the above facilities, the patient shall be
transported to: - CORRECT ANSWER - The nearest appropriate Facility
Stable patients shall be transported to the hospital of their choice, if the patient has no preference
the patient should be transported to: - CORRECT ANSWER - The closest Facility
For patients outside a 50 mile radius from protocol designated transport destinations, the licensee
providing emergency medical care shall transport the patient to: - CORRECT ANSWER -
The nearest appropriate Faciliity
Upon arrival in the emergency department, if transfer of care has not occurred in accordance
with NRS 450B.790, any patient, excluding patients placed on a legal psychiatric hold, meeting
ALL the following criteria may be placed in the hospital waiting room or other appropriate
location: - CORRECT ANSWER - Normal vital signs
A. Heart rate 60 - 100
B. Respiratory rate 10 - 20
C. Systolic BP 100 - 180
D. Diastolic BP 60 - 110
, E. Room air pulse oximetry >94%
F. Alert and oriented x 4
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.
During Internal Disaster Facilitys (TO many Patients, or if a hospital declares Diversion for any
patient)
The only time you can bring a patient there is if: - CORRECT ANSWER - Inability to
adequately Ventilate Or The patient is in Cardiac Arrest
General Adult Assessment : Trauma - CORRECT ANSWER - Consider CSPINE
Assess GCS Market Number=8
Keep oxygen at greater than 94%
IF Less than 8 on the GCS and there is no Palpable Radial Pulse Establish an IV and give 1 Liter
of NS
IF radial Pulse is palpable, Establish an IV
General Adult Assessment : Trauma
For a Sucking Chest Wound - CORRECT ANSWER - Apply a 3 Sided Occlusive
Dressing
General Adult Assessment : Trauma
and CORRECT Answers
A Patient Is: - CORRECT ANSWER - 1) A person who has a complaint or mechanism
suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury;
or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential
illness or injury.
Pediatric Treatment Consideration - CORRECT ANSWER - 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 in females. The Blue Teddy Bear is for
Pt less than 12 years of age
ADULT ASSESSMENT: LOC - CORRECT ANSWER - Assess Level of Responsiveness,
If there is no pulse, Begin Cardiac Arrest Protocol
ADULT ASSESSMENT: AIRWAY - CORRECT ANSWER - Signs of compromise or
not Protecting?
Ventilation Management
ADULT ASSESSMENT: BREATHING - CORRECT ANSWER - If their breathing is
inadequate or the patient is in Respiratory Distress. Treat Accordingly.
Respiratory Distress
ADULT ASSESSMENT: Circulation - CORRECT ANSWER - If the patient is actively
Bleeding:
,Control Hemorrhage and Treat according to
General Trauma Protocol
ADULT ASSESSMENT: Disability - CORRECT ANSWER - If the patient is altered or
confused:
Treat according to AMS/Syncope Protocol
On every patient, you must assess and obtain - CORRECT ANSWER - A history which
includes
Sample, OPQRST, Alert and Oriented X?, Vital Signs, Physical Exam of the area of complain,
and a Focused Assesement.
Cspine as Indicated
Transport to the Nearest Facility If - CORRECT ANSWER - Inability to adequately
ventilate the patient
Never withhold oxygen for a patient experiencing - CORRECT ANSWER - Respiratory
Distress
Patients sustaining traumatic injuries shall be transported in accordance with the - CORRECT
ANSWER - Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: - CORRECT
ANSWER - Burns Protocol
Pediatric patients (<18 y/o for transport purposes only) shall be transported in accordance with
the: - CORRECT ANSWER - Pediatric Destination Protocol
,Patients with evidence of a stroke shall be transported in accordance with the: - CORRECT
ANSWER - Stroke Protocol
Sexual assault victims <13 y/o shall be transported to: - CORRECT ANSWER - Sunrise
Hospital
Sexual assault victims 13 y/o up to 18 y/o shall be transported to: - CORRECT
ANSWER - Sunrise Or UMC
Sexual assault victims 18 y/o and older shall be transported to: - CORRECT ANSWER -
UMC
For sexual assault victims outside a 50-mile radius from the above facilities, the patient shall be
transported to: - CORRECT ANSWER - The nearest appropriate Facility
Stable patients shall be transported to the hospital of their choice, if the patient has no preference
the patient should be transported to: - CORRECT ANSWER - The closest Facility
For patients outside a 50 mile radius from protocol designated transport destinations, the licensee
providing emergency medical care shall transport the patient to: - CORRECT ANSWER -
The nearest appropriate Faciliity
Upon arrival in the emergency department, if transfer of care has not occurred in accordance
with NRS 450B.790, any patient, excluding patients placed on a legal psychiatric hold, meeting
ALL the following criteria may be placed in the hospital waiting room or other appropriate
location: - CORRECT ANSWER - Normal vital signs
A. Heart rate 60 - 100
B. Respiratory rate 10 - 20
C. Systolic BP 100 - 180
D. Diastolic BP 60 - 110
, E. Room air pulse oximetry >94%
F. Alert and oriented x 4
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.
During Internal Disaster Facilitys (TO many Patients, or if a hospital declares Diversion for any
patient)
The only time you can bring a patient there is if: - CORRECT ANSWER - Inability to
adequately Ventilate Or The patient is in Cardiac Arrest
General Adult Assessment : Trauma - CORRECT ANSWER - Consider CSPINE
Assess GCS Market Number=8
Keep oxygen at greater than 94%
IF Less than 8 on the GCS and there is no Palpable Radial Pulse Establish an IV and give 1 Liter
of NS
IF radial Pulse is palpable, Establish an IV
General Adult Assessment : Trauma
For a Sucking Chest Wound - CORRECT ANSWER - Apply a 3 Sided Occlusive
Dressing
General Adult Assessment : Trauma
