System Entry Region Xl Ems Exam
Questions And Answers Updated
Solution
Explain the difference between an online medical control (OLMC) and a pre-notification call? - ANS ✔✔ -
Online Medical Control (OLMC): Base Station contact is required for: 1) Medical
Direction in Regionalized Systems of Care patients or complex patient care situations or
2) Situations not clearly defined by the Region XI Policies & Procedures as needed by
The EMS provider.
A. Goal: To provide immediate medical direction to the EMS provider for situations
Where patient care or destination may be impacted.
Communication method: OLMC calls will be made through the MED Channels or
Cellular lines and all contact will be recorded.
Pre-Notification: EMS should contact the receiving hospital directly for ALS transports in
Situations where the Region XI Standing Medical Orders/Protocols have been followed.
A. Goal: To provide direct communication between EMS providers and the receiving
Hospital for straightforward BLS or ALS patient transports.
No medical direction will be given by non-Region XI Base Station hospitals receiving
Pre-notification reports.
Communication method: Pre-notification reports should be given through a Hospital's dedicated
telemetry line if the hospital is a Resource/Associate Hospital within Region XI (or another Region).
Contact may also be through a dedicated EMS telephone line or MERCI radio if the participating hospital
does not have a Telemetry line.
Write out an example of a pre-notification call? - ANS ✔✔ - Pre-Notification Report
A. Identify agency and number
B. State "This is a pre-notification report."
,C. Age and sex
D. Chief complaint
E. Vital signs
F. "Routine protocols followed"
G. Additional details that may be needed for the receiving hospital to prepare for the patient
H. Destination and ETA
An example includes patients with spinal immobilization or who are unable to sit in a wheelchair or
chair. Those who may need an immediate bed upon emergency department arrival.
List 3 examples that should be called in as OLMC rather than a pre-notification call? - ANS ✔✔ - 1.
Regionalized Systems of Care transports including patients with:
A. Acute coronary syndrome and STEMI criteria
B. Suspected acute stroke
C. Trauma Field Triage Criteria (Steps 1-4)
D. Ventricular Assist Device (VAD)
E. Obstetric related complaint
2. Cardiac Arrest
A. For patients in whom resuscitation is initiated, OLMC should be consulted Before moving the patient.
OLMC is required in making the decision to Continue on-scene resuscitation, transport, or terminate
resuscitation.
B. Patients that meet criteria for withholding resuscitation (see Initiation or Withholding of Resuscitative
Measures Policy B.5) do not require OLMC Consultation (i.e. DOA).
3. Complex patient care situations and/or questions regarding the appropriate Destination. For example:
A. Any patient potentially requiring a Level 1 Trauma Center, but not clearly Meeting Trauma Field
Triage Criteria
B. Patients with possible acute coronary syndrome or stroke symptoms that may not meet defined
criteria for specialty center transport
C. Patients potentially requiring diversion for critical airway stabilization
What should you do in the event you cannot reach your assigned base station for an OLMC call? - ANS
✔✔ - If
The contact is unsuccessful:
, 1. Attempt to contact the next closest Resource/Associate Hospital.
2. All attempts at contact must be documented in the patient care report.
3. Notification of a communication problem must be made to the Resource/Associate Hospital and the
ambulance service provider's supervisor on Duty after arriving at the receiving hospital.
Name the 6 call disposition types - ANS ✔✔ - Patient Transported to Appropriate Emergency
Department:
Patient Initiated Refusal
No Patient Found
Patient Deceased on Arrival (DOA
Cancelled Prior to Arrival on Scene
Handled by Police
When is it appropiate to use "Handled by Police" as a call disposition? - ANS ✔✔ - In the event where
EMS and the Chicago Police Department
(CPD) both respond to a scene, CPD may elect to handle the situation in certain
Circumstances such as behavioral emergencies, duis, or criminal investigations and
Take custody of the patient. In these situations, it is expected that EMS will still
Attempt to perform a full patient assessment unless CPD refuses access to the
Patient due to scene safety. EMS should advise CPD of any potential risks
Associated with the patient not receiving EMS care and/or transport. OLMC is
Required for these situations.
