LA COUNTY PROTOCOLS QUESTIONS &
ANSWERS|| GRADED A+|| LATEST
UPDATE 2025/26
Ref. 304 Purpose of base hospital
Base hospital is ? -CORRECTANSWER responsible for providing medical direction and
destination to pre-hospital care personnel within LA County EMS system according to
standard procedures consistent with statewide guidelines
Ref. 304 Purpose of base hospital
MICN is what? -CORRECTANSWER registered nurse who has been authorized by the
medical director, qualified to provide prehospital advanced life support or to issue
instructions to EMS personnel within LA County
Ref. 304 Purpose of base hospital
base hospital shall: -CORRECTANSWER 1. Be lic. by CA state dept. of public health
2.special permit for basic or comprehensive emergency service
3. Be accredited , deemed acceptable for Medicare and Medicaid
4.Meet or exceed standards for PEDS unless exempted
5. Have a written contractual agreement with EMS agency
6. Implement and monitor LA County policies
,***7. Designate a base hospital medical director who shall be responsible of the base
hospital. base hospital medical director shall be a physician on the hospital******
and a lot of more shit to remember
Ref. 408 ALS Unit Staffing
ALL ALS units shall -CORRECTANSWER both public and private
shall be staffed at least two state licensed paramedics accredited in Los Angeles
County
Ref. 409
Procedure for reporting ALS unit staffing exceptions -CORRECTANSWER 1. Complete
a report for each calendar month where an ALS unit operates with less than the
minimum staff.
2. the report must be submitted no later than 10 days after the close of the calendar
month to DHS
Ref. 502 Patient Destination
MAR defined as -CORRECTANSWER the most accessible receiving (MAR) may or
may not be the closest facility geographically.
consider traffic, weather conditions, that may influence transport time
,Ref. 502 Patient Destination
pts. shall not be transported ? -CORRECTANSWER pt. shall not be transported to a
medical facility that is on diversion due to internal disaster
Ref. 502 Patient Destination
Pt. should be transported to the MAR unless -CORRECTANSWER 1. The base hospital
determines that another facility is more appropriate to meet the needs of the pt. or
2. the patient meets criteria or guidelines to a specialty care center
Ref. 503 Guidelines for hospital requesting Diversion of ALS Pt.
ALS pt. defined as -CORRECTANSWER ALS patient is any patient who requires
paramedic assessment or intervention, including not limited to patient meeting the
criteria outlined in ref. 808
Ref. 503 Guidelines for hospital requesting diversion
who is responsible maintaining ReddiNet -CORRECTANSWER Receiving hospital are
responsible for maintaining and updating ReddiNet
Ref. 503 Guidelines for hospital requesting diversion
, ED Saturation defined as -CORRECTANSWER ED resources( beds, equipment and
staff) are fully committed or are not sufficient to care for addtl incoming ALS patients.
hospitals may request ED diversion via the ReddiNet for up to one hour at a time. at the
end of the hour Reddinet will automatically re-open the hospital
only one hour increments
Ref. 503 guidelines for hospital requesting diversion
CT Scanner -CORRECTANSWER hospital is unable to provide essential diagnostic
procedures due to lack of a functioning CT scanner
Ref. 503 guidelines for hospital requesting diversion
trauma centers requesting diversion -CORRECTANSWER hospital is unable to care for
additional trauma patients because trauma team is fully committed caring for trauma
patients
a. critical equipment unavailable
b. operating room unavailable
c. trauma team encumbered
Ref. 503 guidelines for hospital requesting diversion
ANSWERS|| GRADED A+|| LATEST
UPDATE 2025/26
Ref. 304 Purpose of base hospital
Base hospital is ? -CORRECTANSWER responsible for providing medical direction and
destination to pre-hospital care personnel within LA County EMS system according to
standard procedures consistent with statewide guidelines
Ref. 304 Purpose of base hospital
MICN is what? -CORRECTANSWER registered nurse who has been authorized by the
medical director, qualified to provide prehospital advanced life support or to issue
instructions to EMS personnel within LA County
Ref. 304 Purpose of base hospital
base hospital shall: -CORRECTANSWER 1. Be lic. by CA state dept. of public health
2.special permit for basic or comprehensive emergency service
3. Be accredited , deemed acceptable for Medicare and Medicaid
4.Meet or exceed standards for PEDS unless exempted
5. Have a written contractual agreement with EMS agency
6. Implement and monitor LA County policies
,***7. Designate a base hospital medical director who shall be responsible of the base
hospital. base hospital medical director shall be a physician on the hospital******
and a lot of more shit to remember
Ref. 408 ALS Unit Staffing
ALL ALS units shall -CORRECTANSWER both public and private
shall be staffed at least two state licensed paramedics accredited in Los Angeles
County
Ref. 409
Procedure for reporting ALS unit staffing exceptions -CORRECTANSWER 1. Complete
a report for each calendar month where an ALS unit operates with less than the
minimum staff.
2. the report must be submitted no later than 10 days after the close of the calendar
month to DHS
Ref. 502 Patient Destination
MAR defined as -CORRECTANSWER the most accessible receiving (MAR) may or
may not be the closest facility geographically.
consider traffic, weather conditions, that may influence transport time
,Ref. 502 Patient Destination
pts. shall not be transported ? -CORRECTANSWER pt. shall not be transported to a
medical facility that is on diversion due to internal disaster
Ref. 502 Patient Destination
Pt. should be transported to the MAR unless -CORRECTANSWER 1. The base hospital
determines that another facility is more appropriate to meet the needs of the pt. or
2. the patient meets criteria or guidelines to a specialty care center
Ref. 503 Guidelines for hospital requesting Diversion of ALS Pt.
ALS pt. defined as -CORRECTANSWER ALS patient is any patient who requires
paramedic assessment or intervention, including not limited to patient meeting the
criteria outlined in ref. 808
Ref. 503 Guidelines for hospital requesting diversion
who is responsible maintaining ReddiNet -CORRECTANSWER Receiving hospital are
responsible for maintaining and updating ReddiNet
Ref. 503 Guidelines for hospital requesting diversion
, ED Saturation defined as -CORRECTANSWER ED resources( beds, equipment and
staff) are fully committed or are not sufficient to care for addtl incoming ALS patients.
hospitals may request ED diversion via the ReddiNet for up to one hour at a time. at the
end of the hour Reddinet will automatically re-open the hospital
only one hour increments
Ref. 503 guidelines for hospital requesting diversion
CT Scanner -CORRECTANSWER hospital is unable to provide essential diagnostic
procedures due to lack of a functioning CT scanner
Ref. 503 guidelines for hospital requesting diversion
trauma centers requesting diversion -CORRECTANSWER hospital is unable to care for
additional trauma patients because trauma team is fully committed caring for trauma
patients
a. critical equipment unavailable
b. operating room unavailable
c. trauma team encumbered
Ref. 503 guidelines for hospital requesting diversion
