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Loyola System Entry Exam (Region VIII) – BLS Solved Exam Questions and Answers (Complete Practice

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Loyola System Entry Exam (Region VIII) – BLS Solved Exam Questions and Answers (Complete Practice

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Loyola System Entry Exam (Region VIII) –
BLS Solved Exam Questions and Answers
(Complete Practice Papers)
Radio Report Order - Correct Answers ✅-agency name, unit number/call
sign, desired destination (if different than hospital being contacted), level of
care being provided

-patient age, sex, approx. weight

-LOC and orientation (GCS)

-Chief complaint/primary impression, symptoms, MOI/NOI, pertinent scene
info, pertinent negatives/associated complaints

-vital signs: BP, HR, RR, SpO2, temperature, pain score 0-10 (Wong Baker)

-Cincinnati Stroke Scale/NIH Stroke Scale findings

-Last known well

-Blood glucose level

-Pupils, lung sounds, skin parameters, history, medications, allergies

-Interventions, medications given, disposition

-Destination, ETA



General Patient Assessment - Correct Answers ✅Initial Assessment:

-Scene safety/PPE

-ABCs/C-spine: airway (establish and maintain), breathing (assess, assist or
provide ventilations, assess lung sounds), circulation (check pulse, control
hemorrhage)

-AVPU

-expose/examine

-priority transport



Focused history and physical exam

-SAMPLE (Signs/symptoms, systematic head-to-toe, GCS; allergies;
medications; pertinent medical history; last oral intake/menstrual period;
events leading to)

,Loyola System Entry Exam (Region VIII) –
BLS Solved Exam Questions and Answers
(Complete Practice Papers)
-initial vital signs

-pain 0-10 scale



Detailed physical exam

Ongoing assessment - reassess ABCDs



Most adult SMOs include - Correct Answers ✅-AIMC or PIMC

-AITC or PITC

-don't do anything if contraindicated

-Refer to other SMOs as needed

-transport, support ABCs, keep warm

-when in doubt contact MD



Considerations for patients with special healthcare needs - Correct
Answers ✅Be aware of situation and equipment and utilize resources such
as caregivers/family



Streamlined BLS communication - Correct Answers ✅-Name and vehicle
number of provider

-Patient age and gender

-Chief complain/MOI

-SMO being followed

-Any deviation from SMO or unusual circumstance

-ETA



Load-and-go situation - Correct Answers ✅-When needing hospital care for
patient stability

,Loyola System Entry Exam (Region VIII) –
BLS Solved Exam Questions and Answers
(Complete Practice Papers)
-May need to omit/adapt SMO based on own medical judgment

-Document deviations thoroughly

-not implying speed of transport increases but emphasize rapid patient
packaging and limited on-scene time



Withholding or withdrawing resuscitative efforts - Correct Answers ✅-
uncertainty = begin treating and contact MD

-emotional support to significant others



Who can pronounce a patient dead? - Correct Answers ✅ED physician

-document time in PCR



Power of attorney - Correct Answers ✅-honor only if written POLST/DNR
order signed by patient's attending practitioner is presented

-other healthcare decisions may be made by POA if document allows

-bring all documents to hospital



Living Will/surrogates - Correct Answers ✅-may not be honored; treat and
contact MD

-no situation where surrogate can give direct instructions to EMS provider;
treat, contact MD, explain



POLST/DNR orders/withholding treatment - Correct Answers ✅-confirm
validity of POLST/DNR order, call MD if item is missing

-Must be a written document that hasn't been revoked

-Must include all needed components

-If valid: resuscitative efforts withheld and follow anything on order

, Loyola System Entry Exam (Region VIII) –
BLS Solved Exam Questions and Answers
(Complete Practice Papers)
-if valid and patient is not in cardiac or respiratory arrest with a
decompensating condition: begin AIMC

-If resuscitative efforts were begun prior to order being present, may
withdraw effort once validity confirmed, contact MD

-Illinois POLST form preferred, but accept those of other states/entities as
long as minimum requirements met



Components validating a POLST/DNR order - Correct Answers ✅NEEDS:

-name of patient

-resuscitation orders

-2 signatures

-evidence of consent (signature of patient, legal guardian, durable POA for
health care agent, OR surrogate decision maker under Illinois Health Care
Surrogate Act)

-signature of attending pracitioner

-effective date



Obviously dead patients/"triple zero" - Correct Answers ✅-no resuscitative
efforts initiated

-Non-breathing, pulseless, asystolic, and one or more of the following:
decapitation, rigor mortis w/o hypothermia, profound dependent lividity,
decomposition, mummification/putrefaction, incineration, frozen state

-Contact MD if obviously dead but not listed above (indicate you have a
"triple zero"

-Document pronouncement time and physician name



Hospice patients not in arrest - Correct Answers ✅-Initiate BLS care and
contact MD for orders

-Check for written treatment orders/valid POLST/DNR orders

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