List the equipment that is required to be brought in with EMS personnel for all calls: - ANS ✔✔ -
Equipment
When responding to all requests for out-of-hospital care, the EMS personnel (First
Responder, EMT-B, Paramedic) must take the following to the initial contact with the
Patient:
1. Quick response bag
2. Conveyance device
Questions And Answers Updated
Solution
Explain the difference between an online medical control (OLMC) and a pre-notification call? - ANS ✔✔ -
Online Medical Control (OLMC): Base Station contact is required for: 1) Medical
Direction in Regionalized Systems of Care patients or complex patient care situations or
2) Situations not clearly defined by the Region XI Policies & Procedures as needed by
The EMS provider.
A. Goal: To provide immediate medical direction to the EMS provider for situations
Where patient care or destination may be impacted.
Communication method: OLMC calls will be made through the MED Channels or
Cellular lines and all contact will be recorded.
Pre-Notification: EMS should contact the receiving hospital directly for ALS transports in
Situations where the Region XI Standing Medical Orders/Protocols have been followed.
A. Goal: To provide direct communication between EMS providers and the receiving
Hospital for straightforward BLS or ALS patient transports.
No medical direction will be given by non-Region XI Base Station hospitals receiving
Pre-notification reports.
Communication method: Pre-notification reports should be given through a Hospital's dedicated
telemetry line if the hospital is a Resource/Associate Hospital within Region XI (or another Region).
Contact may also be through a dedicated EMS telephone line or MERCI radio if the participating hospital
does not have a Telemetry line.
Write out an example of a pre-notification call? - ANS ✔✔ - Pre-Notification Report
A. Identify agency and number
B. State "This is a pre-notification report."
,C. Age and sex
D. Chief complaint
E. Vital signs
F. "Routine protocols followed"
G. Additional details that may be needed for the receiving hospital to prepare for the patient
H. Destination and ETA
An example includes patients with spinal immobilization or who are unable to sit in a wheelchair or
chair. Those who may need an immediate bed upon emergency department arrival.
List 3 examples that should be called in as OLMC rather than a pre-notification call? - ANS ✔✔ - 1.
Regionalized Systems of Care transports including patients with:
A. Acute coronary syndrome and STEMI criteria
B. Suspected acute stroke
C. Trauma Field Triage Criteria (Steps 1-4)
D. Ventricular Assist Device (VAD)
E. Obstetric related complaint
2. Cardiac Arrest
A. For patients in whom resuscitation is initiated, OLMC should be consulted Before moving the patient.
OLMC is required in making the decision to Continue on-scene resuscitation, transport, or terminate
resuscitation.
B. Patients that meet criteria for withholding resuscitation (see Initiation or Withholding of Resuscitative
Measures Policy B.5) do not require OLMC Consultation (i.e. DOA).
3. Complex patient care situations and/or questions regarding the appropriate Destination. For example:
A. Any patient potentially requiring a Level 1 Trauma Center, but not clearly Meeting Trauma Field
Triage Criteria
B. Patients with possible acute coronary syndrome or stroke symptoms that may not meet defined
criteria for specialty center transport
C. Patients potentially requiring diversion for critical airway stabilization
What should you do in the event you cannot reach your assigned base station for an OLMC call? - ANS
✔✔ - If
The contact is unsuccessful:
, 1. Attempt to contact the next closest Resource/Associate Hospital.
2. All attempts at contact must be documented in the patient care report.
3. Notification of a communication problem must be made to the Resource/Associate Hospital and the
ambulance service provider's supervisor on Duty after arriving at the receiving hospital.
Name the 6 call disposition types - ANS ✔✔ - Patient Transported to Appropriate Emergency
Department:
Patient Initiated Refusal
No Patient Found
Patient Deceased on Arrival (DOA
Cancelled Prior to Arrival on Scene
Handled by Police
When is it appropiate to use "Handled by Police" as a call disposition? - ANS ✔✔ - In the event where
EMS and the Chicago Police Department
(CPD) both respond to a scene, CPD may elect to handle the situation in certain
Circumstances such as behavioral emergencies, duis, or criminal investigations and
Take custody of the patient. In these situations, it is expected that EMS will still
Attempt to perform a full patient assessment unless CPD refuses access to the
Patient due to scene safety. EMS should advise CPD of any potential risks
Associated with the patient not receiving EMS care and/or transport. OLMC is
Required for these situations.
List the equipment that is required to be brought in with EMS personnel for all calls: - ANS ✔✔ -
Equipment
When responding to all requests for out-of-hospital care, the EMS personnel (First
Responder, EMT-B, Paramedic) must take the following to the initial contact with the
Patient:
1. Quick response bag
2. Conveyance device
